Department of Otolaryngology, Head and Neck Surgery, Beijing You'an Hospital, Capital Medical University, Beijing, 100069, China.
Sci Rep. 2018 Aug 13;8(1):12045. doi: 10.1038/s41598-018-27761-y.
Little is known about the diagnosis and surgical management of head and neck conditions in patients with HIV/AIDS. This study was conducted to characterize the otorhinolaryngological (ORL) profiles, surgical interventions and outcomes in patients with HIV/AIDS. This retrospective study included patients with HIV/AIDS who underwent head and neck surgeries at You'an Hospital from November 2009 to February 2017. Patients' ages, ORL diagnoses and surgical interventions for all ORL surgeries were recorded. We identified 57 ORL surgeries in 52 patients during this time. The mean age of the patients was 37.7 ± 12.8 years, with a predominance of male patients (90.4%). The three most common surgical diagnoses were chronic tonsillitis (19.3%), followed by chronic rhinosinusitis (CRS) (14.0%) and vocal polyps (8.8%). The three most common surgeries performed were tonsillectomy (19.3%), endoscopic sinus surgery + radiofrequency ablation of the inferior turbinate (14.0%) and vocal cord polypectomy (8.8%). No mortality occurred in the 30 days after surgery, but 2 patients (3.8%) developed post-operative surgical site infections (SSI). These findings provide information on ORL manifestations and surgical interventions in patients with HIV/AIDS and may assist in the achievement of the most appropriate treatments for this patient population.
关于 HIV/AIDS 患者的头颈部疾病的诊断和手术治疗知之甚少。本研究旨在描述 HIV/AIDS 患者的耳鼻喉科（ORL）特征、手术干预措施和结局。这是一项回顾性研究，纳入了 2009 年 11 月至 2017 年 2 月期间在北京佑安医院接受头颈部手术的 HIV/AIDS 患者。记录了患者的年龄、所有耳鼻喉科手术的 ORL 诊断和手术干预措施。在此期间，共进行了 57 例 ORL 手术，涉及 52 名患者。患者的平均年龄为 37.7±12.8 岁，以男性为主（90.4%）。三种最常见的手术诊断分别为慢性扁桃体炎（19.3%）、慢性鼻-鼻窦炎（14.0%）和声带息肉（8.8%）。三种最常见的手术分别为扁桃体切除术（19.3%）、鼻内镜鼻窦手术+下鼻甲射频消融术（14.0%）和声带息肉切除术（8.8%）。术后 30 天内无死亡病例，但有 2 例（3.8%）患者发生术后手术部位感染（SSI）。这些发现提供了 HIV/AIDS 患者的耳鼻喉科表现和手术干预措施的信息，可能有助于为这一患者群体提供最合适的治疗。
