Abstract Background Because the cases are quite scarce, we aimed to review cases of foreign body impaction penetrating the neck through the esophagus to analyze the characteristics of these cases. The open surgery skills of the surgeon, the treatment procedure and the surgeons’ experience in the rare diseases were analyzed. Methods We collected and analyzed all cases from 2015–2020 in our hospital. Surgical skills and procedures for fasting and anti-infection treatment were reviewed retrospectively. Follow-up was telephone communication. Results Our series included 15 cases. Tenderness in the pre-cervical site was a physical sign for screening. Thirteen cases underwent a lateral neck open surgery with the incision including the left side of neck and only two cases were incised from the right side of the neck. Pus was found 3 days after the impaction in one case, the shortest time observed in our series. The esophageal laceration was only sutured primarily in 5 cases (33.33%) among all fifteen cases. After sufficient drainage (average more than 9 days), antibiotic treatment and fasting (normally 2–3 weeks), patients gradually began to switch to solid foods from fluids after complete blood counts and confirmations from esophageal radiography result. No severe complications occurred, and all the patients have no swallowing dis-function and recovered well. Conclusion Surgery should be performed as soon as possible after impaction. Lateral neck approach surgery and the therapeutic procedure described in this article are safe and effective treatments.

Objectives During clinical practice, we have detected a few cases of neck abscesses in patients diagnosed with esophageal foreign body impaction (EFB) but without the primary inflammatory disease. However, we do not know if neck abscesses caused by an inflammatory source are more like to be associated with a more severe progression or poorer prognosis. In this study, we aimed to identify differences between these two groups of patients by comparing progression and prognosis. Materials and methods We retrospectively reviewed all patients who underwent neck abscess incisions between January 2011 and March 2022 and divided these patients into two groups: an EFB group and an inflammation group. Data were described by percentages, means, and standard deviations (SDs). Fisher's precision probability test was used to compare differences between the EFB and inflammation groups. Categorical variables were analyzed by Pearson's Chi-squared test. In addition, three factors including hospital days, intensive care unit (ICU) stay, and drainage-tube removal time were used for multivariate analysis to identify independent correlations separately. Results We enrolled a total of 33 patients with neck abscesses who received surgical incisions; the EFB group included 14 (42%) cases, while the inflammatory group included 19 (58%) cases. No significant differences were identified between the two groups in terms of surgery type (with or without mediastinotomy) and postoperative management (negative pressure drainage or postoperative irrigation). There were no significant differences between the two groups in terms of hospital stay, the timing of drainage-tube removal, the risk of ICU admission, and the probability of receiving intubation and tracheotomy. The incidence rate of esophageal perforation differed significantly between the two groups (p < 0.001). However, there were no significant differences in terms of other preoperative or postoperative comorbidities. The multivariate analysis revealed that the application of mediastinotomy (HR = 0.216 [0.049, 0.963]; p = 0.044) was correlated with a longer stay in the hospital. The time from symptoms to surgery was associated with a longer drainage tube removal time (HR = 0.392 [0.159, 0.967]; P = 0.042) and longer ICU stay (OR = 79.754[1.513, 4203.182]; P = 0.03). Conclusion Patients with neck abscesses associated with EFB and inflammation received the same therapeutic management, and there were no significant differences between these two groups in terms of prognosis. Furthermore, esophageal perforation was found to be irrelevant to the aggravation of neck abscesses, and there was no need for additional surgery to repair a perforated esophagus in patients with neck abscesses. Level of evidence: Retrospective cohort (2b).

Objective To better understand oligodendrocyte protein expression along the mouse cochlear nerve in postnatal mice. Study Design In vivo murine study. Setting Research laboratory. Subjects and Methods Swiss Webster mice used at multiple postnatal days (0, 1, 3, 5, 7, 8, 10, 14, 30, and 60). There were 5 replicates at each postnatal day. Cryosection was done to produce sections that included the cochlear nucleus, cochlear nerve, and cochlea in a single sample. Differential interference contrast (DIC) microscopy and immunofluorescence with antibodies specific to the oligodendrocyte protein Olig2 were used to study the cochlear nerve of Swiss Webster mice at postnatal days. Results The myelination of central nervous system projections initiates in close proximity to the peripheral nervous system-central nervous system transitional zone (PCTZ), and oligodendrocytes in neonatal mice are seen with immunohistochemistry peripheral to the DIC-PCTZ interface. Conclusions As the PCTZ migrates from the brain to the cochlea, oligodendrocytes are a part of peripheral extension of central nervous system tissue along the cochlear nerve. Expression of oligodendrocyte marker Oligo2 was observed peripherally to the formation of PCTZ, as determined by DIC microscopy.

OBJECTIVE:Determine how the astroglial cells of the peripheral and central nervous system transitional zone (PCTZ) react to sensorineural hearing loss using a mouse cochlear nerve model.STUDY DESIGN:Prospective, basic science.SETTING:Research laboratory.SUBJECTS AND METHODS:Neomycin was injected into the mouse inner ear to cause chemically induced hearing loss. Auditory brainstem responses (ABRs) were used to determine hearing threshold shifts after neomycin treatment. Immunofluorescence was used to detect the expression of proteins specific for hair cells, spiral ganglion neurons, astrocytes, and the myelin components of both oligodendrocytes and Schwann cells.RESULTS:ABR threshold shifts and immunofluorescence results supported that hair cells and spiral ganglion neurons were damaged in neomycin-treated mice. Immunofluorescence showed the peripheral and central nervous system (PNS and CNS) transitional zone of the cochlear nerve at the interface of the myelin components of the PNS and CNS. In the control mice, the expression of glial fibrillary acidic protein (GFAP) was observed proximally to the PCTZ closer to the CNS, which is their normal location. However, in neomycin-treated animals the expression of GFAP was detected distally to the PCTZ and was found close to the spiral lamina level in the basal cochlear turn, suggesting that GFAP-expressing astrocytes migrated across the PCTZ and reached the PNS.CONCLUSION:The GFAP positive astrocyte processes extended across the PCTZ along the mouse cochlear nerve following chemically induced sensorineural hearing loss.

Numerical simulation method was used in this paper to study the effects of partial ossicular replacement prostheses (PORPs) with different materials on hearing restoration, from the biomechanical point of view. According to the CT scan imagery of the right ear from a normal human body, the CT data was digitalized and imported into PATRAN to establish a three dimension finite element model by self-compiling program, and then a frequency response analysis was made for the model. The calculated results were compared with experiment data to verify the correctness of the numerical model. Based on this, human numerical model of PORPs was established to make dynamic calculation of sound conduction and analyse the effects of PORPs with different materials on hearing restoration. The following conclusions are obtained : From the angle of dynamical behaviors in sound conduction process of human ear, in different frequency bands of the same sound pressure, PORPs with different materials have different effects on hearing restoration. A better sound transmission in low frequencies is obtained by PORPs with hydroxyapatite ceramics, stainless steel. In high frequencies, better sound transmission is gained by PORPs with porous polyethylene. In the 500-3,000 Hz range which is clinicians typically measure and pay attention to, better sound transmission is gained by PORPs with alumina ceramics, hydroxyapatite ceramics, EH composite materials and porous polyethylene. There are three materials which has an obvious potential to provide more hearing restoration than another between 500 and 3,000 Hz. The hearing restoration value of hydroxyapatite ceramics is 7.1 dB larger than that of stainless steel. The hearing restoration value of titanium is 4.9 dB larger than that of stainless steel. Hydroxyapatite ceramics has better effects on sound transmission than titanium and other materials.

Aim: To identify human hair cell progenitors from adult inner ear sensory epithelium. Materials & methods: We collected discarded utricles from translabyrinthine surgery and isolated human utricular sensory epithelial cells (HUCs) to explore whether they can proliferate and obtain features of stem/progenitor cells in vitro using reverse transcription PCR and immunofluorescence. Results: When cultured in vitro, HUCs expressed genes and proteins that are usually present in prosensory cells and stem cells. Additionally, dissociated HUCs expanded on the substrates and presented properties of mesenchymal cells via epithelial-to-mesenchymal transition. Conclusion: The results reveal that sensory epithelial cells from the adult human inner ear can re-enter the cell cycle and adopt a stem/progenitor cell fate. The outcomes of this study may open avenues for human hair cell progenitor generation, which could potentially provide a novel stem cell-based replacement for hearing loss and other inner ear disorders.

Conclusions: During total ossicular replacement surgery, a better auditory functional recovery is obtained when the stapes footplate is retained. Also, the best hearing restoration is obtained when the total ossicular replacement prosthesis (TORP) is placed onto the center of the stapes footplate during operation. Objectives: The effects of TORPs connecting to different positions of the stapes footplate or oval window membrane on hearing restoration were investigated. Methods: A healthy volunteer's right ear was scanned to obtain the CT data, which were digitalized using a self-compiling program and imported into PATRAN software to establish a 3D finite element model, and a harmonic response analysis was carried out using NASTRAN software. Then the effect of TORPs connecting to different positions on the stapes footplate or oval window membrane was studied. Results: The displacement curve of the stapes footplate was in good agreement with that of the normal ear when the TORP was connected onto the center of the stapes footplate. The best hearing restoration was obtained when the TORP was placed onto the center of the stapes footplate. The displacement curve of the stapes footplate was basically equivalent to that of the normal ear when the TORP was connected onto the anterior site, while the displacement curve of the stapes footplate differed from that of the normal ear when the TORP was connected onto the posterior site. In addition, when the TORP was connected onto the oval window membrane, the displacement curve of the stapes footplate was different from that of the normal ear.

Purpose To study the relationship between the microvessel density (MVD) and expression of laminin (LN) and cervical lymph node metostasis of laryngeal squamous cell cancer (LSCC) . Methods Immunohistochemical analyses (Envision method) using antibodies against CD34 and LN was carried out on archival specimens of 54 human laryngeal squamous cell cancer. Results (1) MVD was higher in LSCC with positive lymph node than that with negative lymph node (P0.05). (2) Expression of LN in LSCC was related to cervical node metostasis (P0.05).(3) The relationship between MVD and LN expression in LSCC had no statistic significance (P 0.05). Conclusions MVD and LN expression were helpful in predicting LSCC patients at risk for cervical lymph node metastasis.