1
|
Ji YJ, Yu PX, Shang YW, Dong R, Xue JM, Suo LM, Zhao CQ. [Hemophilic pseudotumor involving nasal septum: a case report]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2023; 58:792-794. [PMID: 37599241 DOI: 10.3760/cma.j.cn115330-20221123-00706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 08/22/2023]
Affiliation(s)
- Y J Ji
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - P X Yu
- Department of Laboratory Medicine, Shanxi Bethune Hospital, Taiyuan 030032, China
| | - Y W Shang
- Department of Pathology, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - R Dong
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - J M Xue
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - L M Suo
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - C Q Zhao
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
| |
Collapse
|
2
|
Ji YJ, Dong R, Liang SY, Suo LM, Xue JM, Zhao CQ. [Clinical features and management analysis of 11 cases of laryngocele]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2023; 58:470-475. [PMID: 37150993 DOI: 10.3760/cma.j.cn115330-20221008-00596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Objective: To summarize clinical features and our experience of the diagnosis and treatment of laryngocele. Methods: Clinical data of 11 laryngocele patients in department of Otorhinolaryngology Head and Neck Surgery of the Second Affiliated Hospital of Shanxi Medical University from January 2012 to December 2021 were retrospectively reviewed, including 9 men and 2 women, aged from 12 to 75 years, with median age of 56 years. Electronic laryngoscope was performed in 10 of all patients, laryngeal CT in 10 and cervical color ultrasound in 5 before operation.All the operations were performed under general anesthesia, and the external cervical approach was used for external and combined laryngocele. The internal laryngocele was resected by low temperature plasma through transoral endoscopy. Patients were followed up regularly after operation to evaluate the effect. Clinical feature, types of lesions, imaging findings, surgical approaches and follow-up results were analyzed through descriptive statistical method. Results: Eleven laryngocele patients were divided into mixed type (n=6), internal type (n=4) and external type (n=1).Nine patients presented with hoarseness or dysphonia, 7 with cervical mass and 1 with airway obstruction. Surgical resections were done through external cervical approach (n=7)or transoral endoscopic approach (n=4). All the operations were successful and no complication occurred. All cases were followed up from 17 to 110 months. No recurrence was encountered. Conclusions: Laryngocele is a rare lesion with atypical clinical presentation. Preoperative imaging including CT scan and electronic laryngoscope is essential to evaluate the location, and extent of the lesion, and to make the surgical plan.Complete surgical excision is required. Surgical resection is the only effective method for the treatment of laryngocele.
Collapse
Affiliation(s)
- Y J Ji
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - R Dong
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - S Y Liang
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - L M Suo
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - J M Xue
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - C Q Zhao
- Department of Otorhinolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
| |
Collapse
|
3
|
Xu NW, Ji YJ, Zhuo HD, Wang YJ, Qi XP, Xue JM, An YF, Suo LM, Zhao CQ. [Clinical analysis of 12 cases of laryngeal neuroendocrine carcinoma]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57:1334-1338. [PMID: 36404660 DOI: 10.3760/cma.j.cn115330-20220328-00138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Objective: To investigate the clinical and pathological features, treatments and prognosis of laryngeal neuroendocrine carcinoma (LNEC). Methods: We conducted the retrospective analysis of the clinical data of 12 patients with LNEC admitted to the Department of Otorhinolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University from May 2014 to December 2021, including 9 males and 3 females, aged 50-77 years. There were 4 cases of typical carcinoid tumour (highly differentiated), 5 cases of atypical carcinoid tumour (moderately differentiated) and 3 cases of neuroendocrine small cell carcinoma (hypofractionated). The clinical features, diagnosis, treatment and prognosis of LNEC were analysed. Results: The clinical manifestations of LNEC varied according to the tumour type but did not correlate with the pathological types. The supraglottic type was characterized by sore throat, foreign body sensation in the pharynx, coughing, obstructive sensation when eating and choking on water. The treatments were determined according to the pathological types, lesion location and invasion scope. Of 12 patients 4 underwent horizontal partial laryngectomy plus elective lymphatic dissection plus postoperative radiotherapy/chemotherapy, 4 underwent vertical partial laryngectomy (3 of them with cervical lymphatic dissection), 3 underwent supported laryngoscopic plasma laryngectomy for laryngeal cancer, and 1 abandoned for treatment. With the follow-up of 8 -78 months, 5 patients were alive, 1 died from chemotherapy reactions, 3 died from other diseases, 1 died from lung metastasis, 1 died from lung infection and 1 was lost to follow-up. Conclusion: LNEC is clinically rare, the clinical manifestations are less specificity, diagnosis relies on pathological and immunohistochemical examinations, and treatment modalities and prognoses are closely related to the pathological subtypes of LNEC.
Collapse
Affiliation(s)
- N W Xu
- Second School of Clinical Medicine, Shanxi Medical University, Taiyuan 030001, China Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - Y J Ji
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - H D Zhuo
- Second School of Clinical Medicine, Shanxi Medical University, Taiyuan 030001, China Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - Y J Wang
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - X P Qi
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - J M Xue
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - Y F An
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - L M Suo
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - C Q Zhao
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| |
Collapse
|
4
|
Jia W, Suo LM, Fan P, Dong T, Li YJ, Ji JM, Xue YF, An CQ, Zhao YX, Zhang JX, Duan J. [Clinical and genetic studies of a family with hereditary angioedema]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57:980-985. [PMID: 36058666 DOI: 10.3760/cma.j.cn115330-20211209-00789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To diagnose a large family of patients with hereditary angioedema, and to study its inheritance pattern and gene locus. Methods: A retrospective analysis was carried out from August 2021 to February 2022 in a proband (female, 48 years old) and 12 family members who underwent medical history collection and laboratory examinations in the Department of Otorhinolaryngology and Head and Neck Surgery, the Second Hospital of Shanxi Medical University. The clinical data of members and non-affected members [including 7 males and 5 females, aged 12-78 (median 24) years old], were drawn a family map while confirming the diagnosis. Whole exome sequencing technology was used to detect the genetic sequence of the proband and to verify its family members to map the genetic pedigree of the mutation. Results: The inheritance pattern of the family was autosomal dominant, and 8 members of the family were diagnosed with hereditary angioedema by laboratory examination, including 7 cases of type I and 1 case of type Ⅱ. Whole exome sequencing analysis was performed on 2 patients with 2 phenotypes, and it was found that they both carried the same pathogenic mutation locus, which was c.890-2A>G. The family members were verified by next-generation sequencing, and it was found that all members of the family who had a history of edema contained this mutation site, while the younger brother of the proband who had no history of edema did not have this mutation. Conclusion: Both type Ⅰ and type Ⅱ phenotypes are present in this hereditary angioedema family, and the mutation of SERPING1 gene c.890-2A>G causes the onset of each patient in this family.
Collapse
Affiliation(s)
- W Jia
- Department of Biochemistry and Molecular Biology, Basic Medical College, Shanxi Medical University, Taiyuan 030001, China
| | - L M Suo
- Department of Biochemistry and Molecular Biology, Basic Medical College, Shanxi Medical University, Taiyuan 030001, China Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - P Fan
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - T Dong
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - Y J Li
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - J M Ji
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - Y F Xue
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - C Q An
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - Y X Zhao
- Department of Otorhinolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - J X Zhang
- Shanxi Guoxin Caregeno Medical Laboratory, Taiyuan 030001, China
| | - Jianxiong Duan
- Shanxi Guoxin Caregeno Medical Laboratory, Taiyuan 030001, China Shanghai Lanwei Medical Laboratory Co., LTD., Shanghai 200335, China
| |
Collapse
|
5
|
Zhao CQ, Wang YJ, Cheng FL, An YF, Xue JM, Suo LM. [Neuro-immune mechanism and its advances in upper airway hyperresponsiveness]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57:510-514. [PMID: 35527450 DOI: 10.3760/cma.j.cn115330-20210629-00387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- C Q Zhao
- Department of Otolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - Y J Wang
- Department of Otolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - F L Cheng
- Department of Otolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - Y F An
- Department of Otolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - J M Xue
- Department of Otolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| | - L M Suo
- Department of Otolaryngology Head Neck Surgery, the Second Hospital, Shanxi Medical University, Key Research Laboratory of Airway Neuroimmunology, Taiyuan 030001, China
| |
Collapse
|
6
|
Suo LM, Si NN, Jin L, Zhang L, Sun SF, Song YH, Yang J, Li QF, Zhao CQ. [Evaluation of curative effect of VNG and VEMP in patients with severe sudden hearing loss]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 32:1102-1105. [PMID: 30550157 DOI: 10.13201/j.issn.1001-1781.2018.14.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Indexed: 11/12/2022]
Abstract
Objective:To evaluate the relationship between vestibular function and curative effect in patients with severe sudden hearing loss.Method:The vestibular function of 79 patients with severe hearing loss was examined by video-nystagmography (VNG) and vestibular evoked myogenic potential (VEMP).Result:There were significant differences between the two test outcomes (P<0.01) in the severe group (27 cases). The effective rate of both VNG and VEMP normal group was 100%, the effective rate that both VNG and VEMP were abnormal was 41.7%. In the profound severe group (52 cases) there was also a significant difference between the two test results and the therapeutic effect (P<0.01). The effective rate of both VNG and VEMP normal group was 76.9%. The effective rate was 34.6% with both VNG and VEMP abnormal. There was no significant difference between hearing loss degree and curative effect.Conclusion:The VNG and VEMP examinations in patients with severe sudden hearing loss are valuable in evaluating the efficacy. Both VNG and VEMP were abnormal with the worst curative effect.
Collapse
Affiliation(s)
- L M Suo
- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - N N Si
- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - L Jin
- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - L Zhang
- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - S F Sun
- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - Y H Song
- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - J Yang
- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - Q F Li
- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - C Q Zhao
- Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| |
Collapse
|
7
|
Ji YJ, An YF, Xue JM, Li QF, Suo LM, Zhang YT, Hou R, Li Q, Cheng FL, Zhao CQ. [A preliminary study of a modified transnasal endoscopic three step vidian neurectomy]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 32:1542-1545. [PMID: 30400703 DOI: 10.13201/j.issn.1001-1781.2018.20.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 08/18/2018] [Indexed: 11/12/2022]
Abstract
Objective:The aim of this study is to explore an improved trans-nasal endoscopic surgical approach for vidian neurectomy. Method:Ninety-one patients with nasal hyperreactive disease were collected, including 49 cases of allergic rhinitis and 42 cases of non allergic rhinitis. All sufferers enrolled in the study have treated with medicine, but the symptoms were not effectively controlled. Preoperative CT localization of the vidian canal was performed in each candidate. During the surgery a"Three-step" surgical approach were followed under endoscopic guidance in accordance with the operation procedures. Briefly, such a three-step procedure consists of the following, that is, a transnasal endoscopic sphenoidectomy through sphenoethmoidal recess as step one, with enlargement of the sinus ostium along the junction of the anterior wall and the floor of the sinus until the exposure of the vidian nerve canal toward the lateral wall of the sinus as step two. The last step was further exposure of the vidian nerve going through the canal and electric cautery preventing bleeding from the neurovascular bundle in the canal. Result:All patients were completed successfully with 100% preoperative CT location of the vidian canal in the CT scan and 100% intraoperative accurate exposure of the canal and therefore the cut of the vidian nerve. Conclusion:"Three-step" endoscopic resection of the vidian neurectomy is easy to master and repetitive with less injury.
Collapse
Affiliation(s)
- Y J Ji
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - Y F An
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - J M Xue
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - Q F Li
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - L M Suo
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - Y T Zhang
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - R Hou
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - Q Li
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - F L Cheng
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| | - C Q Zhao
- Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China
| |
Collapse
|