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  1 / 151 MEDLINE  
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[PMID]:28802363
[Au] Autor:Ping C; Yanling H; Youhua W; Shufen W; Zhinan W; Zhongfang X
[Ad] Endereço:ENT Department of Wuhan Children's Hospital (Wuhan Maternal and Child Health Care Hospital), Tongji Medical College, Huazhong University of Science & Technology, China. Electronic address: aeiuo@163.com.
[Ti] Título:Epidemiology of cerumen impaction among municipal kindergartens children in Wuhan, China.
[So] Source:Int J Pediatr Otorhinolaryngol;100:154-156, 2017 Sep.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the epidemiology of cerumen impaction among children of municipal kindergartens in Wuhan. METHODS: The ear canal of children of municipal kindergartens in Wuhan was examined using an electric otoscope by the same otologist in 2005, 2006 and 2012, with age, gender, ears and the nature of cerumen (dry cerumen or wet cerumen) recorded. A chi-square test was performed to investigate for significant differences between cerumen impaction rates and the recorded variables. RESULTS: A total of 1,214, 1863 and 5205 children were examined in 2005, 2006 and 2012, and cerumen impaction prevalence rates for each year were 17.2%, 15.4% and 10%, respectively. Prevalence of cerumen impaction was significantly lower in 2012 than in 2005 or 2006. In 2005, dry cerumen impaction accounted for 22.2% of the total dry cerumen, while wet cerumen impaction only accounted for 5% of the total wet cerumen, showing a statistically significant difference. CONCLUSION: The prevalence of cerumen impaction among children of kindergartens in Wuhan is higher than 10%, and children with dry cerumen are more prone to cerumen impaction. Annual otological examination of kindergarten children is recommended. And improved community ear health promotion activities should reduce the avoidable prevalence of cerumen impaction in pediatric population.
[Mh] Termos MeSH primário: Otopatias/epidemiologia
[Mh] Termos MeSH secundário: Cerume
Criança
Pré-Escolar
China/epidemiologia
Meato Acústico Externo
Feminino
Seres Humanos
Masculino
Otoscópios
Prevalência
Estudos Retrospectivos
Instituições Acadêmicas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170814
[St] Status:MEDLINE


  2 / 151 MEDLINE  
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[PMID]:28714431
[Au] Autor:Yan K; Lv M; Xu E; Fan F; Lei Y; Liu W; Yu X; Li N; Shi L
[Ad] Endereço:Department of Otorhinolaryngology,First Affiliated Hospital of Dalian Medical University,Dalian,China.
[Ti] Título:Effectiveness of patching traumatic eardrum perforations with lens cleaning paper via an otoscope.
[So] Source:J Laryngol Otol;131(9):805-808, 2017 Sep.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To study the clinical effect of lens cleaning paper patching on traumatic eardrum perforations. METHODS: A total of 122 patients were divided into 2 groups, of which 56 patients were treated with lens cleaning paper patching and 66 acted as controls. The closure rate and healing time were compared between the two groups. RESULTS: The healing rate of small perforations was 96.4 per cent (27 out of 28) in the patching group and 90 per cent (27 out of 30) in the control group. The difference was not statistically significant (p > 0.05). The healing rate of large perforations was 89.3 per cent (25 out of 28) and 80.6 per cent (29 out of 36) in the two groups, respectively. The difference was statistically significant (p < 0.05). The healing time of large perforations was shorter in the patching group than in the control group (p < 0.01). CONCLUSION: Patching with lens cleaning paper under an endoscope can accelerate the closure of large traumatic eardrum perforations.
[Mh] Termos MeSH primário: Perfuração da Membrana Timpânica/terapia
Cicatrização
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Otoscópios
Papel
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170718
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117001426


  3 / 151 MEDLINE  
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[PMID]:28483223
[Au] Autor:Lanigan A; Fordham MT
[Ad] Endereço:Dept. Otolaryngology-Head & Neck Surgery, San Antonio Military Medical Center, San Antonio, TX, USA. Electronic address: alexander.e.lanigan.mil@mail.mil.
[Ti] Título:Temporal bone extramedullary hematopoiesis as a causeof pediatric bilateral conductive hearing loss:Case report and review of the literature.
[So] Source:Int J Pediatr Otorhinolaryngol;97:135-138, 2017 Jun.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:Extramedullary hematopoiesis occurs in children with hemoglobinopathy and chronic anemia. The liver and spleen are often affected first, but other foci can develop to support erythrocyte demand. We report a case of a nine-year-old with beta thalassemia and temporal bone extramedullary hematopoiesis causing ossicular fixation and bilateral conductive hearing loss. There is only one case in the literature describing this phenomenon in pediatric patients, and this is the first case report of bilateral hearing loss from this physiologic phenomenon. Otolaryngologists should consider this etiology in patients with chronic anemia and conductive hearing loss in the absence of otitis media.
[Mh] Termos MeSH primário: Perda Auditiva Condutiva/etiologia
Hematopoese Extramedular/fisiologia
Osso Temporal/patologia
Talassemia beta/complicações
[Mh] Termos MeSH secundário: Audiometria
Criança
Seres Humanos
Masculino
Otoscópios
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE


  4 / 151 MEDLINE  
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[PMID]:28195746
[Au] Autor:Imbery TE; Tampio AJ; Nicholas BD
[Ad] Endereço:1 Department of Otolaryngology and Communication Sciences, SUNY Upstate Medical University, Syracuse, New York, USA.
[Ti] Título:Thermal Variations of Operative Microscopes in Otology.
[So] Source:Otolaryngol Head Neck Surg;157(1):113-116, 2017 Jul.
[Is] ISSN:1097-6817
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objectives (1) Measure temperature variations achieved by common otomicroscopes. (2) Raise awareness about possible thermal injury during otologic procedures with the advent of newer, high-powered otomicroscopes. (3) Describe optical technology that aims to reduce the potential for thermal injury. Methods A variety of otomicroscopes, with different light sources (ranging from 100W halogen to 300W xenon), were studied. Temperatures were recorded from human auricular skin with a noncontact infrared thermometer at various microscope light intensities and with use of irrigation. Multiple recordings were done at 5-minute intervals, and a working distance of 225 mm was maintained. Results Maximum skin temperatures were found to plateau relatively quickly, with higher-wattage xenon light sources reaching greater temperatures. One-way analysis of variance revealed significant differences in temperatures with decreased light intensities. High-wattage xenon light sources reached significantly higher temperatures when compared with halogen models. Discussion There is substantial variation in maximal skin temperatures reached by otomicroscopes. Temperatures can be decreased to safe levels by reducing light intensity and with use of irrigation. The maximum temperature obtained in our study was 41.4°C. Second-degree skin burns have been described with prolonged exposures to temperatures >44°C. Implications for Practice Given the described potential for burns, surgeons performing procedures on the ear and temporal bone should take precautions to diminish temperature in the operative field.
[Mh] Termos MeSH primário: Queimaduras/prevenção & controle
Orelha Externa/lesões
Temperatura Alta
Otoscópios/efeitos adversos
[Mh] Termos MeSH secundário: Seres Humanos
Procedimentos Cirúrgicos Otológicos/efeitos adversos
Procedimentos Cirúrgicos Otológicos/instrumentação
Segurança do Paciente
Pele/efeitos da radiação
Termômetros
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170215
[St] Status:MEDLINE
[do] DOI:10.1177/0194599817690118


  5 / 151 MEDLINE  
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[PMID]:28118550
[Au] Autor:Moshtaghi O; Sahyouni R; Haidar YM; Huang M; Moshtaghi A; Ghavami Y; Lin HW; Djalilian HR
[Ad] Endereço:1 Division of Neurotology and Skull Base Surgery, Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, California, USA.
[Ti] Título:Smartphone-Enabled Otoscopy in Neurotology/Otology.
[So] Source:Otolaryngol Head Neck Surg;156(3):554-558, 2017 Mar.
[Is] ISSN:1097-6817
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective A smartphone-enabled otoscope (SEO) can capture tympanic membrane (TM) images. We sought to compare a SEO to microscopic otoscopy in the detection and evaluation of TM pathology in an otology/neurotology practice. Study Design Prospective single-site study in adults presenting over a 3-month period. Setting Neurotology clinic within a tertiary care academic medical center. Subjects and Methods Following consent, 57 patients underwent a medical and microscopic ear examination. Afterward, clinicians photographed bilateral TMs using a SEO. A second "blinded" neurotologist received a SEO-acquired image of each TM and a brief patient history. Our primary end point was identification of TM pathology (or lack thereof) and the blinded neurotologists' corresponding diagnosis. Secondary end points included patient-reported SEO comfort levels. Results A single SEO-acquired TM image and brief patient history resulted in correct diagnosis of 96% (23/24) of normal TMs and identification of 100% (33/33) of microscope-confirmed abnormal TMs. When pathology was identified by the "blinded" physician, the diagnosis was identical to that made by the primary treating physician 82% (27/33) of the time. On patient surveys, 93% (53/57) of patients felt "very comfortable" with SEO utilization, and 88% (50/57) reported viewing acquired images was "very useful" in understanding their condition. Conclusion A SEO is 96% specific in identifying normal TMs and 100% sensitive in identifying pathology. Its 97% positive predictive value and small false-positive rate makes it a useful screening tool. Furthermore, patients are receptive to this technology and felt comfortable with its utilization in a health care or possible telemedicine setting.
[Mh] Termos MeSH primário: Otopatias/diagnóstico
Otoscópios
Otoscopia
Smartphone
Membrana Timpânica
[Mh] Termos MeSH secundário: Seres Humanos
Neuro-Otologia/instrumentação
Neuro-Otologia/métodos
Otolaringologia/instrumentação
Otolaringologia/métodos
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1177/0194599816687740


  6 / 151 MEDLINE  
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[PMID]:27059379
[Au] Autor:Silverston P
[Ad] Endereço:a Faculty of Health, Social Care and Education , Anglia Ruskin University , Cambridge , England.
[Ti] Título:The Firefly digital otoscope as an aid to teaching otoscopy in primary care.
[So] Source:Educ Prim Care;27(3):225-6, 2016 May.
[Is] ISSN:1475-990X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Educação Médica
Otoscópios
Otoscopia
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Seres Humanos
Ensino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160410
[St] Status:MEDLINE
[do] DOI:10.1080/14739879.2016.1161921


  7 / 151 MEDLINE  
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[PMID]:26886547
[Au] Autor:Friedman EM
[Ad] Endereço:From the Texas Children's Hospital and Baylor College of Medicine, Houston.
[Ti] Título:VIDEOS IN CLINICAL MEDICINE. Removal of Foreign Bodies from the Ear and Nose.
[So] Source:N Engl J Med;374(7):e7, 2016 Feb 18.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Orelha Externa
Corpos Estranhos/terapia
Nariz
[Mh] Termos MeSH secundário: Desenho de Equipamento
Corpos Estranhos/complicações
Corpos Estranhos/diagnóstico
Seres Humanos
Oftalmoscópios
Otoscópios
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1603
[Cu] Atualização por classe:160714
[Lr] Data última revisão:
160714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160218
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMvcm1207469


  8 / 151 MEDLINE  
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[PMID]:25794027
[Au] Autor:Yazici B; Sabur H; Orucov N
[Ad] Endereço:Department of Ophthalmology, Uludag University, Bursa, Turkey.
[Ti] Título:Use of Direct Otoscope for Intranasal Examination After Dacryocystorhinostomy.
[So] Source:Ophthal Plast Reconstr Surg;32(2):116-7, 2016 Mar-Apr.
[Is] ISSN:1537-2677
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To evaluate whether the use of a direct otoscope in the nose is an effective method to observe the nasolacrimal anastomosis site after dacryocystorhinostomy. METHODS: In 75 eyes undergoing external dacryocystorhinostomy, the lacrimal irrigation test was performed and fluorescein solution was instilled in the conjunctival sac. After applying topical anesthetics and decongestant, a direct otoscope was inserted in the middle meatus and directed toward the medial canthus. RESULTS: In 69 eyes (92%), intranasal lacrimal examination with the otoscope could be performed. In 6 eyes (8%), the otoscope could not be adequately advanced in the nose because of middle meatal stenosis (n = 5 eyes) or intolerance to the intranasal examination (n = 1). In 66 (96%) of 69 eyes, concordant with the results of the lacrimal irrigation test, the presence or absence of fluorescein dye flow in the nose was observed. In this examination, the main features that were useful in locating the anastomotic area were (1) the use of fluorescein dye, (2) motility of the nasal mucosa that was synchronized with eyelid movements, (3) appearance of mucosal hole or internal orifice in the nasal wall, and (4) dye or air-fluid bubble emergence upon blinking or finger pressure over the sac region. CONCLUSIONS: Direct otoscope can be effectively used in the nose for examining the nasolacrimal anastomosis in patients undergoing dacryocystorhinostomy.
[Mh] Termos MeSH primário: Dacriocistorinostomia
Técnicas de Diagnóstico Oftalmológico
Obstrução dos Ductos Lacrimais/diagnóstico
Ducto Nasolacrimal/patologia
Otoscópios
[Mh] Termos MeSH secundário: Feminino
Fluoresceína/administração & dosagem
Corantes Fluorescentes/administração & dosagem
Seres Humanos
Aparelho Lacrimal/efeitos dos fármacos
Obstrução dos Ductos Lacrimais/terapia
Masculino
Meia-Idade
Período Pós-Operatório
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Fluorescent Dyes); TPY09G7XIR (Fluorescein)
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160309
[Lr] Data última revisão:
160309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150321
[St] Status:MEDLINE
[do] DOI:10.1097/IOP.0000000000000439


  9 / 151 MEDLINE  
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[PMID]:26277834
[Au] Autor:Fonseca VR; Basso GB; Cavalheiro MN
[Ad] Endereço:Department of Otorhinolaryngology, Universidade Positivo, Curitiba, Paraná, PR, Brazil; Department of Otorhinolaryngology, Hospital Cruz Vermelha, Curitiba, Paraná, PR, Brazil.
[Ti] Título:Assessment of the light intensity of otoscopes utilized in teaching hospitals.
[So] Source:Braz J Otorhinolaryngol;81(5):479-84, 2015 Sep-Oct.
[Is] ISSN:1808-8686
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: To attain an accurate otoscopic diagnosis, a functioning device with adequate capacity must be used. OBJECTIVE: Evaluate the light intensity of otoscopes, comparing it utilizing the batteries present at the moment of calibration and after new batteries were supplied. METHODS: Cross-sectional study of a historical cohort, which assessed 38 otoscopes, measuring the light intensity with the batteries present at the moment of assessment compared to the intensity with new batteries, as well as charge of the test batteries and the new batteries. RESULTS: The mean of the sum of new batteries' charge was 3.19V, and of the test batteries was 2.70V, representing a decrease of 18.02% in charge. The mean luminosity with the new batteries was 366.89lumens, whereas in the test batteries it was 188.32lumens, representing a decrease of 83.75% in the light intensity. Student's t-test was applied for data comparison, showing a statistical difference between the light intensity with the original batteries and the new batteries (p=0.0001; CI=0.95). CONCLUSION: There was a statistically significant difference between the proportions of light intensity in the otoscopes. A small variation in battery charge results in a great variation in light.
[Mh] Termos MeSH primário: Fontes de Energia Elétrica/normas
Iluminação/normas
Otoscópios/normas
Otoscopia/normas
[Mh] Termos MeSH secundário: Estudos Transversais
Fontes de Energia Elétrica/estatística & dados numéricos
Hospitais de Ensino
Seres Humanos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:150928
[Lr] Data última revisão:
150928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150818
[St] Status:MEDLINE


  10 / 151 MEDLINE  
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[PMID]:26196910
[Au] Autor:Mills G
[Ti] Título:Ask George.
[So] Source:Biomed Instrum Technol;49(4):237, 2015 Jul-Aug.
[Is] ISSN:0899-8205
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Engenharia Biomédica/legislação & jurisprudência
Engenharia Biomédica/tendências
Segurança de Equipamentos/normas
[Mh] Termos MeSH secundário: Acreditação
Hospitais
Otoscópios/normas
Segurança do Paciente
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1512
[Cu] Atualização por classe:161020
[Lr] Data última revisão:
161020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150722
[St] Status:MEDLINE
[do] DOI:10.2345/0899-8205-49.4.237



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