Tạp chí Tai Mũi Họng Việt Nam

A SCOPING REVIEW OF THE THESIS ON THE APPLICATION OF CHATGPT IN NURSING PRACTICE

Phạm Văn Hiệp — 2025-12-28

Objective: To have an overview of the use of ChatGPT in nursing practice, we conducted this study with the aim of studying the overview of the use of ChatGPT in nursing practice, as well as the strengths and limitations of ChatGPT and its possible impacts, to provide reference information for the future development of a larger language model more suitable for nursing practice. Method: A scoping review. Results:Studies on the application of ChatGPT in nursing practice show the great potential of this technology in improving work efficiency and quality of care. However, the use of ChatGPT needs to be closely managed to ensure that it does not lose the core values of the nursing profession, while taking advantage of the benefits that this technology brings. Conclusion: ChatGPT has great potential in supporting nursing practice, but also poses many challenges in terms of ethics, confidentiality and reliability.

POTENTIAL OF ARTIFICIAL INTELLIGENCE IN NURSING CARE: A SCOPING REVIEW

Nguyễn Thị Kiều Trang — 2025-12-28

Objective: Overview of the potential of AI in nursing care. Method: A scoping review. Results: Of the 217 relevant articles, 10 articles that met the selection criteria were included in the study. Artificial Intelligence (AI) in nursing care demonstrates the great potential of AI to support and improve the activities of nurses. Studies have shown that AI can support clinical decision making, automate administrative tasks, improve care efficiency and improve patient outcomes. Conclusion: Artificial Intelligence (AI) offers a great potential to transform the field of nursing care, promising to improve work efficiency, enhance the quality of care and support patients.

REVIEW OF NURSING KNOWLEDGE, SKILLS AND ATTITUDES TOWARDS EVIDENCE-BASED PRACTICE

Phạm Văn Hiệp — 2025-11-28

Objective: To provide a comprehensive overview of nurses' knowledge, skills, and attitudes toward evidence-based practice (EBP), identify key factors influencing EBP implementation in clinical settings, and highlight areas for improvement to enhance nursing competencies and healthcare quality globally. Method: A scoping review. Results: Of the 75 relevant articles, 7 met the selection criteria and were included in the study. Studies on Evidence-Based Practice (EBP) in nursing have been conducted internationally, with the notable finding that many studies have shown that although nurses and nursing students have positive attitudes towards EBP, their EBP knowledge and skills are limited. Conclusion: Evidence-Based Practice (EBP) plays a pivotal role in improving the quality of health care, and nurses are an indispensable force in the process of applying EBP into clinical practice.

THE ROLE OF NURSING IN TRIAGE: FROM LITERATURE REVIEW TO CASE STUDY

Cao đẳng Điều dưỡng Phan Thị Hoài — 2025-12-28

Objective: To analyze nursing decisions and actions in clinical cases to strengthen the nursing role in triage of emergency patients. Method: Case study. Results: We describe a case of a patient with laryngeal dyspnea with the aim of highlighting the important role of nurses in early detection of signs of patient deterioration and timely implementation of coordinated emergency actions, contributing to ensuring safety and quality of care. Conclusion: Emphasize the indispensable role of nurses in triage of patients.

THE ROLE OF THE TECHNICIAN IN POLYPHYSIOLOGY: FROM LITERATURE REVIEW TO CASE STUDY

Hoàng Ngọc Phương — 2025-11-30

Objective: To present in detail the results of polysomnography in a patient with severe obstructive sleep apnea, thereby highlighting the central role of the polysomnographer. Method: Case study. Results: The polysomnography was performed successfully thanks to the adherence to standard procedures and the professional skills of the polysomnographer. The results provided clear quantitative evidence of the severity of OSA and hypoxemia. These results are a direct product of the technician's accurate data collection and processing, demonstrating their essential and irreplaceable role in the effective diagnosis of sleep disorders using polysomnography. Conclusion: The technician is responsible for preparing and connecting the electrodes and sensors to the patient correctly, ensuring the quality of the collected data. Emphasizing the indispensable role of nursing in patient classification.

OPTIMIZE RECOVERY AND IMPROVE QUALITY OF CARE: A REVIEW OF THE APPLICATION OF THE ERAS MODEL IN ENT SURGERY

Nguyễn Du Khánh — 2025-12-28

Objective:Review of the application of the ERAS model in otolaryngology and head and neck surgery. Method:A Scoping review. Results:Of the 67 relevant articles, 4 articles that met the inclusion criteria were included in the study. The studies showed that ERAS significantly reduced hospital stay, costs, pain, anxiety, and postoperative depression. At the same time, some studies also showed a significant reduction in overall complications such as nausea/vomiting, facial edema, low back pain, urinary retention, and bleeding. Conclusion: The study showed that ERAS brought significant benefits in otolaryngology, including significantly reduced hospital stay, costs, pain, anxiety, and postoperative depression. ERAS was proven to be effective and safe, without increasing the rate of complications.

OVERVIEW OF CHARACTERISTICS OF ADHERENCE TO TREATMENT OF ALLERGIC RHINITIS

Lê Tự Minh Hoàng

Objective: Overview of characteristics of treatment adherence in Allergic Rhinitis. Methods: A scoping review. Results: Of the 51 relevant articles, 5 articles that met the selection criteria were included in the study. These studies were conducted in many different countries, all showing the complex characteristics of adherence to treatment of allergic rhinitis in real-life contexts, thereby providing initial suggestions for more effective, patient-centered intervention strategies to improve clinical outcomes and quality of life for patients.Conclusion: Treatment adherence in allergic rhinitis patients is not a single issue of willpower, but a multifactorial challenge, reflecting the complexity of the disease and human behavior in real-life settings.

CLINICAL CHARACTERISTICS OF PATIENTS WITH STAGE III – IVA UNDIFFERENTIATED NASOPHARYNGEAL CARCINOMA

Phó giáo sư, Tiến sỹ Nghiêm Đức Thuận — 2025-12-30

Objective: To describe the clinical characteristics of patients with stage III–IVa undifferentiated nasopharyngeal carcinoma (NPC). Marterials and methods: A cross-sectional descriptive study was conducted on 84 undifferentiated type NPC patients. Results: Patient age ranged from 7 to 72 years, with a mean of 46.92 years; the 30–60 age group predominated, and the male-to-female ratio was approximately 2:1. The most common signs were cervical lymphadenopathy (38.1%), headache (32.1%), and tinnitus (27.4%), with onset mostly within three months (57.1%). The primary tumor was most frequently located at the posterior-superior wall of the nasopharynx (39.3%), with the exophytic type being the most common (52.4%). Bilateral cervical lymph nodes were observed in 64.3%, and 90.5% showed loss of the nodal hilum structure on imaging. Tumors frequently invaded the nasopharyngeal soft tissue (34.5%), skull base (28.6%), and cranial nerves/intracranial structures (21.4%). T3–T4 stages accounted for 64.2%, N2 stage for 47.6%, and TNM stages were evenly distributed between stage III (46.4%) and stage IVa (53.6%). Significant differences were found in age distribution, symptoms, tumor location, tumor morphology, and T–N stage (p < 0.05). cf EBV DNA concentration at stage IVA media was 3964.0copy/mL which was higher than at stage III ones with 2003.0 copy/mL. Most of patients in both groups were in the level > 4000 copy/ mL. Conclusions: Stage III–IVa undifferentiated NPC commonly occurs in men aged 30–60 years, characterized by bilateral cervical lymphadenopathy, exophytic primary lesions at the posterior-superior wall of the nasopharynx, extensive local invasion, and advanced nodal metastases, concentration of cf EBV DNA were mostly over 4000 copy/mL.

INITIAL EVALUATION OUTCOMES OF SEPTOPLASTY ENDOSCOPIC SURGERY AT 103 MILITARY HOSPITAL

Tiến sỹ Vũ Văn Minh — 2025-12-20

Objective: Describe the clinical characteristics of septum deformity and evaluate the outcomes of septoplasty endoscopic surgery. Method: Prospective descriptive study, with intervention for each case, before and after comparison. Results: Age from 18 to under 40 was 56.67%, male 63.33%; unilateral nasal obstruction was 56.67%, bilateral ones 43.33%; nasal discharge 73.33%; headache 86.67%; unilateral nasal stenosis was 56.67%, bilateral nasal stenosis was 43.33%; Increased mucosal secretion 73.33%; Cottle area 1,2,3 deformity were 30%, area 4,5 were 70%. Conclusion: Septoplasty endoscopic surgery after 03 months helps to significantly improve the condition of the nasal mucosa. The rate of nasal mucosa returning to normal increased from 26.67 to 76.67%; The rate of mucosa with increased mucus secretion decreased from 93.33% to 13.33%.

GLOMUS TYMPANICUM: AN OVERVIEW

Bác sĩ Nguyễn Ngọc Hà — 2025-12-15

Objective: To review the clinical, radiological, and therapeutic characteristics of glomus tympanicum tumors, providing an updated overview of current diagnostic and treatment approaches in Vietnam and internationally. Methods: A comprehensive literature review was conducted using publications from 2010–2025 retrieved from databases including PubMed, Scopus, ScienceDirect, and Vietnamese Otorhinolaryngology journals. Studies were synthesized and compared based on specific criteria: epidemiology, clinical presentation, imaging features (CT–MRI), treatment modalities, and complications. Results: Glomus tympanicum is a benign, slow-growing vascular tumor, predominantly affecting middle-aged women. The primary symptoms are pulsatile tinnitus and conductive hearing loss. High-resolution CT and MRI play crucial roles in definitive diagnosis, staging, and surgical planning. Surgical excision remains the mainstay of treatment, achieving tumor control rates exceeding 90%. Preoperative embolization and endoscopic ear surgery (EES) have been shown to minimize intraoperative bleeding, reduce complications, and improve hearing preservation. The most common postoperative complications are transient hearing loss and residual tinnitus; facial nerve palsy is rare (<8%) and typically reversible. Conclusion: Early diagnosis facilitated by advanced imaging and otoscopic evaluation significantly improves treatment outcomes. Current trends favor minimally invasive approaches, specifically combined endoscopic–microscopic surgery, which demonstrates high efficacy. Further multicenter studies are recommended for long-term outcome assessment and recurrence monitoring.

CLINICAL CHARACTERISTICS OF RECURRENT ACUTE OTITIS MEDIA IN CHILDREN UNDER 6 YEARS AT THE NATIONAL OTORHINORARYNOLOGY HOSPITAL

Bác sĩ Phạm Thị Thu Huyền — 2025-12-15

Objective: To describe the clinical characteristics of recurrent acute otitis media (RAOM) in children under 6 years old at the National Otorhinolaryngology Hospital.Subjects and Methods: A cross-sectional descriptive study was conducted on children under 6 years of age who were examined and diagnosed with RAOM at the National Otorhinolaryngology Hospital from November 2024 to October 2025. Results:The age group from 12 months to 3 years exhibited the highest incidence of the disease (72.1%). The male-to-female ratio was 52.9% to 47.1%. A total of 30 patients (44.1%) experienced three episodes of acute suppurative otitis media within one year. The most common presenting symptoms leading to medical consultation were nasal discharge and productive cough, observed in 18 out of 68 cases (26.5%). The most frequent otoscopic finding in both ears was a bulging tympanic membrane (60.3% in both the right and left ear). Grade III adenoid hypertrophy was predominant, accounting for 43 out of 68 cases (63.2%). All patients had congested nasal mucosa (100%). Thirty-five patients had purulent discharge in the nasal floor (51.5%). Children aged 12 to under 36 months exhibited a wider range and greater frequency of recurrent episodes (3–8 episodes per year). Moreover, children attending daycare had a higher recurrence rate of acute suppurative otitis Conclusions: The age group most commonly affected by recurrent acute otitis media in children is 12 months to 3 years. The most frequently observed otoscopic finding is a bulging tympanic membrane, corresponding to the suppurative stage of acute otitis media. There is a statistically significant association between age at disease onset, daycare attendance, with the number of recurrent otitis media episodes.

EVALUATING CHARACTERISTICS OF THE NASAL PYRAMID IN ADULT VIETNAMESE PEOPLE ON 128-SLICE CT SCANS AT THE NATIONAL OTORHINOLARYNGOLOGY HOSPITAL

Bác sĩ Dao Anh Tuan — 2025-12-15

Purpose: Providing a basic data of nasal indexes on 40 patients who underwent 128-slice CT scans at the Department of Diagnostic Imaging of the National Otorhinolaryngology Hospital. Subjects and methods: Retrospective cross-sectional study and nasal data were measured on CT films. Results: The width of the base of the nasal bone, the length of the back of the nasal bone and the wings of the nasal bone on the left and right sides were larger in men than in women (p>0.05). More than 50% of the nasal phenotypes belonged to type A according to the classification of the nasal bone by Tae-Sun Hwang and the rest were of type B. The average nasal length and width in men were larger than in women, respectively, in men at 50.97 ± 2.57 and in women at 47.43 ± 2.58 (mm) (p>0.05); The average nasal width in men and women was 40.63 ± 1.86 and 36.63 ± 1.96 (mm) respectively (p>0.05). According to Olivier's classification, the nasal index of the study group was mainly average, and only 1 woman had a slightly narrow nasal index; the remaining 6 people had a wide nasal index. The remaining parameters were all significant to each other through the correlation coefficient and linear equation with coefficients and constants > 0. Conclusion: The indexes in men were larger than in women, but the difference was not statistically significant. The average nasal index according to Olivier and the parameters were all correlated with each other.

COMPUTER TOMOGRAPHY IMAGING FEATURES OF TUMORS AND SUSPECTED NODAL METASTASES IN HYPOPHARYNGEAL CANCER

Phùng Thị Hòa

Hypopharyngeal cancer is a malignant tumor derived from the malpigi-covered epithelium of the hypopharynx, accounting for 5% of all head and neck cancers, neck ganglion metastasis is a poor prognosis. Objective: To charaterize the the tumor and cervical nodal of patients with hypopharyngeal cancer on a computed tomography scan. Subjects and research methods: Describe a series of cases, including 40 patients are diagnosised hypopharyngeal cancer and treated at K3 Tan Trieu hospital in 2024-2025. Results and discusion: On CT imaging, a hypopharyngeal tissue mass was identified in all patients (100%), increase density (95%), strong drug absorption (92%,) unknown boundaries(97.5%), and heterogeneous density was present in 100% of lesions. The piriform sinus is the most common (82.5%), with the majority of large tumors occupying the entire piriform sinus (40%). Cervical ganglion metastases on CLVT include irregular drug penetration characteristics (100%), loss of umbilical node structure (86.7%), central necrosis (86.7%), the ratio of longitudinal/transverse diameter < 2 accounts for 96.5%, the diameter of the transverse node axis > 1cm accounts for 48.3%. Group II and III Lymph nodes metastasize the most (64.3%). At the time of diagnosis, 72.5% of cases had suspected metastases, including 25% classified as N2b Stage.

BONE CONDUCTION HEARING IMPLANT: INDICATIONS, OUTCOMES, COMPLICATIONS, AND MANAGEMENT – A LITERATURE REVIEW

PGS Nguyễn Tuyết Xương

Background: Bone conduction hearing implants (BCHI) have become an important solution for patients with conductive, mixed hearing loss, or single-sided deafness who are unsuitable for conventional air-conduction hearing aids. Recent technological advances, including percutaneous and transcutaneous active systems, have improved auditory outcomes while reducing soft-tissue complications. Objective: To synthesize current evidence on indications, auditory outcomes, complications, and management strategies of BCHI over the past five years. Methods: A descriptive review was conducted using PubMed, Scopus, Cochrane Library, Google Scholar, and relevant Vietnamese ENT journals. Studies published between 2019 and 2024 reporting indications, clinical outcomes, complications, or management of BCHI were included. Data were extracted independently by two researchers and summarized into four categories: indications, auditory outcomes, complications, and management of complications. Results: Analysis of recent literature shows that BCHI is highly effective in improving functional hearing thresholds and speech understanding, particularly in patients with conductive/mixed hearing loss and single-sided deafness. The most common complications involve soft-tissue reactions, including skin irritation, peri-implant granulation, and minor infections, with lower rates in transcutaneous active systems (e.g., Osia®, Bonebridge) compared to percutaneous devices. Management strategies include conservative care (hygiene, topical antibiotics/steroids, adjustment of magnet force) and surgical interventions in severe or recurrent cases. Early selection of suitable candidates and careful surgical technique are critical to minimizing complications and optimizing outcomes. Conclusion: BCHI provides a safe and effective method for hearing rehabilitation, with a favorable complication profile, particularly for transcutaneous active systems. Proper patient selection, standardized surgical procedures, and evidence-based management of complications are essential for maximizing functional gains and patient satisfaction.