目的:〖HT5”SS〗探討原發性喉部惡性淋巴瘤的臨床診斷治療方案,提出早期診斷此類疾病的合理有效方法。〖HTH〗方法:〖HTSS〗對臨床29例病理確診原發于喉部的惡性淋巴瘤患者臨床資料進行回顧性分析,并且與同時期原發于鼻腔鼻竇的惡性淋巴瘤患者臨床資料對比分析。〖HTH〗結果:〖HTSS〗29例原發性喉部惡性淋巴瘤病例均進行了手術干預,在術中或術后病理明確診斷后進行了后繼的放射及化學綜合治療,病員的平均住院日較原發于鼻腔鼻竇的惡性淋巴瘤患者為長。〖HTH〗結論:〖HTSS〗本病的合理有效的診斷治療,需早期明確診斷和判定病變累及范圍,在盡可能早期獲取病理診斷基礎上,提高對喉部影像學的認識,對于此類疾病及時制訂合理有效的治療方案,獲得更好的預后有著重要意義。
目的 研究學齡前兒童鼓室圖測試的正常值及其影響因素。 方法 2005年1月-2005年3月，對132名（223耳）學齡前兒童（4~6歲）進行單頻率單成分鼓室圖測試（Y-226），獲取峰值處補償靜態聲導納（Ytm）、外耳道等效容積（Vea）、鼓室測量寬度（TW）和峰值處鼓室壓（TPP）等數據，對不同年齡、性別及與國外研究的結果進行比較。 結果 不同年齡間只有TW存在差別；男童Vea大于女童，其他幾項指標沒有性別差異；Ytm、Vea、TW、TPP與國外正常值范圍相比，有統計學意義（Plt;0.05）。 結論 單頻率單成分鼓室圖測試結果與國外研究相比有統計學意義，提示必須建立國人自己的正常鼓室圖參考值標準。
This article carries out a comprehensive review on otorhinolaryngologic-head and neck informatics, focusing on the definition, content and characteristics of otorhinolaryngologic informatics as well as the application of computer, communication and information technology in otorhinolaryngology-head and neck surgery. Otorhinolaryngologic informatics is the future development direction of otorhinolaryngology-head and neck surgery.
Objective To explore the appl ication of submental island flaps in repairing pharyngeal fistula after total laryngectomy. Methods From July 2002 to February 2006, 9 cases of concomitant pharyngeal fistula (including 7 cases of laryngeal carcinoma and 2 cases of hypopharyngeal neoplasms) were repaired with submental island flaps after total laryngectomy. All patients were male and their ages were 52-71 years (mean 61.8 years). Pharyngeal fistula occurred 5-62 days (mean 14.7 days) after total laryngectomy. The diameter of medial pharyngeal fistula ranged from 1.9 cm to 4.1 cm. All patients failed to respond to conservative therapy for 25-46 days. The size of submental island flap was 2.5 cm × 2.4 cm to 4.6 cm × 4.0 cm. After the pharyngeal fistula were repaired with submental flap, the donor site were sutured directly. Results All of the nine submental flaps were survived and no local necrosis or wound infection occurred. Incision at donor site healed by first intention and no obvious scar formed. Fistula occurred 10 days after operation and was cured after symptomatic treatment in one patient who received radiotherapy before operation; other patients achieved the satisfactory results of one-stage repair. The gastric tube was pulled out 14 to 22 days after operation, all of the patients have no sense of swallow obstruction. Nine patients were followed up for 10-38 months (mean 27 months). The ppearance of neck was satisfactory. Conclusion Because of its short distance, abundant blood supply, convenient operation and minimal donor-site morbidity, the submental island flap is a good alternative mthod in repairing pharyngeal fistula.