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Han JB, Luo ZH, Dong J, Wang Y, Hua QQ. [Efficacy of Barbed reposition pharyngoplasty combined with Han-Uvulopalatopharyngoplasty for the treatment of OSAHS patients]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2023; 58:959-965. [PMID: 37840160 DOI: 10.3760/cma.j.cn115330-20221202-00725] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 10/17/2023]
Abstract
Objective: To study the efficacy of Barbed reposition pharyngoplasty (BRP) combined with Han-Uvulopalatopharyngoplasty (H-UPPP) in surgical treatment of OSAHS patients. Methods: OSAHS patients admitted to our department from June 2021 to February 2022 who met the surgical enrollment criteria were divided into two groups by surgical procedure: H-UPPP operation group [Control group, 47 cases, including 42 males and 5 females, aged 18-64 (37.77±11.65)years, and H-UPPP+BRP group [Study group, 48 cases, including 45 males and 3 females, aged 23-60 (39.10±9.86) years]. The surgical efficacy 6 months after operation was retrospectively analyzed. Meanwhile, the relationship between the surgical efficacy and modified Friedman pharyngeal anatomical stages was analyzed. The postoperative pain VAS score at first 3 days and the incidence of foreign body sensation in pharynx after 6 months of operation were compared between the two groups. Statistical analysis was conducted by SPSS 23.0. Results: There were no significant differences in gender, age, BMI, Friedman pharyngeal anatomical stages, ESS score, AHI and LSpO2 between the two groups, preoperatively (P>0.05). There was significant difference between the two groups in ratio of cumulative time of oxygen saturation below 90% to total sleep time(CT90), preoperatively. Surgical efficacy of H-UPPP operation group was 48.9% (23/47), while H-UPPP+BRP operation group was 70.8% (34/48), which was statistically significant (χ2=4.74, P=0.029). H-UPPP+BRP group seemed to have a higher surgical efficacy than H-UPPP group in patients with Friedman Ⅱb (87% vs. 61.9%) and Ⅲ stage (44.4% vs. 15%), but there was no statistically significant difference (P>0.05). H-UPPP+BRP group had a higher pain VAS score in first three days (t=-3.10, P=0.003), also had higher incidence of pharyngeal foreign body sensation after 6 months of operation (χ2=4.727, P=0.030). Conclusions: In the surgical treatment of OSAHS patients, the overall efficacy of BRP combined H-UPPP surgery is higher than that of H-UPPP surgery alone. It may be more suitable for OSAHS patients with modified Friedman type Ⅱb and type Ⅲ stage.
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Affiliation(s)
- J B Han
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Z H Luo
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - J Dong
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Y Wang
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Q Q Hua
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
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Yang BQ, Yang XL, Wu ZY, Wang L, Ren J, Wang WJ, Hua QQ. [Rare tumor of internal auditory canal]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57:843-847. [PMID: 35866277 DOI: 10.3760/cma.j.cn115330-20210809-00537] [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 explore the clinical features and treatment strategy of rare tumor in the internal auditory canal(IAC). Methods: A retrospective study was carried out in 213 patients with lesion of ICA form January 2010 to December 2020. According to imaging features, surgical findings, and pathological diagnosis, there were 7 cases of non-sporadic acoustic neuroma, including 2 cases of cavernous hemangioma, 2 cases of aneurysm, 1 case of intralabyrinthical schwannoma, 1 case of meningioma, and 1 case of unilateral neurofibromatosis type 2 (NF2). The clinical manifestations, imaging data and intraoperative conditions as well as the formulation of individualized treatment strategies and prognosis were comprehensively analyzed. Results: In addition to hearing loss, cavernous hemangioma early appeared damage of facial nerve. CT showed expansion and calcification of IAC. Patients with aneurysm appeared tinnitus and vertigo early. CT showed enlargement of ampulla shape of IAC. DSA or MRA can help confirm the diagnosis. Patients with intralabyrinthine schwannoma early appeared refractory vertigo. High resolution MRI was helpful for diagnosis. "Dural tail sign" can be seen on enhanced MRI of meningeoma. Neurofibromatosis type 2 usually presented as bilateral vestibular schwannomas,but a few patients presented only with unilateral vestibular schwannomas.. All patients underwent labyrinth approach resection except one patient with NF2 for followed-up. Their postoperative symptoms were relieved. No tumor recurrence was observed during 6-3 years of follow-up. Conclusions: The clinical and imaging manifestations of rare tumors of the internal auditory canal are different. The principle of treatment is also different. It is helpful to avoid the serious consequences caused by blind operation to confirm diagnosis before operation.
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Affiliation(s)
- B Q Yang
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - X L Yang
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Z Y Wu
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - L Wang
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - J Ren
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - W J Wang
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Q Q Hua
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
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Deng ZF, Zhu T, Ding YJ, Zhou CL, Kang Y, Qu JN, Hua QQ, Xu Y. [Application of tracheotomy in the treatment of severe cases of COVID-19]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 55:576-579. [PMID: 32610401 DOI: 10.3760/cma.j.cn115330-20200305-00162] [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] [Indexed: 02/05/2023]
Abstract
Objective: To discuss the the effects, indications and protective measures of tracheotomy for severe cases of coronavirus disease 2019 (COVID-19) patients. Methods: A retrospectively analysis was conducted to explore the clinical data of COVID-19 patients who received tracheotomy in February to March 2020, and descriptive statistics were used to analyze the indication of tracheotomy, particularity of intraoperative treatment and protective measures. Results: A total of 4 cases were included in this article. All patients were successfully operated. One case had postoperative incision continuous bleeding, there were not other complications and nosocomial infection among the medical staff. The patient's condition was relieved in different degrees after the operation, who remained hospitalized. Conclusion: Tracheotomy for severe cases of COVID-19 can achieve certain curative effect, but the occurrence of tracheotomy related complications and nosocomial infection should be effectively controlled, and the risk benefit ratio of tracheotomy should be carefully weighed before surgery.
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Affiliation(s)
- Z F Deng
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - T Zhu
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Y J Ding
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - C L Zhou
- Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Y Kang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdou 610000, China
| | - J N Qu
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Q Q Hua
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Y Xu
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China; Institute of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
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Deng ZF, Zhu T, Ding YJ, Zhou CL, Kang Y, Qu JN, Hua QQ, Xu Y. [Application of tracheotomy in the treatment of severe cases of COVID-19]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 55:E009. [PMID: 32292012 DOI: 10.3760/cma.j.issn.1673-0860.2020.0009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Objective: Todiscuss the the effects, indications and protective measures of tracheotomy for severe cases of 2019 novel corona virus disease(COVID-19)patients. Methods: A retrospectively analyze was conducted to explore the clinical data of ofCOVID-19 patients who received tracheotomy in February to March 2020,descriptive statistics were used to analyze the indication of tracheotomy, particularity of intraoperative treatment and protective measures. Results: A total of 4 cases were included in this article, 3 cases were successfully operated, 1 case of postoperative incision continuous bleeding, there were not other complications and nosocomial infection among the medical staff.the patient's condition was relieved in different degrees after the operation, who remain hospitalized. Conclusion: Tracheotomy for severe cases of COVID-19 can achieve certain curative effect, but the occurrence of tracheotomy related complicationsand nosocomial infection should be effectively controlled, and the risk benefit ratio of tracheotomy should be carefully weighed before surgery.
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Affiliation(s)
- Z F Deng
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - T Zhu
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Y J Ding
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - C L Zhou
- Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Y Kang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdou 610000, China
| | - J N Qu
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Q Q Hua
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Y Xu
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
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Yang XL, Ren J, Xu Z, Lei WW, Yang K, Kong YG, Qu JN, Liao H, He Y, Chen HD, Zeng F, Wang Y, Hua QQ. [Prevention and control strategies and methods of novel coronavirus epidemic infection in department of otolaryngology head and neck surgery in hospital]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 55:316-321. [PMID: 32306626 DOI: 10.3760/cma.j.cn115330-20200205-00237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- X L Yang
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - J Ren
- Department of Allergy, People's Hospital of Wuhan University, Wuhan 430060, China
| | - Z Xu
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - W W Lei
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - K Yang
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - Y G Kong
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - J N Qu
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - H Liao
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - Y He
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - H D Chen
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - F Zeng
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - Y Wang
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
| | - Q Q Hua
- Deaprtment of Otorhinolaryngology Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan 430060, China
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Hu LY, Wang ZY, Hua QQ. [The management evolution for vestibular schwannoma: history and current situation]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017; 51:469-72. [PMID: 27345891 DOI: 10.3760/cma.j.issn.1673-0860.2016.06.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
It has been over 200 years since the acoustic neuroma(AN) was firstly reported. From simply describing its symptoms to the decline of surgical mortality, the protection of facial and acoustic nerve function, as well as the improvement of the patients' quality of life. Physicians made efforts on evolving the diagnostic techniques and treatment strategies, and a better understanding of AN's development. The current major managements of AN are microsurgery, stereotactic radiosurgery, and follow-up. We reviewed the AN's history and prospected its future managements.
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Affiliation(s)
- L Y Hu
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Z Y Wang
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Jiaotong University Ear Institute, Shanghai Key Laboratory of Translational Medicine on Ear and Nose diseases, Shanghai 200092, China
| | - Q Q Hua
- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
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