Browsing by Author "Chen, Hsin-Chien"
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Item type:Item, Clinical application of suction-tube-assisted septal submucosal dissection for endoscopic septoplasty(2017-03) ;Lai, Wen-Sen ;Lin, Yuan-Yung ;Shih, Cheng-Ping ;Chen, Hsin-ChienYang, Pei-LinEndoscopic septoplasty has become the favored approach for the treatment of a deviated septum. Careful septal dissection results in less bleeding, clear endoscopic view, shortened operative time, and fewer postoperative complications. We describe our 5-year experience of using an 8 French Frazier suction tube for submucosal dissection compared with the traditional septoplasty. A total of 434 patients who underwent septoplasty were recruited. The patients in the study were divided into two Groups 1 and 2 based on the employed surgical techniques to treat deviated nasal septum: traditional septoplasty (Group 1: 105 patients) and suction-tube-assisted endoscopic septoplasty (Group 2: 329 patients). All the patients were followed up for a minimum of 6 months. No statistically significant differences could be traced between the groups in any demographic factor, regarding the gender, age, and the intraoperative and postoperative complications. A significantly shorter operative time was found in Group 2 (P < 0.001). The overall incidence of minor complications was 6.6% in Group 1 and 4.6% in Group 2. The suction-tube-assisted dissection technique is found to be a surgical alternative, effective with a significantly shorter operating time, and economical option in septal surgery.Item type:Item, Gender Differences in the Association between Moderate Alcohol Consumption and Hearing Threshold Shifts(2017-05-19) ;Lin, Yuan-Yung ;Chen, Hsin-Chien ;Lai, Wen-Sen ;Wu, Li-WeiWang, Chih-HungHearing loss is a global public health problem with a high prevalence, significantly impairing communication and leading to a decrease in the quality of life. The association between moderate alcohol consumption (MAC) and hearing impairment has been addressed in several studies with inconsistent results. The intent of our study is to clarify the correlation between MAC and the hearing threshold and further investigate the interplay between MAC and the hearing threshold categorized by gender. The study included 4,075 participants aged 20-69 years from the 1999-2004 data of National Health and Nutrition Examination Survey (NHANES). The associations among MAC, gender differences, and high-frequency and low-frequency hearing thresholds were analyzed. We found that current female drinkers with MAC tended to have lower hearing thresholds. There is a significant protective effect of MAC on hearing threshold shifts in the US adult population, especially in females. Our research was the first study to further indicate that there is a gender difference in the association between MAC and hearing impairment. In accordance with our results, if people drink, they should consume moderate rather than higher amounts, especially in women, which may result in a reduced risk of hearing loss.Item type:Item, Measles: A Missed Cause of Acute Tonsillitis(2017-10-01) ;Lai, Wen-Sen ;Lin, Yuan-Yung ;Wang, Chih-Hung ;Chen, Hsin-Chien生物資訊及系統生物研究所