RESUMEN
OBJECTIVE: This study aimed to evaluate primary Sjögren's syndrome patients in terms of hearing and vestibular functions. METHODS: The patient group consisted of 35 individuals diagnosed with primary Sjögren's syndrome and a control group of 35 healthy individuals similar in terms of age and gender. RESULTS: The rate of hearing loss in the patient group was significantly higher than in the control group (p = 0.021). The N1 latency value for the ocular vestibular-evoked myogenic potentials test was significantly longer in the patient group than in the control group (p = 0.037). Additionally, the posterior semicircular canal and lateral semicircular canal vestibulo-ocular reflex gain values were significantly lower than in the control group (p = 0.022 and p < 0.001, respectively). CONCLUSION: These results indicate subclinical vestibular involvement and hearing loss in primary Sjögren's syndrome patients. Vestibular-evoked myogenic potentials and video head impulse tests can be used to detect vestibular involvement in primary Sjögren's syndrome patients.
Asunto(s)
Pérdida Auditiva , Síndrome de Sjögren , Potenciales Vestibulares Miogénicos Evocados , Humanos , Sistema Vestibular , Síndrome de Sjögren/complicaciones , Síndrome de Sjögren/diagnóstico , Prueba de Impulso Cefálico , Potenciales Vestibulares Miogénicos Evocados/fisiología , Reflejo Vestibuloocular/fisiología , Canales Semicirculares , AudiciónRESUMEN
OBJECTIVE: To evaluate dysphagia and manometric changes in the upper oesophageal sphincter in patients with unilateral vocal fold paralysis. METHODS: Thirty patients with unilateral vocal fold paralysis due to vagal nerve paralysis scheduled for evaluation were enrolled in the study group; 24 healthy subjects were included in the control group. Upper oesophageal sphincter basal and residual pressure, relaxation time, and pharyngeal pressure values were evaluated by manometry. All patients completed the Turkish Eating Assessment Tool 10 questionnaire, the MD Anderson dysphagia questionnaire and the reflux symptom index form. RESULTS: Swallowing assessment questionnaires and reflux symptom index results were significantly higher in the study group. Upper oesophageal sphincter basal and relaxation pressures were lower in the study group. Upper oesophageal sphincter relaxation time was shorter in the study group, but pressure values recorded from the pharynx were higher. CONCLUSION: Upper oesophageal sphincter manometric pressure was lower in patients with unilateral vocal fold paralysis. A hypotonic sphincter likely contributes to dysphagia and aspiration.
Asunto(s)
Deglución/fisiología , Esfínter Esofágico Superior/fisiopatología , Parálisis de los Pliegues Vocales/fisiopatología , Pliegues Vocales/fisiopatología , Femenino , Humanos , Masculino , Manometría , Persona de Mediana Edad , Presión , Estudios Retrospectivos , Parálisis de los Pliegues Vocales/diagnósticoRESUMEN
BACKGROUND: Re-stenosis and a consequent need for revision surgery are the most common problems in the follow-up period following endoscopic modification of the Lothrop procedure. METHOD: This paper reports a new technique for reconstructing and resurfacing of the posterior frontal recess bone for prevention of re-stenosis. RESULTS: A 46-year-old man presented with a frontal sinus osteoma, and treatment featured an endoscopic modification of the Lothrop procedure. A vascularised, posteriorly based, septal mucosal flap was used in reconstruction. There have been no reported issues over 24 months of follow up. CONCLUSION: The use of a nasoseptal flap seems feasible to reduce scarring and recurrence of (common) frontal recess stenosis after a Draf III operation.
Asunto(s)
Neoplasias Óseas/cirugía , Endoscopía/métodos , Osteoma/cirugía , Procedimientos Quirúrgicos Otológicos/métodos , Neoplasias de los Senos Paranasales/cirugía , Complicaciones Posoperatorias/prevención & control , Colgajos Quirúrgicos , Neoplasias Óseas/diagnóstico , Estudios de Factibilidad , Estudios de Seguimiento , Seno Frontal , Humanos , Masculino , Persona de Mediana Edad , Mucosa Nasal/trasplante , Neoplasias de los Senos Paranasales/diagnóstico , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/cirugía , Recurrencia , Reoperación , Estudios Retrospectivos , Tomografía Computarizada por Rayos XRESUMEN
OBJECTIVE: This study compared the pain associated with the intratympanic injection combined with various local anaesthetics vs without anaesthesia. METHODS: The study included 40 patients (aged 18-78 years) who received intratympanic steroid injections for sudden idiopathic hearing loss or tinnitus. Each patient underwent all three injection methods at one-week intervals. Patients received one of two local anaesthetics (lidocaine injection or lidocaine spray) or no anaesthesia before intratympanic injection, and used a visual analogue scale to indicate the pain level after 5 and 45 minutes. RESULTS: Five minutes after injection, patients who did not receive anaesthesia and those who received lidocaine spray reported lower pain scores than those who received a lidocaine injection (p < 0.05). There was no difference in pain scores for all three methods at 45 minutes after intratympanic injection. CONCLUSION: Neither of the local anaesthetics was found to be superior to having no anaesthesia.