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16 December 2014 Volume 28 Issue 6
Abnormal styloid process and styloid process syndrome
ZHANG Qing-quan
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 1-3. doi:
10.6040/j.issn.1673-3770.0.2014.190
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Reasons for misdiagnosis of styloid process syndrome in 114 cases
SUN Xiu-mei, ZHANG Qing-quan, DU Ji-liang
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 4-6. doi:
10.6040/j.issn.1673-3770.0.2014.191
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1973
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Objective
To explore the reasons for misdiagnosis of styloid process syndrome and to get proper diagnosis and treatment.
Methods
The clinical data of 114 cases of styloid process syndrome were retrospectively analyzed from the course of the disease, misdiagnosed diseases and surgical treatment effect.
Results
114 cases were diagnosed as other diseases.There were 77 cases diagnosed as chronic pharyngitis, chronic tonsillitis and glossopharyngeal nerve pain, 67.5% of 114 cases; The duration of this group was relatively short, from 1 to 6 months, the median duration was 2.5 month; After partial removal of styloid process, 87.0% of them were cured. There were 14 cases diagnosed as anxiety disorders, menopause syndrome and neurosis; The duration of this group was relatively long with the median duration of 7, 2, and 8 years, and 50% of them were cured.
Conclusion
Styloid process syndrome has the characteristics of diversity and easily to be crossed with other diseases. Grasping the characteristics helps to get definite diagnosis. Strict control of 1 the indications of partial removal of styloid process helps to improve the effect of surgical treatment.
Diagnosis and treatment of stylohyoid ligament ossification
JIANG Shao-hong, ZHANG Qing-quan, SONG Xi-cheng, WANG Qiang, ZHU Yu-hong, ZHANG Qiang
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 7-8. doi:
10.6040/j.issn.1673-3770.0.2014.192
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2399
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Objective
To explore the clinical features and operation method of styloid process abnormal and stylohyoid ligament ossification.
Methods
CT scanning and styloid 3D reconstruction were pre-operatively performed on 9 patients with stylohyoid ligament ossification, and cervical approach-styloidectomy was performed to amputate ossificated stylohyoid ligament, ceratohyal and part of styloid process.
Results
The clinical symptoms of 8 patients disappeared and the symptoms of 1 patient significantly relieved after the operation, no obvious complications occurred.
Conclusion
Patients with styloid process of stylohyoid ligament ossification of the styloid process can be definitely diagnosed by CT scan and should undergo cervical approach styloidectomy which produces exactly curative effect and no significant adverse reactions.
Surgical treatment for styloid precess syndrome
WANG Yong-fu, XU Yong-xiang, YU Jun, YU Ya-ping, CHEN Xiao-hua
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 9-10. doi:
10.6040/j.issn.1673-3770.0.2014.193
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2643
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Objective
To explore the advantages of different methods of surgical treatment of styloid process syndrome.
Methods
In 30 patients with styloid process syndrome, 20 patients whose tonsillar fossa could be touched hard prominence underwent intra-oral approach surgeries with tonsillectomy; 3 patients whose palatine arches could be touched hard prominence underwent intra-oral approach surgeries; 7 patients with no hard prominence underwent cervical approach partial removal of styloid process surgeries.
Results
After the operations, 26 cases had no symptoms of foreign bodies in the pharynx, pharyngeal pain, ear pain and pain in submanandibular angle, 4 cases of pre-operative symptoms had significantly relieved. There was no occurrence of complication.
Conclusion
Surgery of partial removal of styloid is currently the main treatment for styloid process syndrome. It should be carried out depending on length and angle of the styloid process, and the manifestation in pharyngea to achieve the best therapeutic effect.
Application of anterior wall of external auditory canal ardrum flap for open tympanoplasty in 31 patients
CHEN Ze, ZHONG Zhao-tang, LIANG Min-zhi
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 11-15. doi:
10.6040/j.issn.1673-3770.0.2014.160
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Objective
To investigate the application of anterior wall of external auditory canal-eardrum flap in open tympanoplasty to improve tympanic molding.
Methods
66 patients (66 ears) with chronic suppurative otitis media or middle ear cholesteatoma accompanied with self sealing of mesotympanum and hypotympanum underwent open tympanoplasty. 31 cases were applied with anterior wall of external auditory meatus-eardrum flap (Anterior flap group) and 35 cases were treated with cartilage and fascia inner-transplanted method (Cartilage group). Air conduction (AC) and air bone gap (ABG) were performed six months before and after surgery. The clinical effect of the two groups were Compared.
Results
The success rates were 96.8%(30/31) and 88.6%(31/35) in anterior flap group and cartilage group respectively (
P
>0.05), while the effective rates were 88.46% and 65.52% correspondingly in the two groups (
P
<0.05).
Conclusion
For the patients with chronic suppurative otitis media accompanied with sealing of mesotympanum and hypotympanum, anterior wall of external auditory canal eardrum flap in open tympanoplasty can improve fascia survival and reduce perforation rate of tympanic membrane, with satisfying tympanic molding, simultaneous auditory rehabilitation, hearing improvement and good clinical effect.
Surgical treatment of pseudocyst of auricle in 45 cases
BO Lin, SU Fa-ren, LIU Xin-gang, DING Jing-hua
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 16-17. doi:
10.6040/j.issn.1673-3770.0.2014.138
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Objective
To investigate surgical effects in the treatment of pseudocyst of auricle.
Methods
A retrospective analysis was performed on 45 cases with auricle pseudocyst.
Results
After the operation, all cases were cured. The postoperative follow-up was more than 1 year. Apart from one due to secondary auricle injury, there was no other recurrence.
Conclusion
Surgical treatment of auricle pseudocyst is easy, simple and satisfactory.
Clinical trial of postaurical drug injection to treat sudden hearing loss
JIANG Chao-yong, CAI Yong-ming, YIN Ya-lei
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 18-20. doi:
10.6040/j.issn.1673-3770.0.2014.070
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Objective
To evaluate the postaurical injection of corticosteroids to treat sudden hearing loss.
Methods
65 patients with sudden hearing loss were divided into postaurical injection group (
n
=32) and intratympanic administration group (
n
=33). In addition to conventional medication, two groups were injected dexamethasone 0.5 mg through postaurical or intratympanic approaches on every three days in a 14-day course.
Results
The hearing improvement in postaurical injection group and intratympanic administration group were 13.2±8.6 dB and 14.6±11.1 dB. Compared to the pre-treatment, the differences were significant in both groups (
P
<0.05), however, no significant difference were noted between the groups (
P
>0.05). Adverse reactions occurred less in experimental group than the control (
P
<0.05).
Conclusion
Postaurical injection is effective, simple and safe to treat sudden hearing loss, which can serve as an alternative for intratympanic administration.
Endoscopic transnasal lateral wall fenestration in treatment of maxillary cyst
CHEN Ke
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 21-22. doi:
10.6040/j.issn.1673-3770.0.2014.309
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1812
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Objective
To explore the effect of endoscopic transnasal lateral wall fenestration in the treatment of maxillary cyst.
Methods
According to the location, size and involvement extent to the maxillary sinus, 19 cases were performed endoscopic transnasal lateral wall fenestration.
Results
During a follow-up period of 12 to 24 months, cyst mucosa epithelia was found in post-operative 3 months, no relapse happened, and the sinus cavity drained well.
Conclusion
Endoscopic transnasal lateral wall fenestration is a minimally invasive surgery in treatment of maxillary cyst and produces good result.
Analysis on therapeutic efficacy of endoscopic nasal surgery with different approaches for treating fungal maxillary sinuisitis
ZHU Fa-mei, ZHENG Jia-fa, CHEN Zu-yao, WANG Min
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 23-25. doi:
10.6040/j.issn.1673-3770.0.2014.150
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Objective
To compare the therapeutic effect of different kinds of endoscopic nasal surgery for fungal maxillary sinusitis.
Methods
40 patients were treated by endoscopic maxillary sinus surgery in combination with windowing of inferior nasal meatus as the treatment group,and the other 40 patients were treated by the simple endoscopic nasal surgery with middle nasal meatus as the control group.
Results
During a follow up of one year, 39 patients were cured and 1 patient had relapse in the treatment group, and 32 patients were cured and 8 patients had relapse in the control group (
χ
2
=4.507,
P
<0.05).
Conclusion
Endoscopic maxillary sinus surgery in combination with windowing of inferior nasal meatus is a minimally invasive, effective and safe approach for surgical treatment of fungal maxillary sinuisitis.
Surgical approaches and effect for frontal sinus diseases
CHEN Yi-min, WANG Jia-rong, QIU Lian-sheng
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 26-28. doi:
10.6040/j.issn.1673-3770.0.2014.203
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Objective
To investigate the surgical approaches and curative effect for frontal sinus diseases.
Methods
A retrospective analysis was done into 28 cases (30 sides) of frontal sinus diseases, including frontal sinusitis, frontal sinus mucoceles, abscess mucoceles and osteoma, of which 17cases were treated by endoscopic sinus operation and 11 cases by the combination of nasal endoscopic surgery with external nasal surgery.
Results
All patients were tracked for up to 3-l2 months. The symptoms in all the cases were found to lessen or disappeared, and there were no serious operative complications.
Conclusion
The cases that cannot be radically treated by endoscopic operation and the cases where nasal endoscope cannot safely reach the frontal sinus posterior wall or the pupil outside frontal cell should be treated by the combination of nasal endoscopic surgery with frontal sinus anterior wall fenestration. Before the operation, the doctor should carefully read CT and choose the proper operative approach; during the surgery, the doctor should carefully identify the anatomical structure, accurately locate the diseased spot and skillfully carry out the operation so as to avoid the occurrence of serious complications. Adequate attention should be paid to pre-operative comprehensive treatment and post-operative regular reexamination and cavity debridement.
Hypothermal radiofrequency ablation in perennial allergic rhinitis with unsatisfactory effect by drugs
PENG Hong, YIN Jin-shu, WANG Jia, BAI Yun-bo, JI Wei
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 29-31. doi:
10.6040/j.issn.1673-3770.0.2014.131
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Objective
To observe the therapeutic effect of hypothermal radiofrequency ablation for perennial allergic rhinitis with unsatisfactory effect by drugs.
Methods
A total of 136 patients with perennial allergic rhinitis received hypothermal radiofrequency abaltion of bilateral agger nasi, anterosuperior part of nasal septum, and anterior portion of inferior and middle nasal turbinate from May 2009 to December 2012. Each received one surgery.
Results
Followed up for 1 year, the total effective rate was 93.38%, of which the excellent rate was 72.06% (98 cases) and the effect rate was 21.32%(29 cases).
Conclusion
Hypothermal radiofrequency ablation is effective for perennial allergic rhinitis patients with unsatisfactory effect by drugs.
Biological amniotic membrane and gelfoam in treatment of nasal adhesion
ZHANG Hong-qi
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 32-33. doi:
10.6040/j.issn.1673-3770.0.2014.172
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Objective
To observe the clinical curative effect of endoscopic biological amniotic membrane and gelfoam for nasal adhesion.
Methods
In January 2010 to June 2013, 46 patients with nasal cavity adhesions were randomly divided into the treatment group (
n
=27)and the control group(
n
=19). The treatment group was treated by biological amniotic membrane+gelatin sponge, and the control group was treated with gelatin sponge alone.
Results
After follow-up of 2 weeks, 1 month, and 3 months, the effective rate was 96.3% in the treatment group and 68.4% in the control group.
Conclusion
Application of biological amniotic membrane and gelatin sponge nasal adhesion under endoscopy is a convenient and effective method.
Endoscopic anterior prelacrimal recess surgery in treatment of maxillary sinus lesions
WANG Xiao-ye, YOU Jian-qiang, LI Hai-feng, CHAO Chang-jiang
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 34-36. doi:
10.6040/j.issn.1673-3770.0.2014.244
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Objective
To explore the application of endoscopic transnasal prelaerimal recess-maxillary sinus approach in surgery for maxillary sinus lesions.
Methods
A total of 31 patients with maxillary sinus lesions were treated by endoscopic transnasal prelaerimal recess-maxillary sinus surgery between September 2011 and January 2014. Among them there were 19 cases of inverted papilloma(3 of malignant transformation), 5 cases of hemorrhagic necrotic polyps, 3 cases of fungal maxillary sinusitis, and 4 cases of maxillary sinus polyps. The operation was performed under hypotension anaesthesia and performed with an endoscopic transnasal lateral nasal wall approach to the maxillary sinus.Then all the lesions were completely removed under endoscopy.
Results
The lesions were removed totally in all 31 patients.No complications were found.Three patients with inverted papilloma canceration underwent radiotherapy after surgery. All the patients fully recovered and were discharged from the hospital in 5 to 8 days.Except one patient with papillary epithelioma, no recurrence occurred during the follow up periods ranging from 5 to 33 months.
Conclusion
Endoscopic transnasal prelacrimal recess-maxillary sinus approach can maintain the structure of nasolaerimal duct and fully expose the maxillary sinus. Lesions removed totally can greatly decrease the morbidity.
Endoscopic surgery for treating fungal maxillary sinusitis
DONG Shou-hao, SHI Qing-yuan, WANG Zhen-zhen, ZHUANG Jian-hua, LIN Jia-xiang, LIAO Zhi-su
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 37-39. doi:
10.6040/j.issn.1673-3770.0.2013.336
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Objective
To explore the treatment effect of middle and inferior antrostomies in the endoscopic and simple endoscopic sins surgery for fungus maxillary sinusitis.
Methods
40 cases were treated with endoscopic surgery middle plus inferior antrostomies (A group), and 53 cases were treated with nasal endoscopic fenestration of middle meatus (B group). Based on the Haikou standard in accordance with 1997, the efficacy of the two groups was assessed.
Results
During a post-operative follow-up of 1 to 2 years, 36 cases were cured (90%) and 4 cases were improved (10%) in group A, while 45 cases were cured(84.9%), 1 case was improved(1.9%) and 7 cases were relapsed or had no effect. The difference was significant between the two groups (
χ
2
=5.713,
P
=0.018).
Conclusion
Nasal endoscopic operation for fungus ball maxillary sinusitis is effective.
Application of long handled electric knife in epiglottic cyst resection
LUO Song
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 40-42. doi:
10.6040/j.issn.1673-3770.0.2014.216
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Objective
To investigate the impact of long handled electric knife in epiglottis cyst excision.
Methods
66 cases of epiglottic cysts were randomly divided into the experimental group and control group. Each group had33 cases and all the cases were operated under general anesthesia. The operation time, bleeding loss during operation, postoperative pain, postoperative recovery were compared between the two groups.
Results
Compared with the control group, the amount of bleeding during operation were obviously reduced, while the operation time was shortened andthe postoperative curative effect was better in the experimental group (
P
<0.05); there was no significant difference in the postoperative pain between the two groups, (
P
>0.05).
Conclusion
Long handled electrotome in epiglottis cyst excision shows many advantages, such as good exposure, less bleeding and operation time, better postoperative effect. This method warrants recommendation.
Coblation and routine excision to treat epiglottic cysts
ZHOU Jing-chun, KE Zhao-yang, MA Ling-guo, ZHANG Jing-jing, ZHANG Wei, FENG Chun-ying
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 43-46. doi:
10.6040/j.issn.1673-3770.0.2014.085
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2844
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Objective
To compare the effectiveness of coblation and routine excison in the treatment of epiglottic cysts.
Method
sixty adult patients with epiglottic cysts were randomly divided into coblation group (ArthroCare Evac 70 ArthroWand) or routine dissection group (cold instruments). The operating time and postoperative pain were assessed by VAS. The postoperative epiglottic edema, pseudomembrane time, as well as complications, were observed in a double blind fasion.
Result
The operating time was shorter in coblation group,which also presented less complaint of pain 1-6 days after surgery and smaller extent of epiglottic edema 1-3 days after surgery, but, more pseudomembrane shed off on the 8th day. No difference was found in the beginning time of defilming. No dyspnea or hemorrhage occurred in both groups. No recurrence was observed 12 months after the surgery.
Conclusion
Comparing with conventional procedure, coblation assisted dissection can shorten operation time and reduce the postoperative pain.
Analysis of psychological factors and effects of psychological intervention in patients with pharyngeal paraesthesia
FU Yun-chun
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 47-49. doi:
10.6040/j.issn.1673-3770.0.2014.231
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Objective
To explore the effects of psychological intervention in the patients with pharyngeal paraesthesia.
Method
SCL-90(symptom check List-90) was applied to analyze the mental states of 156 patients diagnosed as pharyngeal paraesthesia between January 2012 and December 2012. The patients were randomly divided into control and treatment group, and the latter were treated with additional psychotherapy based on the drug intervention in the control group.
Result
One hundred and thirty patients had a return visit after two-week treatment, including 69 controls and 61 non-controls. Total effective rate were 68.12% and 93.44%, respectively(
P
<0.01).
Conclusion
Psychological intervention is effective in the treatment of pharyngeal paraesthesia and warrants clinical application.
Application of voice prosthesis after total laryngectomy(115 cases report)
GAO Ying-kai, LIU Qing-ming, YANG Li-ping, ZHANG Feng-ying, WANG Shu-yong, CHEN Shu-ping, YOU Hui-zeng, LIU Cun-jun, ZHAO Yan-xiang
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 50-52. doi:
10.6040/j.issn.1673-3770.0.2014.089
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1750
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Objective
To investigate the application of voice prosthesis in the patients after total laryngectomy.
Methods
A new voice restoration prosthesis made of silicone was developed. It was installed in 115 cases of laryngeal carcinoma patients after total laryngectomy, including 87 cases of one stage and 28 cases of secondary operation.
Results
In 0.5-10 years follow-up, 105 patients(91.3%)recovered satisfying speaking capability. No complication occurred.
Conclusion
Newly designed voice prosthesis is a safe, simple, and easy method to restore the speaking capability for the patients with total laryngeactomy. It's highly recommended.
Operation plus pingyangmycin injection to treat laryngopharyngeal hemangioma in 23 patients
QIU Zhi-li, JIANG Xiao-ping
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 53-56. doi:
10.6040/j.issn.1673-3770.0.2014.104
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Objective
To investigate the effectiveness of operation plus pingyangmycin injection in the treatment of laryngopharyngeal hemangioma under laryngoscope.
Methods
23 cases of laryngopharyngeal hemangioma, admitted to otorlaryngology department from 2002 to 2012, were enrolled. All the patients were treated with surgical resection plus pingyangmycin injection under laryngoscope. Clinical results were observed during 1-month to 6-month follow-up period.
Result
20 cases were cured without recurrence (87%) and the tumor size were decreased significantly in the other 3 cases (13%).
Conclusion
Surgery plus pingyangmycin injection is effective to treat laryngopharyngeal hemangioma with high cure rate and short course of treatment.
Pain evaluation with surface electromyogram in patients after tonsillectomy
ZHANG Jie, LI Jin-rang, LIU Tao
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 57-60. doi:
10.6040/j.issn.1673-3770.0.2014.153
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1527
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Objective
To study the method to evaluate the degree of pain in the patients after tonsillectomy with surface EMG.
Methods
Thirty two patients (15 men, 17 women; aged from 20 to 60 years) who underwent tonsillectomy in our hospital were included in this study. Swallowing surface electromyogram (sEMG) was examined before the operation, and the first and second day after the operation. Meantime, the degree of pain was evaluated using the visual analogue scale (VAS) on the first and second day after the operation.
Results
In all swallow styles, the duration and amplitudes of sEMG of dry swallow after the operation were shorter and less than those before the operation. The durations of sEMG o of 20 mL water swallow after the operation were longer than those the before operation, while the amplitudes were less. There were no significant differences in VAS, duration and amplitudes of sEMG in dry swallow, 20 mL water swallow between the two days after the operation. The change of duration and amplitudes of sEMG after the operation showed no correlation with the VAS score (
P
>0.05).
Conclusion
sEMG can reflect the changes of the muscular activity during swallowing after tonsillectomy because of pain. The changes of sEMG may be used as an indicator for analgesics in the future, but it cannot be used to evaluate the degree of the pain after tonsillectomy.
Evaluation of akson therapy after vocal polyp surgery
CHEN Min-qi, PENG Wen-jing, CHEN Shu-hua
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 61-64. doi:
10.6040/j.issn.1673-3770.0.2014.125
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Objective
To evaluate the therapeutic effects of vocal polyp surgery combined with akson therapy.
Methods
Clinical data of 60 vocal cord polyp patients undergoing surgery under self-retaining laryngoscope were randomly divided into treatment and control groups, in which akson therapy was applied for 3 months in the treatment group and not for the control group. The VHI testing were performed 3 months and one year after the treatment, including 18 patients of treatment group and 20 patients of control group.
Results
The effective rates of the treatment group were higher than those of control group 3 months and 1 year after the treatment (
P
<0.05).
Conclusion
Due to low cost and simplicity, akson therapy may be better choice for voice recovery after vocal polyp surgery.
A clinical analysis of 312 cases of children bronchial foreign bodies
LIU Chao-bing, WANG Chun-hua, ZHANG Xiao-lan, LIU Ran-ran
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 65-67. doi:
10.6040/j.issn.1673-3770.0.2014.093
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Objective
To investigate the diagnosis, treatment and management of perioperative complications in the patients with tracheobronchial foreign bodies.
Methods
Clinical data of 312 cases of bronchial foreign body were analyzed retrospectively. Among them, two pin cases underwent thoracotomy, and 7 cases coughed out the foreign bodies by themselves. Though 8 cases were treated without anesthesia due to critical conditions, the others received rigid bronchoscopy to remove the foreign bodes under general anesthesia.
Results
In 312 cases, the foreign bodies were located on the left in 123 cases and on the right in 129 cases. The remaining were found in trachea. During the the removal of foreign bodies, 26 cases presented asphyxia in the wakening from the anesthesia and recovered well with the pressurized oxygen mask. One patient presented asphyxia in the ward, and was transfered immediately back to the operation room to remove the remnants of foreign body. Except one case of brain edema died eventually, the others were successful discharged.
Conclusion
The tracheobronchial foreign bodies are usually occurred in boys with the peak age at one year old. Although the foreign bodies are various, peanuts and melon seeds are much common. There are no significance difference between the left and right bronchus. Timely diagnosis, careful operation and close observation are the keys to avoid and reduce the perioperative complications.
Comparison of visual performance after implantation of intraocular lenses: accommodative, spherical monofocal and aspheric monofocal
WANG Jing, LI Bin, BI Hong-sheng, ZHANG Miao-miao, LI Ying-mei, DING Gang
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 68-71. doi:
10.6040/j.issn.1673-3770.0.2014.164
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Objective
To compare the performance of accommodative, spherical monofocal and aspheric monofocal intraocular lenses (IOLs).
Methods
In this clinical control study, 3 types of IOL were implanted in 180 eyes of 180 patients with age-related cataract who underwent phacoemulsification. Accommodative (Tetraflex), aspheric monofocal (akreos advanced optics [AO]) (ZMA00), and spherical monofocal (Akreos Adapt) IOLs were implanted. The uncorrected, best-corrected distance, contrast sensitivity, and distancecorrected intermediate and near visual acuity (UCDVA, BCDVA, CSVA, DCIVA, and DCNVA, respectively), and amplitude of pseudoaccommodation were measured at 1, 3, and 12 months after surgery.
Results
Differences in CSVA at all contrast degrees, UCDVA, and BCDVA among the three groups were not significant. Patients in the tetraflex group exhibited a better DCIVA and DCNVA and experienced more pseudoaccommodation compared to patients in the other two groups at 3 and 12 months after surgery (
P
<0.01).
Conclusion
All the three types of IOLs allow greater distance visual acuity; However, tetraflex IOLs produced better DCIVA and DCNVA and more pseudoaccommodation.
Changes of macular thickness under optical coherent tomography in type 2 diabetic patients with cataract after phacoemulsification surgery and IOL implantation
SUN Hong-yi, ZHANG Han
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 72-76. doi:
10.6040/j.issn.1673-3770.0.2014.114
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Objective
To investigate the effects of phacoemulsification surgery and IOL implantation on the macular area in type 2 diabetic patients with cataract.
Methods
84 type 2 diabetic patients with cataract underwent single-eye phacoemulsification operation were enrolled into the study. OCT (Optical coherent tomography) were performed before the operations, and 1 day, 7 days, 30 days after the operations in all 168 eyes. The 84 operated eyes were assigned to the study group, while the other 84 eyes were assigned to the control group. The FRT(foveal retina thickness) (at 1 mm) and PMV (perimacular volume) (at 6 mm) of the two groups were analyzed with SPSS 19.0.
Results
FRT: There was no significant difference between the two groups before the surgery(
P
>0.05), as well as 1day after the surgery (study group 258.06±23.34 μm, control group 259.88±21.01 μm;
P
>0.05). However, significant differences were noted at 7 days (study group 270.94±20.26 μm, control group 260.54±20.88 μm) and 30 days(study group 275.46±25.38 μm, control group 260.68±22.95 μm; both
P
<0.05) after the surgery. Similar changes also happened in PMV data: before and 1 day after the surgery(
P
<0.05), at 7 days (study group 8.68±0.68 mm
3
, control group 8.32±0.62 mm
3
;
P
<0.05), and 30 days (study group 9.46±0.73 mm
3
, control group 8.34±0.58 mm
3
;
P
<0.05). Macular edema occurred or aggravated in 15 eyes of the study group and 2 eyes of the control group.
Conclusion
There are more chances of macular edema or aggravation after phacoemulsification surgery and IOL implantation than without for type 2 diabetic patients.
Modified blepharosphincterectomy for congenital entropion in 24 cases
GUO Li, YUAN Fang, LI Bin, LI Jun-yi, WANG Cui-qing, YAN Chun-hui
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 77-78. doi:
10.6040/j.issn.1673-3770.0.2014.099
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Objective
To investigate the modified blepharosphincterectomy in the treatment of congenital entropion.
Methods
24 patients (45 eyes) of congenital entropion were treated with modified blepharosphincterectomy,in which 2 cases (4 eyes) underwent previous fornix-based suture placement but recurred.
Results
Among 45 eyes of 24 patients, postoperative correction achieved satisfactory in 35 eyes (78%), mild satisfactory in 5 eyes (11%), mild overcorrection in 3 eyes (6%), and mild undercorrection in 2 eyes (4%) .10 cases of corneal epithelial punctate opacity recovered completely 1-2 months after the surgery and 7 cases of obvious tear symptoms disappeared completely. Patients were followed up for 6-12 months after the operation. The patients and their parents were all satisfied with the surgical results, and good cosmetic effect.
Conclusion
Modified blepharosphincterectomy is a new effective method to treat congenital entropion.
The establishment of a hearing clinic network
ZHOU Xiao-wei, WANG Yue-jian, DUAN Guang-rong, YU You-jun
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 79-84. doi:
10.6040/j.issn.1673-3770.0.2014.198
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Objective
We want to combine the traditional hospital management with the network technology and the information technology together to build a special network platform for hearing diagnosis via, and finally achieve a digital medical in audiology field.
Methods
We realize the data interface with the hearing diagnostic equipment via the digital acquisition technology, and realize the connection with the Hospital Information System(HIS)system via data sharing module, To build the business platform by taking a integrated use of the information systems、 the medical statistics、 data mining、 the expert systems and so on, and to achieve the data security through the data encryption and the firewall technology.
Results
We have a comprehensive hearing clinics integrated platform for patients、 doctors and administrators, and realize the network and information technology of our hearing clinic. Achieve the regional sharing of equipment and personnel by using the telemedicine technology and so on, and make the hearing clinic intelligently by building data mining and expert systems.
Conclusion
Hearing clinic network platform make the digital medical of the audiology field into a reality, expand and deepen the information level of the audiology field. The development and application of the system will greatly enhance the utilization of the equipment of the hearing center and the efficiency of our medical diagnosis and treatment, and improve the overall level of regional hearing clinics effectively, provide a better social security services for the hearing screening of the hearing impaired people and newborn.
Intratracheal ectopic thyroid: a case report and a literature review
YAN Zhi-yu, YE Xing
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 85-87. doi:
10.6040/j.issn.1673-3770.0.2014.196
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1397
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Peripharyngeal necrotizing fasciitis in a case
LIU Hong, WANG Juan, WANG Chun-jiao
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 88-89. doi:
10.6040/j.issn.1673-3770.0.2014.127
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1359
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One cases of the middle ear congenital cholesteatoma
YU Yan-ni, WANG Na, LU Hai-wei, FAN Xian-liang, XU An-ting
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 90-91. doi:
10.6040/j.issn.1673-3770.0.2014.229
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Embryonal rhabdomyoscacoma of nasal cavity and paranasal sinus in two cases and a literature review
LIU Hua, CHEN Xian-ming
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 92-95. doi:
10.6040/j.issn.1673-3770.0.2014.165
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1603
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Renal clear cell carcinoma transferred to the maxillary sinus in 1 case
ZHANG Jian-wei, ZHANG Qi-chang, ZHUANG Han, NI Ze, CAI Wei-qi
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 96-97. doi:
10.6040/j.issn.1673-3770.0.2014.175
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Adult sinus embryonal rhabdomyosarcoma and a review of the literature
LI Jun-zheng, CHEN Wei-nan, GAO Xiang, TIAN Wen-dong
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 98-99. doi:
10.6040/j.issn.1673-3770.0.2014.188
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Laryngeal Mikulicz's (Mikulicz) disease in 1 case
LIU Hong, WANG Juan, WANG Chun-jiao
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 100-100. doi:
10.6040/j.issn.1673-3770.0.2014.117
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Ethmoid and sphenoid sinus mucocele caused decreased visual acuity: one case report and a literature review
LIU Ran-ran, WANG Jian-guo, HAN Zhen-qiang, QIAO Zhen-hua
JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY). 2014, 28(6): 101-102. doi:
10.6040/j.issn.1673-3770.0.2014.290
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