Pub Date : 2020-01-28DOI: 10.19080/gjo.2019.20.556067
Rabeea Jabbar Atiyah
Background: Tonsillectomy continues to be a commonly performed operation by the otolaryngologist, although many different methods for tonsillectomy were developed. Aim of study: To compare between tonsillectomy by diode laser and cold steel dissection regarding the operative time, post-operative pain and post-operative bleeding. Method: The study included fifty tonsillectomies were performed in the ENT department of Basra General Hospital from February to December 2008. All patients were diagnosed as having chronic or recurrent tonsillitis. Any patient with acute infection or craniofacial anomalies was excluded from the study. The right tonsil dissected by diode laser whiles the left one by cold steel dissection. The average time of surgery was calculated and the post-operative pain at the night of surgery and two weeks later was noticed. data analysis was done by SPSS 11.0 Results: The mean time calculated for laser tonsillectomy was 4 minutes while by dissection method was 6.5 minutes with a statistically significant. about 84% of the tonsil that removed by Diode laser as being the most painful, while 10% of the tonsil that removed by dissection method as being most painful. In all patients under the study no post-operative bleeding was occurred so there is no difference between the two methods regarding the incidence of post tonsillectomy bleeding. Conclusion: The diode laser significantly reduced the operative time but increased post-operative pain. There was no significant difference in the incidence of post-operative bleeding by the two methods.
{"title":"Tonsillectomy by Diode Laser Versus Cold Steel Dissection Method in Children, Basra, South of Iraq","authors":"Rabeea Jabbar Atiyah","doi":"10.19080/gjo.2019.20.556067","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556067","url":null,"abstract":"Background: Tonsillectomy continues to be a commonly performed operation by the otolaryngologist, although many different methods for tonsillectomy were developed. Aim of study: To compare between tonsillectomy by diode laser and cold steel dissection regarding the operative time, post-operative pain and post-operative bleeding. Method: The study included fifty tonsillectomies were performed in the ENT department of Basra General Hospital from February to December 2008. All patients were diagnosed as having chronic or recurrent tonsillitis. Any patient with acute infection or craniofacial anomalies was excluded from the study. The right tonsil dissected by diode laser whiles the left one by cold steel dissection. The average time of surgery was calculated and the post-operative pain at the night of surgery and two weeks later was noticed. data analysis was done by SPSS 11.0 Results: The mean time calculated for laser tonsillectomy was 4 minutes while by dissection method was 6.5 minutes with a statistically significant. about 84% of the tonsil that removed by Diode laser as being the most painful, while 10% of the tonsil that removed by dissection method as being most painful. In all patients under the study no post-operative bleeding was occurred so there is no difference between the two methods regarding the incidence of post tonsillectomy bleeding. Conclusion: The diode laser significantly reduced the operative time but increased post-operative pain. There was no significant difference in the incidence of post-operative bleeding by the two methods.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73749371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-23DOI: 10.19080/gjo.2019.20.556066
E. Sevil
Objective: To study the effect of the acute otitis media (AOM) on the middle ear mucosa and auditory tube in rabbits and to evaluate the results histologically. Material Methods: The study was carried out on 35 adult rabbits (New Zealand white rabbits), weighing 1500-1800 grams. The middle ear was inoculated with a bacterial suspension containing S. aureus to induce acute otitis media. Based on the exposure time of 1, 2, 4, 12, 24 weeks, the animals were classified into five groups. The rabbits in the acute otitis media group were killed after they were exposed for 1 and 2 weeks (acute), four weeks (subacute), or 12 and 24 weeks (chronic), and they were compared with the control group. The left control middle ear, the right inoculated bulla and the eustachian tube were removed. Sections of the temporal bones were dissected on block by covering the middle ear cavity and nasopharynx passing through the eustachian tube. Results: The goblet cells in the group AOM after one week was as dense as those in the control group. There was no difference between the groups in subepithelial edema, the number of eosinophils, subepithelial vasodilatation, intraepithelial gland formation and, subepithelial gland formation (p>0.05). The gland volume and the goblet cells density were extended to peak two weeks after the inoculation since there was primarily a volume increase in the components of the mucous gland. There was a significant increase in the volume of the gland layer within at least 12 weeks after the inoculation of the bacterial middle ear, primarily since there was an increase in a volume of
{"title":"Effects of Otitis Media on the Eustachian Tube: An Animal Experiment","authors":"E. Sevil","doi":"10.19080/gjo.2019.20.556066","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556066","url":null,"abstract":"Objective: To study the effect of the acute otitis media (AOM) on the middle ear mucosa and auditory tube in rabbits and to evaluate the results histologically. Material Methods: The study was carried out on 35 adult rabbits (New Zealand white rabbits), weighing 1500-1800 grams. The middle ear was inoculated with a bacterial suspension containing S. aureus to induce acute otitis media. Based on the exposure time of 1, 2, 4, 12, 24 weeks, the animals were classified into five groups. The rabbits in the acute otitis media group were killed after they were exposed for 1 and 2 weeks (acute), four weeks (subacute), or 12 and 24 weeks (chronic), and they were compared with the control group. The left control middle ear, the right inoculated bulla and the eustachian tube were removed. Sections of the temporal bones were dissected on block by covering the middle ear cavity and nasopharynx passing through the eustachian tube. Results: The goblet cells in the group AOM after one week was as dense as those in the control group. There was no difference between the groups in subepithelial edema, the number of eosinophils, subepithelial vasodilatation, intraepithelial gland formation and, subepithelial gland formation (p>0.05). The gland volume and the goblet cells density were extended to peak two weeks after the inoculation since there was primarily a volume increase in the components of the mucous gland. There was a significant increase in the volume of the gland layer within at least 12 weeks after the inoculation of the bacterial middle ear, primarily since there was an increase in a volume of","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89037003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-13DOI: 10.19080/gjo.2019.20.556065
Waleed M Alshehri
{"title":"Trans canal Tympanoplasty with Fibrin Glue: An Effective and Simple Strategy to Manage Tympanic Perforations in Modern Otological Surgery","authors":"Waleed M Alshehri","doi":"10.19080/gjo.2019.20.556065","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556065","url":null,"abstract":"","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74426745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-18DOI: 10.19080/gjo.2019.20.556063
H. Ardhaoui
{"title":"Human Papillomavirus-Positive Squamous Cell Carcinoma of the Tonsil: Case Report","authors":"H. Ardhaoui","doi":"10.19080/gjo.2019.20.556063","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556063","url":null,"abstract":"","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74052247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-16DOI: 10.19080/gjo.2019.20.556062
S. Halily
{"title":"Emergency Tracheostomy for Acute Hematoma of the Floor of the Oral Cavity in Patient Under Anticoagulant Therapy: Case Report and Systematic Review","authors":"S. Halily","doi":"10.19080/gjo.2019.20.556062","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556062","url":null,"abstract":"","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89896331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-10DOI: 10.19080/gjo.2019.20.556061
Shaabani Moslem
{"title":"Dix-Hallpike Maneuver Triggered Pulsatile Occipital Headache with Geotropic Nystagmus in a Case of Type I Chiari Malformation","authors":"Shaabani Moslem","doi":"10.19080/gjo.2019.20.556061","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556061","url":null,"abstract":"","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"35 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84025915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-10DOI: 10.19080/gjo.2019.20.556060
Bhushan Kathuria
The authors present the case of a 30-year-old female presented with a swelling that had grown gradually under the skin of the left mastoid for 6 months without any pain, hearing loss or vertigo. On examination, 3x2 cm painless, firm subcutaneous swelling with regular surface was present over left mastoid region. The swelling was soft, cystic and non-tender without any restricted mobility. Skin over the swelling was normal and free. There was no discharging sinus or pointing abscess without any bony indentation. Bilateral ear, external auditory canal and ear drum were normal. There were no facial or cervical deformities. Fine needle aspiration of the swelling was unsatisfactory. Global Journal of Otolaryngology ISSN 2474-7556
{"title":"Mastoid Region Swelling, A Dermoid Cyst: Unusual Presentation","authors":"Bhushan Kathuria","doi":"10.19080/gjo.2019.20.556060","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556060","url":null,"abstract":"The authors present the case of a 30-year-old female presented with a swelling that had grown gradually under the skin of the left mastoid for 6 months without any pain, hearing loss or vertigo. On examination, 3x2 cm painless, firm subcutaneous swelling with regular surface was present over left mastoid region. The swelling was soft, cystic and non-tender without any restricted mobility. Skin over the swelling was normal and free. There was no discharging sinus or pointing abscess without any bony indentation. Bilateral ear, external auditory canal and ear drum were normal. There were no facial or cervical deformities. Fine needle aspiration of the swelling was unsatisfactory. Global Journal of Otolaryngology ISSN 2474-7556","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82559439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-09DOI: 10.19080/gjo.2019.20.556059
Sanae Mellouk
Objective: To describe the anatomical and functional results of Cartilage tympanoplasty. Material and Methods: We realized a transversal descriptive study, involving patients operated by cartilage tympanoplasty in the otolaryngology department University Hospital from January 2015 December 107 patients were involved in this study. All the operations were performed under general anesthesia using the retro auricular approach in 98.1%. In 100 % of the cases, the grafting material was the cartilage. The underlay technique was applied in most of the cases. The anatomical and functional results evaluated over a mean follow-up of nine months are satisfactory. The tympanic closure was obtained in 96 % of cases. As a functional result, a hearing gain between 10 and 30 dB was obtained in 72.9%. Thanks to its resistance, acoustic properties and best long-term anatomical results, cartilage is the material of choice for recurrent perforation, large perforation, uncontrolled shrink pocket, tympanic membrane atelectasis and dysfunction of the Eustachian tube.
{"title":"Cartilage Tympanoplasty - Anatomical and Functional Results","authors":"Sanae Mellouk","doi":"10.19080/gjo.2019.20.556059","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556059","url":null,"abstract":"Objective: To describe the anatomical and functional results of Cartilage tympanoplasty. Material and Methods: We realized a transversal descriptive study, involving patients operated by cartilage tympanoplasty in the otolaryngology department University Hospital from January 2015 December 107 patients were involved in this study. All the operations were performed under general anesthesia using the retro auricular approach in 98.1%. In 100 % of the cases, the grafting material was the cartilage. The underlay technique was applied in most of the cases. The anatomical and functional results evaluated over a mean follow-up of nine months are satisfactory. The tympanic closure was obtained in 96 % of cases. As a functional result, a hearing gain between 10 and 30 dB was obtained in 72.9%. Thanks to its resistance, acoustic properties and best long-term anatomical results, cartilage is the material of choice for recurrent perforation, large perforation, uncontrolled shrink pocket, tympanic membrane atelectasis and dysfunction of the Eustachian tube.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87363424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-27DOI: 10.19080/gjo.2019.20.556058
Gama R
Objective: To analyze the outcomes of the neonatal hearing screening in a cohort of children referred to the otolaryngology department of a tertiary hospital center and to make a literature review about the risk factors for hearing loss. Methods: 5-year retrospective record review of 600 infants who did not pass newborn hearing screening and/or had one or more risk factors for hearing loss, who were referred for further evaluation in the Department of Otolaryngology of a Portuguese tertiary hospital, from September 2012 to December 2017. Results: From the 600 newborns, hearing loss was detected in 36 infants (6%), which means that the prevalence of hearing loss was 3.4 newborns per 1000 births. The most common risk factors were the use of ototoxic drugs, familial hearing loss, preterm birth, very low birth weight and low Apgar score. In the children with risk factors for hearing loss, hearing impairment was verified in only 2.43%. On the other hand, from the 67 children without risk factors for hearing loss that did not pass the initial hearing screening tests, 34.3% were diagnosed with hearing impairment (p<0.05). Conclusion: The most common risk factors were ototoxic medications, preterm birth, familial hearing loss, very low birth weight and low Apgar scores. The high incidence of sensorineural hearing loss in the absence of any known risk factor demonstrates the need to screen all the neonates.
{"title":"Neonatal Hearing Loss: Outcomes of Universal Newborn Hearing Screening in a Tertiary Hospital Center","authors":"Gama R","doi":"10.19080/gjo.2019.20.556058","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556058","url":null,"abstract":"Objective: To analyze the outcomes of the neonatal hearing screening in a cohort of children referred to the otolaryngology department of a tertiary hospital center and to make a literature review about the risk factors for hearing loss. Methods: 5-year retrospective record review of 600 infants who did not pass newborn hearing screening and/or had one or more risk factors for hearing loss, who were referred for further evaluation in the Department of Otolaryngology of a Portuguese tertiary hospital, from September 2012 to December 2017. Results: From the 600 newborns, hearing loss was detected in 36 infants (6%), which means that the prevalence of hearing loss was 3.4 newborns per 1000 births. The most common risk factors were the use of ototoxic drugs, familial hearing loss, preterm birth, very low birth weight and low Apgar score. In the children with risk factors for hearing loss, hearing impairment was verified in only 2.43%. On the other hand, from the 67 children without risk factors for hearing loss that did not pass the initial hearing screening tests, 34.3% were diagnosed with hearing impairment (p<0.05). Conclusion: The most common risk factors were ototoxic medications, preterm birth, familial hearing loss, very low birth weight and low Apgar scores. The high incidence of sensorineural hearing loss in the absence of any known risk factor demonstrates the need to screen all the neonates.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84463355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-14DOI: 10.19080/gjo.2019.20.556057
Khdim M
{"title":"Involvement of the External Auditory Canal by an Otherwise Discreet Nasopharyngeal Carcinoma Via A Spread by the Eustachian Tube","authors":"Khdim M","doi":"10.19080/gjo.2019.20.556057","DOIUrl":"https://doi.org/10.19080/gjo.2019.20.556057","url":null,"abstract":"","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77011500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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