Tympanosclerosis etiology and treatment / 临床耳鼻咽喉头颈外科杂志

Tympanosclerosis is the middle ear tissue hyalinization and calcification caused by chronic middle ear inflammation, which mainly results in conductive deafness with unobvious clinical symptom. Etiology is unclear. The treatment is given priority to surgical treatment at present, while long-term effect reported mostly poor. This article analyzed etiology and treatment of the tympanic cavity sclerosis.

A case of diagnosing and treating the remaining foreign body in nasal sinus and cranium via orbit / 临床耳鼻咽喉头颈外科杂志

This paper mainly reports a case with the foreign body staying in nasal sinus and cranium via orbit. CT manifests the foreign body staying in ethmoid sinus and entering the bottom of cranium. After completing the relevant inspection, the patient unerwent right eye exenteration, endoscopic sinus surgery with general anesthesia in emergency to take out the foreign body in nasal sinus, and Cerebrospinal fluid leak repair surgery . Then the patient recovers well, futhermore, the symptom of cerebrospinal fluid leakage doesn't appear after five months follow-up.

Surgery added with fluconazole in treatment of fungal rhinosinusitis / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To explore the effect of surgery added with antifungal agents in treatment of fungal rhinosinusitis.@*METHOD@#One hundred and two consecutive patients with fungal rhinosinusitis were randomly divided into two groups: the control group (n=48) were treated with surgery alone, the treatment group (n=54) were treated with surgery plus antifungal therapy during operation and postoperation. The patients were followed up for 6 months and the relapse rates between two groups were compared.@*RESULT@#No relapse was observed in the treatment group. The relapse rate of the control group was 20.8% (P < 0.01).@*CONCLUSION@#Surgery plus antifungal therapy can prevent the relapse of fungal rhinosinusitis significantly.

Treatment of traumatic pseudoaneurysm of head and neck (report of 4 cases) / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To discuss the clinical features, diagnosis and treatment of traumatic pseudoaneurysm.@*METHOD@#We report 4 unusual cases of traumatic Pseudoaneurysms of the artery of head and neck. The data of the 4 cases was analysed retrospectively.@*RESULT@#Four patients were with history of trauma and traumatic pseudoaneurysm were diagnosed by CT and DSA. Two of them accepted interventional vascular therapy, the others accepted surgical operation. Both methods are safe and effective.@*CONCLUSION@#Traumatic pseudoaneurysms of the artery of head and neck are rare but potentially lethal. The diagnosis is not difficult. The interventional treatment should be the first choice if possible, while the surgical approach is another choice. Doctors should try to repair the arterial wall, to keep the artery patency and to decrease the unnecessary complications.