1%）. A total of 214 patients（83.9%） underwent surgical treatment, and underwent nasal endoscopic reduction of nasal bone fractures under local anesthesia, and 77 patients（30.2%） underwent nasal septum surgery. ConclusionCT three-dimensional imaging technology can clearly display the location of the nasal bone fracture, the shape of the fracture line, the number of fragments formed by the fracture, and quantitative analysis of the deformity caused by it, which plays an important role in its diagnosis and treatment.ObjectiveTo evaluate the efficacy of virtual reality technology assisted vestibular rehabilitation training（VRT） in treating chronic vestibular dysfunction patients. MethodNinety-eight vestibular dysfunction patients were assigned into the experimental group（n=73） and the control group（n=25） using mechanical sampling. The experimental group received immersive virtual reality assisted VRT treatment, while the control group received conventional VRT treatment. Chinese vertigo symptom scale（VSS-C） was used to measure vertigo symptoms before treatment and 12 weeks post-treatment. Balance feedback instrument was used to measure the center of pressure（COP）, maximum oscillation length（MOL） and COP envelope area（EA） which smaller numbers indicating better balance functions. Analysis of variance and Fisher's exact test were performed using SPSS 20.0 software to compare mean values and frequencies, respectively. Result①Before treatment as baseline, there were no statistically significant differences in the total score The effect of VR on subjective balance rehabilitation without visual impairment is better than that of conventional.ObjectiveTo investigate the objective evaluation system of nasal function changes in patients with recurrent sinusitis after revision endoscopic sinus surgery. MethodSixty patients with recurrent sinusitis underwent revision endoscopic sinus surgery.  https://www.selleckchem.com/products/a-769662.html  The Lund-Kennedy endoscopic sinus score and Lund-Mackay paranasal sinus CT score were performed before surgery, 3, 6 and 12 months after surgery. The saccharin test was used to evaluate the nasal mucosa ciliary moving function（nasal mucosal ciliary motor velocity） before surgery, 6 and 12 months after surgery. The correlation of objective evaluation indexes before and after surgery was analyzed. ResultThe Lund-Kennedy endoscopic sinus score and Lund-Mackay paranasal sinus CT score of patients 3, 6, 12 months after surgery were lower than those before surgery（P less then 0.05）; The Lund-Kennedy endoscopic sinus score and Lund-Mackay paranasal sinus CT score of patients 6 and 12 months after surgery were lower than those 3 months after surgery（P less then 0.05）; ThThere is good correlation among the Lund-Kennedy endoscopic sinus score, the Lund-Mackay paranasal sinus CT score and the nasal mucosal ciliary motor velocity in patients with recurrent sinusitis before and after revision endoscopic sinus surgery. This study establishes an objective evaluation system for evaluating the changes in nasal function with these three indexes as the main body.ObjectiveTo evaluate the anti-reflux treatment efficacy for the chronic pharyngitis patients with the reflux finding score（RFS） from 8-10. MethodOne hundred and twelve patients with clinical diagnosis of chronic pharyngitis and RFS score of 8-10 were randomly divided into control and treatment groups. The treantment group was given the proton pump inhibitors, gastrointestinal motility drugs and the traditional Chinese patent drugs（treatment group）. The control group was given only the traditional Chinese patent drugs（control group）. ResultThe visual analogue scale（VAS） of the patients in treatment group declined significantly after treatment. The efficacy of treatment group was significantly higher than that of control group（77.36% vs 30.61%, P less then 0.01）. ConclusionFor the patients with chronic pharyngitis with RFS 8-10, anti-reflux treatment should be used together with traditional Chinese patent drugs.ObjectiveTo discuss the diagnosis and treatment process of skull base osteoradionecrosis and improve the recognization of this disease. MethodWe reviewd skull base and nasopharyngeal osteoradionecrosis in 7 patients retrospectively, including 5 nasopharyngeal carcinoma, 1 squamous cell carcinoma of sphenoid sinus, 1 adenoid cystic carcinoma; 6 patientd received skull base debridement surgery and the other one attempted but failed because of her unstable condition. ResultFollow-up period ranged from 3 to 31 months （mean 11.5 month）. During the review time, 2 patients died, 1 patient still had osteoradionecrosis with partly alleviated clinical symptom. At the latest follow-up visit, she was diagnosed as tumor recurrence and was advised to take targeted therapy by multi-discipline team; the symptom was significant improved in the rest of the patients. ConclusionOsteoradionecrosis of skull base is often associated with other post-radiotherapy related complications. Once diagnosed definitely, extensive skull base debridement surgery should be performed in early time, which can significantly relieve symptoms, improve living quality and reduce the incidence of lethal complications.ObjectiveTo analyze the causes of misdiagnosis of patients with glomus jugulare tumor. MethodThe clinical data of 116 patients with glomus jugulare tumor were retrospectively analyzed. ResultAmong the 116 patients, 65 were misdiagnosed, the average duration of misdiagnosis was 4.90 years. The misdiagnosed diseases were chronic otitis media or cholesteatoma in 25 cases, neurological tinnitus or hearing loss in 16 cases, facial paralysis in 6 cases, external auditory canal masses in 4 cases, secretory otitis media in 3 cases, neck mass in 3 cases, intracranial neoplasma in 2 cases, middle ear cancer in 1 case, vocal cord paralysis in 1 case, stomatitis in 1 case, optic nerve head edema in 1 case, middle ear hemangioma in 1 case and vascular tinnitus in 1 case. ConclusionThe misdiagnosis of glomus jugulare tumor can be summarized as follows the patients' first symptoms were not specific; lack of auxiliary examination, especially imaging examination; physicians have insufficient understanding of imaging and pathological examination of glomus jugulare tumor.