Pub Date : 2020-09-02DOI: 10.19080/gjo.2020.23.556111
Ali Almomen
{"title":"Image-Guidance in Endonasal Endoscopic Excision of Different Fibro-Osseous Pathologies of Paranasal Sinuses and Skull Base","authors":"Ali Almomen","doi":"10.19080/gjo.2020.23.556111","DOIUrl":"https://doi.org/10.19080/gjo.2020.23.556111","url":null,"abstract":"","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84658329","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 : 2020-08-27DOI: 10.19080/gjo.2020.23.556110
N. T. K. Junie
Introduction: For infants and children with severe to profound hearing impairment, cochlear implantation is the widely accepted surgery of choice. There has been a recent shift of electrode array insertion from bony cochleostomy to round window membrane (RWM) insertion. Round window membrane is strategically placed which could be accessed after an optimal post tympanotomy. St. Thomas hospital (STH) classification is used to evaluate the accessibility of RWM insertion of electrode array and can be classified as Types I, IIa, IIb and III. In type I RWM is 100% visible and insertion is straight forward while in type III RWM is not visualized at all and a bony cochleostomy is undertaken. Material & Methods: A total of 190 patients were included with minimum age of 1.5 years and maximum of 4.1 with mean of 2.76, There were 48.2% males and 50.3% females in the group. Children with diagnosed syndromes or age more than 4.5 were not included in study. Results: The cause of hearing loss in majority of cases was unknown (53.7%) followed by low birth weight (14.7%), maternal infections (12.6%), meningitis (6.3%), birth asphyxia and jaundice (5.3%) and non-inherited congenital (2.1%) All the type III pts underwent bony cochleostomies (2.1%) while simple round window insertions were 65.3% (32.2% in Type I, 54.8% in type II a and 12.9% in Type II b) and 32.6% underwent extended round window insertion. (33.8% in type II and 66.1% in Type II b). Conclusion: STH classification is an easy way to assess the accessibility of RWM insertion in patients planned for cochlear implantation provided that a proper posterior tympanotomy has been undertaken.
对于重度到重度听力障碍的婴儿和儿童，人工耳蜗植入术是广泛接受的手术选择。近年来，电极阵列的植入方式从骨耳蜗造口术转向圆窗膜(RWM)植入。圆形窗膜策略性放置，可在最佳后鼓室切开术后进入。St. Thomas hospital (STH)分类用于评价RWM插入电极阵列的可及性，分为I、IIa、IIb和III型。I型耳蜗缺损100%可见，插入位置直接，而III型耳蜗缺损完全不可见，需要进行骨耳蜗造口术。材料与方法:共纳入190例患者，年龄最小1.5岁，最大4.1岁，平均2.76岁，其中男性48.2%，女性50.3%。诊断为综合征或年龄大于4.5岁的儿童不包括在研究中。结果:听力损失的主要原因不明(53.7%)，其次为低出生体重(14.7%)、母体感染(12.6%)、脑膜炎(6.3%)、出生时窒息和黄疸(5.3%)和非遗传性先天性(2.1%)。所有III型患者均行骨耳蜗造口术(2.1%)，单纯圆窗置入占65.3% (I型32.2%、II型a 54.8%、II型b 12.9%)，延长圆窗置入占32.6%。(33.8%为II型，66.1%为II型b型)。结论:在耳蜗植入患者进行适当的后鼓室切开术的情况下，STH分类是评估RWM植入可及性的一种简便方法。
{"title":"Surgical Treatment of Tympanic Perforations (Anatomical Results) in the Otorhinolaryngology and Cervico-Facial Surgery Department of the Peace Hospital of Ziguinchor in Southern Senegal","authors":"N. T. K. Junie","doi":"10.19080/gjo.2020.23.556110","DOIUrl":"https://doi.org/10.19080/gjo.2020.23.556110","url":null,"abstract":"Introduction: For infants and children with severe to profound hearing impairment, cochlear implantation is the widely accepted surgery of choice. There has been a recent shift of electrode array insertion from bony cochleostomy to round window membrane (RWM) insertion. Round window membrane is strategically placed which could be accessed after an optimal post tympanotomy. St. Thomas hospital (STH) classification is used to evaluate the accessibility of RWM insertion of electrode array and can be classified as Types I, IIa, IIb and III. In type I RWM is 100% visible and insertion is straight forward while in type III RWM is not visualized at all and a bony cochleostomy is undertaken. Material & Methods: A total of 190 patients were included with minimum age of 1.5 years and maximum of 4.1 with mean of 2.76, There were 48.2% males and 50.3% females in the group. Children with diagnosed syndromes or age more than 4.5 were not included in study. Results: The cause of hearing loss in majority of cases was unknown (53.7%) followed by low birth weight (14.7%), maternal infections (12.6%), meningitis (6.3%), birth asphyxia and jaundice (5.3%) and non-inherited congenital (2.1%) All the type III pts underwent bony cochleostomies (2.1%) while simple round window insertions were 65.3% (32.2% in Type I, 54.8% in type II a and 12.9% in Type II b) and 32.6% underwent extended round window insertion. (33.8% in type II and 66.1% in Type II b). Conclusion: STH classification is an easy way to assess the accessibility of RWM insertion in patients planned for cochlear implantation provided that a proper posterior tympanotomy has been undertaken.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77270409","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 : 2020-08-26DOI: 10.19080/gjo.2020.23.556109
M. Junaid
Introduction: For infants and children with severe to profound hearing impairment, cochlear implantation is the widely accepted surgery of choice. There has been a recent shift of electrode array insertion from bony cochleostomy to round window membrane (RWM) insertion. Round window membrane is strategically placed which could be accessed after an optimal post tympanotomy. St. Thomas hospital (STH) classification is used to evaluate the accessibility of RWM insertion of electrode array and can be classified as Types I, IIa, IIb and III. In type I RWM is 100% visible and insertion is straight forward while in type III RWM is not visualized at all and a bony cochleostomy is undertaken. Material & Methods: A total of 190 patients were included with minimum age of 1.5 years and maximum of 4.1 with mean of 2.76, There were 48.2% males and 50.3% females in the group. Children with diagnosed syndromes or age more than 4.5 were not included in study. Results: The cause of hearing loss in majority of cases was unknown (53.7%) followed by low birth weight (14.7%), maternal infections (12.6%), meningitis (6.3%), birth asphyxia and jaundice (5.3%) and non-inherited congenital (2.1%) All the type III patients underwent bony cochleostomies (2.1%) while simple round window insertions were 65.3% (32.2% in Type I, 54.8% in type II a and 12.9% in Type II b) and 32.6% underwent extended round window insertion. (33.8% in type II and 66.1% in Type II b). Conclusion: STH classification is an easy way to assess the accessibility of RWM insertion in patients planned for cochlear implantation provided that a proper posterior tympanotomy has been undertaken.
对于重度到重度听力障碍的婴儿和儿童，人工耳蜗植入术是广泛接受的手术选择。近年来，电极阵列的植入方式从骨耳蜗造口术转向圆窗膜(RWM)植入。圆形窗膜策略性放置，可在最佳后鼓室切开术后进入。St. Thomas hospital (STH)分类用于评价RWM插入电极阵列的可及性，分为I、IIa、IIb和III型。I型耳蜗缺损100%可见，插入位置直接，而III型耳蜗缺损完全不可见，需要进行骨耳蜗造口术。材料与方法:共纳入190例患者，年龄最小1.5岁，最大4.1岁，平均2.76岁，其中男性48.2%，女性50.3%。诊断为综合征或年龄大于4.5岁的儿童不包括在研究中。结果:听力损失原因不明占多数(53.7%)，其次为出生体重过低(14.7%)、母体感染(12.6%)、脑膜炎(6.3%)、出生窒息及黄疸(5.3%)、非遗传性先天性(2.1%)。III型患者均行骨耳蜗造口术(2.1%)，单纯圆窗置入占65.3% (I型32.2%、II型a 54.8%、II型b 12.9%)，延长圆窗置入占32.6%。(33.8%为II型，66.1%为II型b型)。结论:在耳蜗植入患者进行适当的后鼓室切开术的情况下，STH分类是评估RWM植入可及性的一种简便方法。
{"title":"Insertion of Cochlear Implant Electrodes through Round Window Membranes: It’s Accessibility in Pediatric Population","authors":"M. Junaid","doi":"10.19080/gjo.2020.23.556109","DOIUrl":"https://doi.org/10.19080/gjo.2020.23.556109","url":null,"abstract":"Introduction: For infants and children with severe to profound hearing impairment, cochlear implantation is the widely accepted surgery of choice. There has been a recent shift of electrode array insertion from bony cochleostomy to round window membrane (RWM) insertion. Round window membrane is strategically placed which could be accessed after an optimal post tympanotomy. St. Thomas hospital (STH) classification is used to evaluate the accessibility of RWM insertion of electrode array and can be classified as Types I, IIa, IIb and III. In type I RWM is 100% visible and insertion is straight forward while in type III RWM is not visualized at all and a bony cochleostomy is undertaken. Material & Methods: A total of 190 patients were included with minimum age of 1.5 years and maximum of 4.1 with mean of 2.76, There were 48.2% males and 50.3% females in the group. Children with diagnosed syndromes or age more than 4.5 were not included in study. Results: The cause of hearing loss in majority of cases was unknown (53.7%) followed by low birth weight (14.7%), maternal infections (12.6%), meningitis (6.3%), birth asphyxia and jaundice (5.3%) and non-inherited congenital (2.1%) All the type III patients underwent bony cochleostomies (2.1%) while simple round window insertions were 65.3% (32.2% in Type I, 54.8% in type II a and 12.9% in Type II b) and 32.6% underwent extended round window insertion. (33.8% in type II and 66.1% in Type II b). Conclusion: STH classification is an easy way to assess the accessibility of RWM insertion in patients planned for cochlear implantation provided that a proper posterior tympanotomy has been undertaken.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73841031","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 : 2020-08-19DOI: 10.19080/gjo.2020.23.556108
Loretta Fabianne Nigri
Hearing loss is a public health problem that affects the individual’s communication that requires a multidisciplinary evaluation and an intervention as soon as possible to improve his/her quality of life.
{"title":"The Importance of Auditory Evaluation in Adults between 45 and 65 Years Old","authors":"Loretta Fabianne Nigri","doi":"10.19080/gjo.2020.23.556108","DOIUrl":"https://doi.org/10.19080/gjo.2020.23.556108","url":null,"abstract":"Hearing loss is a public health problem that affects the individual’s communication that requires a multidisciplinary evaluation and an intervention as soon as possible to improve his/her quality of life.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80810896","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 : 2020-08-17DOI: 10.19080/gjo.2020.23.556107
R. Karthikeyan
Fungal infections of the paranasal sinuses manifest from simple colonization (Eg: fungal ball) to invasive forms (Eg: Rhizopus: Mucor) depending on the immune status of the host. Infection with lesser-known species like dermatophyseal fungus has been rarely reported in the literature. We report a rare case of Paranasal sinus phaeohyphomycosis in a 30-year-old immunocompetent male presenting to our tertiary care centre with right cheek swelling of 1-year duration with CT showing homogeneously enhancing soft tissue density in the right maxillary sinus with erosion of the anterolateral wall. FNAC revealed pseudo septate, bulbous pigmented fungal hyphae which resolved with surgical debridement and antifungal therapy for 6 weeks.
{"title":"Paranasal Sinus Phaeohyphomycosis: A Case Report and Literature Review","authors":"R. Karthikeyan","doi":"10.19080/gjo.2020.23.556107","DOIUrl":"https://doi.org/10.19080/gjo.2020.23.556107","url":null,"abstract":"Fungal infections of the paranasal sinuses manifest from simple colonization (Eg: fungal ball) to invasive forms (Eg: Rhizopus: Mucor) depending on the immune status of the host. Infection with lesser-known species like dermatophyseal fungus has been rarely reported in the literature. We report a rare case of Paranasal sinus phaeohyphomycosis in a 30-year-old immunocompetent male presenting to our tertiary care centre with right cheek swelling of 1-year duration with CT showing homogeneously enhancing soft tissue density in the right maxillary sinus with erosion of the anterolateral wall. FNAC revealed pseudo septate, bulbous pigmented fungal hyphae which resolved with surgical debridement and antifungal therapy for 6 weeks.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88485680","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 : 2020-08-13DOI: 10.19080/gjo.2020.23.556106
Y. Shirakawa
Background: The incidence of obstruction of the external ear canal (EEC) is very low, and most plastic surgeons have very limited experience in corrective surgery for it. We aim to establish a standard procedure for this corrective surgery. Methods: After a post-auricular incision is made, through which the entire EEC up to the tympanic membrane is exposed, try to excise some tissues (scar tissue, cartilage, and bone tissue) causing obstruction of the EEC. Irrespective of the size of the obstruction, the EEC floor is flattened out. This maneuver requires shaving off a bony portion of the EEC. Finally, a post-auricular cutaneous flap is placed over the defect of the EEC floor. Results: In each case, after the removal of some bony parts, the tympanic membrane and facial nerves remained intact. All flaps successfully covered the defects and survived without any vascular problems. After 2 years of follow-up, the EEC remained patent in all cases. Conclusion: To create an appropriate space for flap placement, it is very important to shave off a bony portion of the EEC. Technically, it is not only easier to make the floor of the EEC straight, but it also serves to prevent re-obstruction.
{"title":"What is a Critical Factor for the Re-Canalization of the External Ear Canal?","authors":"Y. Shirakawa","doi":"10.19080/gjo.2020.23.556106","DOIUrl":"https://doi.org/10.19080/gjo.2020.23.556106","url":null,"abstract":"Background: The incidence of obstruction of the external ear canal (EEC) is very low, and most plastic surgeons have very limited experience in corrective surgery for it. We aim to establish a standard procedure for this corrective surgery. Methods: After a post-auricular incision is made, through which the entire EEC up to the tympanic membrane is exposed, try to excise some tissues (scar tissue, cartilage, and bone tissue) causing obstruction of the EEC. Irrespective of the size of the obstruction, the EEC floor is flattened out. This maneuver requires shaving off a bony portion of the EEC. Finally, a post-auricular cutaneous flap is placed over the defect of the EEC floor. Results: In each case, after the removal of some bony parts, the tympanic membrane and facial nerves remained intact. All flaps successfully covered the defects and survived without any vascular problems. After 2 years of follow-up, the EEC remained patent in all cases. Conclusion: To create an appropriate space for flap placement, it is very important to shave off a bony portion of the EEC. Technically, it is not only easier to make the floor of the EEC straight, but it also serves to prevent re-obstruction.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82948577","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 : 2020-08-04DOI: 10.19080/gjo.2020.23.556103
E. Dina
The authors report a case of a 78-year-old woman with two synchronous neoplasms: Langerhans cell histiocytosis and lymphoepithelial carcinoma of the nasal cavity. The histopathological findings are extremely rare and represent a challenge for the pathologist as the two malignancies coexist within the same tumoral tissue. A review of the literature is presented.
{"title":"Lymphoepithelial Carcinoma of the Nasal Cavity and Langerhans Cell Histiocytosis: Two Synchronous Neoplasms","authors":"E. Dina","doi":"10.19080/gjo.2020.23.556103","DOIUrl":"https://doi.org/10.19080/gjo.2020.23.556103","url":null,"abstract":"The authors report a case of a 78-year-old woman with two synchronous neoplasms: Langerhans cell histiocytosis and lymphoepithelial carcinoma of the nasal cavity. The histopathological findings are extremely rare and represent a challenge for the pathologist as the two malignancies coexist within the same tumoral tissue. A review of the literature is presented.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91202382","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 : 2020-08-03DOI: 10.19080/gjo.2020.23.556102
Carla Matos Silva
The aging of population and the increase in average life expectancy are a challenge for informal caregivers, health professionals and society in general. These age-related changes are manifested by the degradation of anatomical, physiological, and auditory structures and functions. The aging process brings changes that can influence auditory processing. Age-related hearing loss, presbycusis, is caused by a bilateral and progressive degradation of hair cells in the inner ear, which affects mainly the basal area of the cochlea. One of the main difficulties in the elderly diagnosed with presbycusis is the discrimination of the sound stimulus, especially in acoustically unfavorable environments. The auditory pathways of the central nervous system are also affected with aging, worsen the difficulty in decoding verbal and nonverbal stimuli. The lack of speech perception, especially in reverberant environments or with competing noise, leads to communication difficulties and, as a result, other difficulties arise, such as social isolation, depression, and anxiety which brings direct repercussions on the quality of life of the elderly [1].
{"title":"Auditory Training in the Aural Rehabilitation of Older Adults: Utopia or Reality?","authors":"Carla Matos Silva","doi":"10.19080/gjo.2020.23.556102","DOIUrl":"https://doi.org/10.19080/gjo.2020.23.556102","url":null,"abstract":"The aging of population and the increase in average life expectancy are a challenge for informal caregivers, health professionals and society in general. These age-related changes are manifested by the degradation of anatomical, physiological, and auditory structures and functions. The aging process brings changes that can influence auditory processing. Age-related hearing loss, presbycusis, is caused by a bilateral and progressive degradation of hair cells in the inner ear, which affects mainly the basal area of the cochlea. One of the main difficulties in the elderly diagnosed with presbycusis is the discrimination of the sound stimulus, especially in acoustically unfavorable environments. The auditory pathways of the central nervous system are also affected with aging, worsen the difficulty in decoding verbal and nonverbal stimuli. The lack of speech perception, especially in reverberant environments or with competing noise, leads to communication difficulties and, as a result, other difficulties arise, such as social isolation, depression, and anxiety which brings direct repercussions on the quality of life of the elderly [1].","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85571168","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 : 2020-07-23DOI: 10.19080/gjo.2020.23.556101
Ali Almomen
Background: Frontal sinus disease is obstinate. With its multifaceted anatomy and neighboring vital structures, frontal sinus disease creates a dreaded encounter to every otolaryngologist. Further complicated are revision endoscopic frontal sinus surgeries beside unrecognizable anatomy, revision endoscopic frontal sinus surgeries present technical challenges. The objective is to highlight the causes of revision endoscopic frontal sinus surgery and illustrate the clinical applications of the image guidance in managing them. Methods: Retrospective review of 60 patients underwent revision endoscopic sinus surgery with image guidance from 2015 to 2019 Results: the causes of revision out of 60 patients 33% were due to retained uncinate process, residual agger nasi with/without ethmoid disease. Followed by 25% due to extensive mucosal disease with polyps then 24%, 11% and 5% presenting lateralized middle turbinate, unopened suprabullar cell and neo-osteogenesis, respectively. All patients were followed up for 3 years with 91.67% successful patency rate of frontal outflow after revision. Conclusion: the image guidance in revision endoscopic frontal sinus surgery provides accurate identification of remnant bones or cells that may obscure the outflow. Its further aids in evading recurrence or persistent disease with adequate frontal sinusotomy while protecting vital structures.
{"title":"The Clinical Applications of Image Guidance in Revision Endoscopic Frontal Sinus Surgery","authors":"Ali Almomen","doi":"10.19080/gjo.2020.23.556101","DOIUrl":"https://doi.org/10.19080/gjo.2020.23.556101","url":null,"abstract":"Background: Frontal sinus disease is obstinate. With its multifaceted anatomy and neighboring vital structures, frontal sinus disease creates a dreaded encounter to every otolaryngologist. Further complicated are revision endoscopic frontal sinus surgeries beside unrecognizable anatomy, revision endoscopic frontal sinus surgeries present technical challenges. The objective is to highlight the causes of revision endoscopic frontal sinus surgery and illustrate the clinical applications of the image guidance in managing them. Methods: Retrospective review of 60 patients underwent revision endoscopic sinus surgery with image guidance from 2015 to 2019 Results: the causes of revision out of 60 patients 33% were due to retained uncinate process, residual agger nasi with/without ethmoid disease. Followed by 25% due to extensive mucosal disease with polyps then 24%, 11% and 5% presenting lateralized middle turbinate, unopened suprabullar cell and neo-osteogenesis, respectively. All patients were followed up for 3 years with 91.67% successful patency rate of frontal outflow after revision. Conclusion: the image guidance in revision endoscopic frontal sinus surgery provides accurate identification of remnant bones or cells that may obscure the outflow. Its further aids in evading recurrence or persistent disease with adequate frontal sinusotomy while protecting vital structures.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"71 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83429132","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 : 2020-07-22DOI: 10.19080/gjo.2020.22.556100
Ali Bestemi Kepekci
{"title":"Percutaneous and Surgical Tracheostomy in Elderly","authors":"Ali Bestemi Kepekci","doi":"10.19080/gjo.2020.22.556100","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556100","url":null,"abstract":"","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82532891","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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