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Fibrous histiocytoma of the laryngeal glottis

Pingjiang GE ; Baoquan ZHANG ; Zhiqiang GAO ; Hui WANG ; Quancai CUI

Chinese Archives of Otolaryngology-Head and Neck Surgery.2005;12(2):125-127.

A case of a fibrous histiocytoma (FH) of the larynx in a 54-year-old male is reported. Laryngeal fibrous histiocytoma is uncommon. The case recurred several times over 4-year period. Its pathology is described including arguments on potential malignancy and the way of management.

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Development of two versions of Chinese hearing in noise test: the Cantonese and mandarin hearing in noise test

L.n.wong LENA ; D.soli SIGFRID ; Sha LIU ; Na HAN

Chinese Archives of Otolaryngology-Head and Neck Surgery.2005;12(1):55-60.

Two Chinese versions of the Hearing In Noise Test (HINT) were developed for assessing speech understanding ability of Cantonese and Mandarin speakers - the Cantonese Hearing In Noise Test (CHINT) and the Mandarin Hearing In Noise Test (MHINT). A total of 168 subjects with normal hearing thresholds participated in the studies. Sentence materials that represent daily conversational speech were created and recorded. These sentences were equated for difficulty by adjusting their presentation levels in noise. Twelve 20-sentence lists with equal phonemic content were created. Using these lists, Reception Thresholds for Sentences (RTSs), defined as the signal-to-noise ratio at which sentences were repeated correctly 50 % of the time,were obtained. RTSs were measured under headphones in quiet and in three noise conditions. For the noise conditions,speech was presented from the front and noise was processed to simulate origination from the front,the right and the left. The noise was fixed at 65 Db (A) and the speech level was adjusted adaptively. Interlist or test-retest reliability was high,suggesting that consistent results can be obtained using any list. Confidence intervals were measured and reported. Norms obtained using the CHINT and MHINT are comparable to those for the English HINT.

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The clinical application of endoscopic technique on maxillofacial benign tumor

Yunxia LI ; Ruiying LIANG ; Jingdong LI

Chinese Archives of Otolaryngology-Head and Neck Surgery.2006;0(06):-.

OBJECTIVE To explore the method and effect of endoscopic technique on maxillofacial benign tumor.METHODS Ten patients visiting our hospital from January to December 2007 and diagnosed as maxillofacial benign tumor were recruited in this study.The tumor of the patients were composed of 4 sebaceous glands,3 liparomphalus,3 epidermoid cysts.All of them were treated with endoscopic technique.The surgical approach was all in hair line or behind ear lobe and the incision was about 1cm. Subcutaneous tunnel was prepared.The operations were guided by the endoscope and helped with selfmade tritus skin expandor.RESULTS The operations were performed with an average duration of 45 minutes. Patients were all satisfied with the post operative results. CONCLUSION Endoscopic technique could well be applied in surgery of maxillofacial benign tumor.

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Study of using postaural bipedicle musculoperiosteal flap in mastoid obliteration

Shuangba HE ; Jingwu SUN ; Yinfeng WANG ; Shengjun WANG

Chinese Archives of Otolaryngology-Head and Neck Surgery.2006;0(06):-.

OBJECTIVE To explore the dry ears and improving the auditory level of postaural bipedicle musculo-periosteal flap to obliterate the mastoid cavity. METHODS 78 cases(ears) of chronic otitis media were treated with radical mastoidectomy,open-ended tympanoplasty and conchaplasty,and received mastoid plombabge by postaural bipedicle musculo-periosteal flap.RESULTS In 78 cases(ears),the time of dry ears were reduced to 10 or 15 days and the auditory level in 58 ears was impoved(17.2?4.9) dB after treatment.CONCLUSION The surgery with postaural bipedicle musculo-periosteal flap to plombabge the mastoid cavity can achieve the epithelization in the operation cavity more quickly,achieve a short duration to dry ear shortly and improve the auditory level.

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Compare the effects of the artifical eustachian tube insertion and tympanostomy tube insertion to treat secretory otitis media

Xinguo WANG ; Jun XIAO ; Xin LIU

Chinese Archives of Otolaryngology-Head and Neck Surgery.2006;0(06):-.

OBJECTIVE To compare the treatment effects of secreory otitis media with artificial eustachian tube insertion and tympanotomy tube insertion.To provide useful information for the treatment of secretory otitis media.METHODS Seventy-one patients(86 ears) with secretory otitis media were randomly divided into tow groups:experimental group(36 cases,44 ears) and control group(35 cases 42 ears).The experimental group was treated by artificial eustachian tube insertion under nasal endoscope.Drugs were injected through the tube into the tympanic cavity everyday after flushing it. The control group were treated by traditional method—the tympanic ventilation tube.All patients were followed up for 6 months.RESULTS The experimental group: 21 ears(47.73%) were cured,19 ears(43.18%) were straightened up,and no effects observed in 4 ears (9.09%).The control group:12 ears(28.57%) cured,17 ears(40.48%) wered straightened up and no effects obsered in 13 ears(30.95%).The efficiency rate of the experimental group(90.91%) was much higher than the control group(69.05%,P

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Application of local injection of n-butylcyanoacrylate for laryngopharyngeal sponge angioma

Qiong LIU ; Weidong SHEN ; Jialing WANG

Chinese Archives of Otolaryngology-Head and Neck Surgery.2006;0(06):-.

OBJECTIVE To explore the application of n-butyl-cyanoacrylate to treat laryngopharyngeal sponge angioma.METHODS The therapy and outcome of 19 cases of laryngopharyngeal cavernous hemangiomas during 1994.1～2005.1 were analyzed retrospectively.The age of all the patients ranged from 18 to 67 years with an average of 40.2 years.15 of the 19 cases were sclerotherapied by injection of a new type of tissue adhesive NBCA.4 of the 19 cases were undergone dissection of the lesion by surgical approach combined with local injection of NBCA.The duration of Follow-up ranged from 1 to 7 years.RESULTS Complete remove of tumor was achieved in 16 cases(84.2%);the tumor of 3 cases(15.7%) was removed incompletely,whose residual tumor was ablated by YAG laser in outpatient. CONCLUSION The cavernous hemangioma occures rarely in laryngopharyngx and usually are poorly defined. It is difficult for treatment because of dangerous bleeding and airway obstruction.In this study,CT、MR and DSA were used to define the extent of disease,and a high cure rate were achieved by NBCA injection combined with surgery and laser ablation.

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Ramus colli nervi facialis dissect in the surgical management of benign parotid tumor

Mingyue LI ; Wei ZHANG ; Ning LIU

Chinese Archives of Otolaryngology-Head and Neck Surgery.2006;0(06):-.

OBJECTIVE To study the feasibility and security of parotidectomy for parotid benign tumor by tracing cervical branch to expose facial nerve. METHODS Parotid benign tumor of 87 patients were studied.We exposed facial nerve by tracing main facial nerve branch、buccal branch、marginal mandibular branch and cervical branch in parotidectomy for parotid benign tumor and observed the function of facial nerve after operation.RESULTS The number of patients traced by main facial nerve branch- buccal branch、marginal mandibular branch and cervical branch group were 10、8、28 and 41 respctively,and the percentage of facial nerve injury after operation were 30%、37.5%、46.4%and 24.3%.The percentage of facial nerve injury was statistically different between the marginal mandibular branch group and the cervical branch group(P

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Curative effects of synthetic therapy for keloid in head and neck region

Jing MA ; Liu LIU ; Xiaojiang LI ; Jun SUI

Chinese Archives of Otolaryngology-Head and Neck Surgery.2006;0(06):-.

OBJECTIVE To evaluate the curative effects of surgery combined with early radiotherapy and local injection of hormonal anti-scarring drugs in the treatment of keloid in head and neck region. METHODS 35 patients with keloid were treated with surgery(completely excised and sutured directly or treated with local skin flap).Radiotherapy was applied within 24 hours after operation.A total dose of 20 Gy was administered in ten fractions of 2 Gy every day. Patients who had recurrences were treated with local injection of hormonal anti-scarring drugs.RESULTS After operation,all the wounds were healed by first intention.After 1-4 year follow-up,25 cases(71.43%) were cured without relapse;10 cases(28.57%) showed partial remission.The rate of therapeutic effect was 100%.CONCLUSION Surgical removal combined with local radiation and local injection of hormonal anti-scarring drugs are one of the effective methods in treatment with keloid in head and neck region.

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The side effects and its preservation of pingyangmycin used in treatment of vascular hemangioma

Wenzhong LIU ; Cai LIU ; Huiguang LIU

Chinese Archives of Otolaryngology-Head and Neck Surgery.2006;0(06):-.

OBJECTIVE To explore the side effects of pingyangmycin used in treatment of vascular hemangioma.METHODS One hundred and sixty nine cases of vascular hemangioma(83 males and 86 females) were treated with pingyangmycin, including 155 cases of hemangioma and 14 cases of lymphangioma,The age ranged from 0.5 to 75 years old.RESULTS The healing rate of pingyangmycin treatment was 85.2%(144/169),improved rate was 9.47%(16/169).The side effects of pingyangmycin could be defined as the long-term and short-term symptoms.The long-term side effects:3 cases of muscular atrophy,5 cases of tissue and cutaneous necrosis.The short-term side effect:109 cases of local swelling,12 cases of fever,13 cases of mucosal ulcer in oral cavity,1 case of allergy,3 cases of collapse. CONCLUSION Excessive pingyangmycin dosage may cause swelling,ulcer,corruption,even necrosis. Chronic muscular atrophy may occur long term after treatment.Attention must be paid to the location, dosage and speed of the pingyangmycin injection to prevent side effects.

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Target controlled infusion of remifentanil and propofol in elderly patients undergoing nasalendoscopy surgery

Dongxu YAO ; Tianlong WANG ; Yu LANG ; Limin WEI

Chinese Archives of Otolaryngology-Head and Neck Surgery.2006;0(06):-.

OBJECTIVE To evaluate the efficacy and side effect during target controlled infusion of remifentanil and propofol in elderly patient undergoing nasal-endoscopy surgery.METHODS 60 patients of nasal-endoscopy surgery were devided into two groups based on age(non-elderly group age

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