Vacuum drainage for deep neck infection / 中国耳鼻咽喉头颈外科

OBJECTIVE To evaluate the effect of vacuum drainage for deep neck infection.METHODS There were 35 patients with deep neck infection in the First Central Hospital of Tianjin from January 2009 to February 2016. These patients were treated by abscess incision and drained with vacuum.RESULTS After treatment, the symptoms of the general fever and pharyngalgia were significantly turned better. The local inflammatory reaction was controlled within one to 3 days and the wounds were most primary healed in 7 days. CONCLUSION The deep neck inflammatory abscess was mostly able to be cured by incision and vacuum drainage of the abscess. The method can significantly reduce the pain of patients and the workload of the physician, and the effect of the method is better than the traditional treatment method.

Clinical application of endoscopy-assisted resection of tumors in parapharyngeal space / 中华耳鼻咽喉头颈外科杂志

<p><b>OBJECTIVE</b>To explore the advancement of the endoscopic video system in parapharyngeal space tumor resection.</p><p><b>METHODS</b>Thirty cases parapharyngeal space tumor patients underwent endoscopy-assisted tumors resection in otorhinolaryngology-head and neck surgery of Tianjin First Central Hospital. The passway included trans-oral cavity in 6 cases, 21 cases with trans-neck side and trans-neck-parotid gland in 3 cases.</p><p><b>RESULTS</b>Tumors of all cases were completely resected, without residual tumor. It was included 23 cases of benign tumors (14 cases of parotid pleomorphic adenoma, 8 cases of neurilemmoma, lymph node tuberculosis in 1 case), malignant tumor in 7 cases (2 cases of metastatic carcinoma, 2 cases of malignant mixed tumor, 1 case of malignant neurilemmoma, 2 cases of adenoid cystic carcinoma). Tongue deflection was recorded in 2 cases. There were neither wound infection or bleeding. All the cases were followed up after operation without recurrence. Seven cases of malignant tumor patients were all alive with follow-up 1 year in 1 case, 3 years in 4 cases, 2 cases for five years.</p><p><b>CONCLUSIONS</b>Endoscopy-assisted tumors resection can deal with visual lesion corner and allow previous part no visibility surgery into all operation under direct vision. It contributed to improve the quality of operation, reduce the surgery complication. It was worth to be wide spreaded in clinic.</p>

Objective evaluation of nasal ventilation function in healthy adults in Tianjin area / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To establish reference values of acoustic rhinometry, rhinomanometry and rhinospirometer in healthy adults in Tianjin area, analyze the effects of age,sex and side on the value, investigate the correlation of the measure values, offer the diagnosis date for test nasal ventilation function in Tianjin area.@*METHOD@#Four hundred and sixty-six healthy adults in Tianjin area were tested. A1 acoustic rhinometry was used to measure the minimum cross-sectional area (MCA), distance of the minimal cross-sectional area to the nostril (DCAN) and the nasal volume from 0-5 cm, 2-5 cm (V5, V2-5); At 150 Pa, 75 Pa and broms, NR6 Rhinomanometry was used to measure unilateral nasal inspiratory resistance (IR)and expiratory resistance (ER), bilateral nasal inspiratory and expiratory resistance (TIR and TER), and differences of the bilateral nasal resistance can be calculated; NV1 Rhinospirometer was used to measure unilateral inspiratory capacity (IC) and expiration capacity (EC), and the nasal partitioning ratio (NPR) can be calculated. Practical measure the distance of nostril to ahead of the inferior turbinate and compare with DCAN. Make the correlational analysis on different index of three exam.@*RESULT@#Reference values of acoustic rhinometry: MCA was (0.45 +/- 0. 16) cm2 for male, (0.44 +/- 0.16) cm2 for female; V2-5 was (3.52 +/- 1.38) cm3 for male, (3.36 +/- 1.22) cm3 for female, V5 was (5.10 +/- 1.47) cm3 for male, (4.86 +/- 1.12) cm3 for female; DCAN have two distance, (2.22 +/- 0.398, 0.53 +/- 0.625) cm was for male, (2.10 +/- 0.37, 0.67 +/- 0.15) cm was for female. No significant gender, side and age differences were shown in MCA, V5, V2-5. Significant gender differences were shown in DCAN but no side and age differences. Reference values of rhinomanometry: Significant gender but no side and age differences were shown in IR, ER, TIR, TER. Reference values of rhinospirometer: IC was (2.06 +/- 1.10) L/20 s for male, (1.37 +/- 0.34) L/20 s for female, EC was (2.15 +/- 1.23) L/20 s for male (1.39 +/- 0.58) L/20 s for female. NPRi was 0.11 [0.05, 0.23],NPRe was 0.11 [0.05, 0.19]. Significant gender but no side and age differences were shown in IC and EC. No gender and age differences were shown in NPRi and NPRe. There was significant correlation found between MCA and IR/ER/IC/EC, IR and IC, ER and EC, Rlr and NPRi/ NPRe.@*CONCLUSION@#Acoustic rhinometry,rhinomanometry and rhinospirometer can be useful reference values to evaluate nasal ventilation function, more value will be found if use the three together.

The long-term morphology of the nasal cavity after total laryngectomy / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To investigate the long-term effect of nasal airflow deprivation on nasal dimensions after total laryngectomy.@*METHOD@#Thirty-two patients with total laryngectomy were enrolled in the study. Acoustic rhinometry was used to measure the minimum cross-sectional area (MCSA) and the volume of the nasal cavity after laryngectomy, compared with the normal control group. In addition, patients underwent endoscopic nasal examinations and answered questionnaires postoperatively, symptoms between the different levels to compare the results of acoustic rhinometry.@*RESULT@#At both within 1-year and more than 1-year follow-ups, the mean MCSAs and the mean nasal volumes were significantly expanded than the control values (P 0.05). The endoscopic examinations revealed only a deterioration in the appearance of the nasal mucosa over the long term. Survey showed that the postoperative patients had varying degrees of nasal obstruction flu, nose dry, hyposmia, etc. The nasal MCSA, nasal cavity volume was of the largest when moderate nasal obstruction flu,or severe dry nose or severe hyposmia.@*CONCLUSION@#The structure was atrophic nasal change, the nasal MCSA, nasal cavity volume were larger, the results of acoustic rhinometry was different among the varying degrees of symptoms after total laryngectomy.