Pub Date : 2020-07-01DOI: 10.19080/gjo.2020.22.556097
Mustafa Mwm
Background: World Health Organization (WHO) officially announced the COVID-19 epidemic as a pandemic. Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. Little direct evidence suggests a viral cause for labyrinthitis; however, a wealth of epidemiologic evidence implicates several viruses as potentially causing inflammation of the labyrinth. Viral labyrinthitis is often preceded by an upper respiratory tract infection and occurs in epidemics. Aims/Objectives: This study compared latencies of vestibular evoked myogenic potentials (VEMPs) between asymptomatic COVID-19 PCR-positive cases and normal non-infected subjects. Material & methods: Twenty cases who were confirmed positive for COVID-19 and had none of the known symptoms for this viral infection formed the test group for 2 full weeks. Their age ranged between 20-50 years to avoid any age-related hearing affection. Patients who had definite symptoms of COVID-19 infection as well as those who had a history of hearing loss or a history of any known cause of hearing loss were excluded from the examined sample. VEMPs latencies were measured for all participants. Results: Deterioration of saccular hair cell functions was detected by the significantly increased latency of the VEMPs compared to controls. Conclusions and significance: COVID-19 infection could have drastic effects on vestibular hair cell functions despite being asymptomatic. COVID-19 patients should be followed up to detect any complaints regarding their vestibular performance. The mechanism of these effects requires further research.
{"title":"Vestibular Evoked Myogenic Potentials of Asymptomatic Covid-19 PCR-Positive Cases","authors":"Mustafa Mwm","doi":"10.19080/gjo.2020.22.556097","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556097","url":null,"abstract":"Background: World Health Organization (WHO) officially announced the COVID-19 epidemic as a pandemic. Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. Little direct evidence suggests a viral cause for labyrinthitis; however, a wealth of epidemiologic evidence implicates several viruses as potentially causing inflammation of the labyrinth. Viral labyrinthitis is often preceded by an upper respiratory tract infection and occurs in epidemics. Aims/Objectives: This study compared latencies of vestibular evoked myogenic potentials (VEMPs) between asymptomatic COVID-19 PCR-positive cases and normal non-infected subjects. Material & methods: Twenty cases who were confirmed positive for COVID-19 and had none of the known symptoms for this viral infection formed the test group for 2 full weeks. Their age ranged between 20-50 years to avoid any age-related hearing affection. Patients who had definite symptoms of COVID-19 infection as well as those who had a history of hearing loss or a history of any known cause of hearing loss were excluded from the examined sample. VEMPs latencies were measured for all participants. Results: Deterioration of saccular hair cell functions was detected by the significantly increased latency of the VEMPs compared to controls. Conclusions and significance: COVID-19 infection could have drastic effects on vestibular hair cell functions despite being asymptomatic. COVID-19 patients should be followed up to detect any complaints regarding their vestibular performance. The mechanism of these effects requires further research.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74814731","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 : 2020-06-14DOI: 10.19080/gjo.2020.22.556096
Y. Eltohami
Burning mouth syndrome [BMS] is a chronic pain condition, characterized by an intraoral burning sensation in the absence of any organic disorders of the oral cavity or clinical or laboratory findings, affecting predominantly postmenopausal middle‐aged females. This condition is probably of multifactorial origin, involving various local, systemic, and/or psychogenic causes, often idiopathic and its exact etiopathogenesis remains unclear. As the symptom of oral burning is seen in various pathological conditions, it is essential for a clinician to be aware of how to differentiate between symptom of oral burning and BMS as it is a disease of exclusion. With its management still remaining to be a challenge, In this article we discuss current management strategies from the use of pharmacological modalities to applying non-pharmacological modalities including cognitive behavioral therapy and complementary and alternative medicine [CAM], emphasizing the important role of patient education and anxiety management to improve the patients’ quality of life.
{"title":"Clinical Approach for Diagnosis and Treatment of Burning Mouth Syndrome","authors":"Y. Eltohami","doi":"10.19080/gjo.2020.22.556096","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556096","url":null,"abstract":"Burning mouth syndrome [BMS] is a chronic pain condition, characterized by an intraoral burning sensation in the absence of any organic disorders of the oral cavity or clinical or laboratory findings, affecting predominantly postmenopausal middle‐aged females. This condition is probably of multifactorial origin, involving various local, systemic, and/or psychogenic causes, often idiopathic and its exact etiopathogenesis remains unclear. As the symptom of oral burning is seen in various pathological conditions, it is essential for a clinician to be aware of how to differentiate between symptom of oral burning and BMS as it is a disease of exclusion. With its management still remaining to be a challenge, In this article we discuss current management strategies from the use of pharmacological modalities to applying non-pharmacological modalities including cognitive behavioral therapy and complementary and alternative medicine [CAM], emphasizing the important role of patient education and anxiety management to improve the patients’ quality of life.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"335 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76150371","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 : 2020-06-11DOI: 10.19080/gjo.2020.22.556094
Waleed M. Alghamdi
Background: Rhinoplasty is surgery for changing the shape of the nose and it may be motivated by the need to change the appearance of the nose, improve breathing, or both. Rhinoplasty can change the bone, cartilage, skin of the nose, or all three. When planning rhinoplasty, the surgeon will consider other facial features, the skin on the nose, and patient expectations. Aim: To assess the influence of social media on patients who underwent rhinoplasty, and determine if it was the main influence for their decision. Methods: A retrospective record-based descriptive approach was used to review the medical records of all patients who underwent rhinoplasty in Aseer Central Hospital (ACH) between 2015 and 2020. Data were obtained through pre-structured questionnaires and included patients’ bio-clinical data, indications, and effects of different social media platforms. Results: Hundred patients who underwent rhinoplasty, had complete medical files, and responded to phone calls were included. All the cases were aged above 18 years and 56% were men. Snapchat was the most used social media platform (57%), followed by WhatsApp (19%). Social media influenced more than 2/3 of the patients to undergo rhinoplasty. Approximately 58% of those influenced were males compared to 52.8% of those who were not. Instagram had the highest influence on male decisions to undergo rhinoplasty; its influence was significantly higher among females. Conclusions: The study revealed that social media platforms were used extensively, and they influenced patients’ decisions to undergo rhinoplasty mainly through the provision of news about famous people.
{"title":"Effect of Social Media on Decision to Undergo Rhinoplasty","authors":"Waleed M. Alghamdi","doi":"10.19080/gjo.2020.22.556094","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556094","url":null,"abstract":"Background: Rhinoplasty is surgery for changing the shape of the nose and it may be motivated by the need to change the appearance of the nose, improve breathing, or both. Rhinoplasty can change the bone, cartilage, skin of the nose, or all three. When planning rhinoplasty, the surgeon will consider other facial features, the skin on the nose, and patient expectations. Aim: To assess the influence of social media on patients who underwent rhinoplasty, and determine if it was the main influence for their decision. Methods: A retrospective record-based descriptive approach was used to review the medical records of all patients who underwent rhinoplasty in Aseer Central Hospital (ACH) between 2015 and 2020. Data were obtained through pre-structured questionnaires and included patients’ bio-clinical data, indications, and effects of different social media platforms. Results: Hundred patients who underwent rhinoplasty, had complete medical files, and responded to phone calls were included. All the cases were aged above 18 years and 56% were men. Snapchat was the most used social media platform (57%), followed by WhatsApp (19%). Social media influenced more than 2/3 of the patients to undergo rhinoplasty. Approximately 58% of those influenced were males compared to 52.8% of those who were not. Instagram had the highest influence on male decisions to undergo rhinoplasty; its influence was significantly higher among females. Conclusions: The study revealed that social media platforms were used extensively, and they influenced patients’ decisions to undergo rhinoplasty mainly through the provision of news about famous people.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"189 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77782631","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 : 2020-06-08DOI: 10.19080/gjo.2020.22.556091
R. Bidaye
Introduction: Adductor spasmodic dysphonia (ADSD) is a focal laryngeal dystonia characterized by spasms of laryngeal muscles during speech. Botulinum toxin injection in the Thyroarytenoid muscle remains the gold-standard treatment for ADSD. However, as Botulinum toxin injections need to be repeated periodically, the voice quality fluctuates over a longer period. A Microlaryngoscopic Transoral approach to CO2 laser Thyroarytenoid myoneurectomy (TAM) has been reported as an effective technique for treatment of ADSD. It provides sustained improvement in the voice over a longer duration. Methods : Trans oral Microlaryngoscopic CO2 laser TAM was performed in 14 patients (5 females and 9 males), aged between 19 and 64 years who were diagnosed with ADSD. Data was collected from over 3 years starting from Jan 2014 – Dec 2016. GRBAS scale along with Multidimensional voice programme (MDVP) analysis of the voice and Video laryngo-stroboscopic (VLS) samples at the end of 3 and 12 months of surgery would be compared with the pre-operative readings. Results: A total of 9 (64.2%) patients showed an improvement in grade after 3 months as well as 12 months after the surgery. While 12 (85.7%) patients showed an improvement in strain after 12 months of surgery. The spasms on VLS showed an improvement in 9 (64.3%) out of 14 cases after 3 months of surgery which was proven to be statistically significant. Conclusion : This innovative surgical technique is a good alternative treatment for ADSD patients who seek a definite improvement of their condition.
{"title":"Retrospective Analysis of Phonatory Outcomes after CO2 Laser Thyroarytenoid Myoneurectomy in Patients with Adductor Spasmodic Dysphonia","authors":"R. Bidaye","doi":"10.19080/gjo.2020.22.556091","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556091","url":null,"abstract":"Introduction: Adductor spasmodic dysphonia (ADSD) is a focal laryngeal dystonia characterized by spasms of laryngeal muscles during speech. Botulinum toxin injection in the Thyroarytenoid muscle remains the gold-standard treatment for ADSD. However, as Botulinum toxin injections need to be repeated periodically, the voice quality fluctuates over a longer period. A Microlaryngoscopic Transoral approach to CO2 laser Thyroarytenoid myoneurectomy (TAM) has been reported as an effective technique for treatment of ADSD. It provides sustained improvement in the voice over a longer duration. Methods : Trans oral Microlaryngoscopic CO2 laser TAM was performed in 14 patients (5 females and 9 males), aged between 19 and 64 years who were diagnosed with ADSD. Data was collected from over 3 years starting from Jan 2014 – Dec 2016. GRBAS scale along with Multidimensional voice programme (MDVP) analysis of the voice and Video laryngo-stroboscopic (VLS) samples at the end of 3 and 12 months of surgery would be compared with the pre-operative readings. Results: A total of 9 (64.2%) patients showed an improvement in grade after 3 months as well as 12 months after the surgery. While 12 (85.7%) patients showed an improvement in strain after 12 months of surgery. The spasms on VLS showed an improvement in 9 (64.3%) out of 14 cases after 3 months of surgery which was proven to be statistically significant. Conclusion : This innovative surgical technique is a good alternative treatment for ADSD patients who seek a definite improvement of their condition.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83299204","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 : 2020-06-04DOI: 10.19080/gjo.2020.22.556090
H. Ardhaoui
Actinomycosis is a chronic bacterial infection with granulomatous and suppurative features, caused by gram-positive anaerobic: actinomycetes. Generally, saprophytes of the natural cavities of man, but which can become pathogenic under certain conditions. This pathology is most common in the cervicofacial region. Involvement of the paranasal sinuses is extremely rare which can take on the appearance of tumor affections. We describe a case of nasal cavity actinomycosis diagnosed in 16-year female consulted for a left nasal airway obstruction associated with purulent rhinorrhea.
{"title":"Nasal Cavity Actinomycosis Mimicking Nasal Cavity Tumor: A Case Report","authors":"H. Ardhaoui","doi":"10.19080/gjo.2020.22.556090","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556090","url":null,"abstract":"Actinomycosis is a chronic bacterial infection with granulomatous and suppurative features, caused by gram-positive anaerobic: actinomycetes. Generally, saprophytes of the natural cavities of man, but which can become pathogenic under certain conditions. This pathology is most common in the cervicofacial region. Involvement of the paranasal sinuses is extremely rare which can take on the appearance of tumor affections. We describe a case of nasal cavity actinomycosis diagnosed in 16-year female consulted for a left nasal airway obstruction associated with purulent rhinorrhea.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78532805","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 : 2020-06-03DOI: 10.19080/gjo.2020.22.556092
S. S
Calcium metabolism plays an integral role in maintaining homeostasis. Over 99% of the calcium present normally in the adult human body resides in the skeleton, where it provides mechanical stability and serves as a reservoir sometimes needed to maintain extracellular fluid (ECF) calcium concentration. Ionized calcium in the ECF must be maintained within a narrow range because of the critical role calcium plays in a wide array of cellular functions, especially in the neuromuscular activity, secretion, and signal transduction. Intracellular cytosolic free calcium levels are ~100nmol/L and are 10,000-fold lower than ionized calcium concentrations in the blood and ECF (1.1-1.3mmol/L). Cytosolic calcium does not play the structural role played by extracellular calcium; instead, it serves a signaling function. The steep chemical gradient of calcium from outside to inside the cell promotes rapid calcium influx through various membrane calcium channels that can be activated by hormones, metabolites, or neurotransmitters, swiftly changing cellular function. In blood, total calcium concentrations normally 2.2-2.6mM (8.5-10.5mg/dL), of which ~50% is ionized [1].
{"title":"Landmark Discoveries in Calcium Metabolism Review of Literature","authors":"S. S","doi":"10.19080/gjo.2020.22.556092","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556092","url":null,"abstract":"Calcium metabolism plays an integral role in maintaining homeostasis. Over 99% of the calcium present normally in the adult human body resides in the skeleton, where it provides mechanical stability and serves as a reservoir sometimes needed to maintain extracellular fluid (ECF) calcium concentration. Ionized calcium in the ECF must be maintained within a narrow range because of the critical role calcium plays in a wide array of cellular functions, especially in the neuromuscular activity, secretion, and signal transduction. Intracellular cytosolic free calcium levels are ~100nmol/L and are 10,000-fold lower than ionized calcium concentrations in the blood and ECF (1.1-1.3mmol/L). Cytosolic calcium does not play the structural role played by extracellular calcium; instead, it serves a signaling function. The steep chemical gradient of calcium from outside to inside the cell promotes rapid calcium influx through various membrane calcium channels that can be activated by hormones, metabolites, or neurotransmitters, swiftly changing cellular function. In blood, total calcium concentrations normally 2.2-2.6mM (8.5-10.5mg/dL), of which ~50% is ionized [1].","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90554578","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 : 2020-06-01DOI: 10.19080/gjo.2020.22.556089
K. N
{"title":"Infection Control Process and Standard Precautions for Speech Language Pathologist at Acute Care Hospitals in COVID -19 Pandemic","authors":"K. N","doi":"10.19080/gjo.2020.22.556089","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556089","url":null,"abstract":"","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88030431","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 : 2020-05-26DOI: 10.19080/gjo.2020.22.556088
R. Bidaye
Objective: To test the hypothesis that a Fibrin sealant (FS) can improve the success rate of Tympanoplasty surgery, a prospective trial was undertaken. The aim was to compare the graft uptake and hearing outcomes in type 1- Tympanoplasty with the use of a Fibrin sealant to secure the graft. Methods: A prospective study was performed on 80 patients within the age group of 18 to 64 years, from April 2014 to March 2016, at our institute. Otological examination and Audiometry findings were recorded with emphasis on the duration of symptoms, size of the perforation and the degree of hearing loss. Of the 80 patients undergoing type 1 Tympanoplasty with temporalis fascia graft, 40 patients (cases) underwent the surgery with the use of FS to secure the graft in place. The rest of the 40 patients (controls) served as a control group for this study. Statistical analysis was done using the Chi-square test. Results : In the post-operative results, the graft uptake success rate in cases was 95.00%, whereas the success rate in control group was 80.0%. This difference was statistically significant (Chi. Square=4.114, DF=1,p=0.043). Hearing outcome showed a statistically significant difference with predominance of normal hearing in cases (95.00%), whereas in the control group it was 77.50% (Chi. Square=6.155, DF=2,p=0.046). Conclusion: The FS improves the success rate in terms of graft uptake and hearing outcome in type 1 tympanoplasty.
目的:为验证纤维蛋白密封胶(FS)可提高鼓室成形术成功率的假设，进行了一项前瞻性试验。目的是比较1型鼓室成形术中使用纤维蛋白密封剂固定移植物的移植物摄取和听力结果。方法:对我院2014年4月至2016年3月80例年龄在18 ~ 64岁的患者进行前瞻性研究。记录耳科检查和听力学检查结果，重点记录症状持续时间、穿孔大小和听力损失程度。80例1型鼓室成形术伴颞筋膜移植物的患者中，40例(例)采用FS固定移植物。其余40例患者(对照组)作为本研究的对照组。统计学分析采用卡方检验。结果:术后移植成功率为95.00%，对照组为80.0%。这一差异有统计学意义。= 4.114平方,DF = 1, p = 0.043)。两组听力差异有统计学意义(95.00%)，对照组听力差异有统计学意义(77.50%)。= 6.155平方,DF = 2, p = 0.046)。结论:FS在1型鼓室成形术中提高了移植物吸收的成功率和听力效果。
{"title":"Comparative Analysis of the Success Rate with the use of Fibrin Sealant in Tympanoplasty","authors":"R. Bidaye","doi":"10.19080/gjo.2020.22.556088","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556088","url":null,"abstract":"Objective: To test the hypothesis that a Fibrin sealant (FS) can improve the success rate of Tympanoplasty surgery, a prospective trial was undertaken. The aim was to compare the graft uptake and hearing outcomes in type 1- Tympanoplasty with the use of a Fibrin sealant to secure the graft. Methods: A prospective study was performed on 80 patients within the age group of 18 to 64 years, from April 2014 to March 2016, at our institute. Otological examination and Audiometry findings were recorded with emphasis on the duration of symptoms, size of the perforation and the degree of hearing loss. Of the 80 patients undergoing type 1 Tympanoplasty with temporalis fascia graft, 40 patients (cases) underwent the surgery with the use of FS to secure the graft in place. The rest of the 40 patients (controls) served as a control group for this study. Statistical analysis was done using the Chi-square test. Results : In the post-operative results, the graft uptake success rate in cases was 95.00%, whereas the success rate in control group was 80.0%. This difference was statistically significant (Chi. Square=4.114, DF=1,p=0.043). Hearing outcome showed a statistically significant difference with predominance of normal hearing in cases (95.00%), whereas in the control group it was 77.50% (Chi. Square=6.155, DF=2,p=0.046). Conclusion: The FS improves the success rate in terms of graft uptake and hearing outcome in type 1 tympanoplasty.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73423968","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 : 2020-05-21DOI: 10.19080/gjo.2020.22.556087
A. Alskaini
Background: Over the Last 20 years, the transsphenoidal approach has been used to remove skull base tumors and also to reconstruct skull base in CSF leakage cases. With the development of endoscope technology and endoscopic surgery, resection of these Skull base tumors, like meningiomas, craniopharyngiomas, and large pituitary adenomas has been achieved by using endoscopic endonasal skull base (EESB) approaches. Many surgeons have reported the usefulness. Aim: Clinical assessment of endoscopic endonasal skull base surgeries for tumour resection or reconstructive purpose and also to evaluate development of skull base surgeries in southern region of Saudi Arabia. Methodology: A case series study was conducted in Division of Rhinology, Department of ORL HNS at Aseer central Hospital (ACH), Southern of Saudi Arabia. The study included all patients, who diagnosed with skull base lesion and CSF leakage and undergone endoscopic endonasal skull base surgeries over a period of 6 years. All records for identified cases were reviewed to find out the demographic data and surgeries related data. Results: The study included 20 cases whose ages ranged from 18 to 66 years old with mean age of 43.3 16.6 years old. Exact of 85% of the bases had tumour and 10% had traumatic injuries. Intra-operative CSF was recorded among 70% of the cases and 55% recorded complications while recurrence was recorded among 25% of the cases. Conclusion: In conclusion, the less invasive endoscopic endonasal approach of the skull base and the pituitary fossa is an innovative time saving surgeries with minimal complications. Better training for clinical skills and new techniques was recommended for all concerned surgeons.
{"title":"Endoscopic Endonasal Trans-Sphenoidal and Skull Base Surgeries in Aseer Central Hospital, Sothern Saudi Arabia","authors":"A. Alskaini","doi":"10.19080/gjo.2020.22.556087","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556087","url":null,"abstract":"Background: Over the Last 20 years, the transsphenoidal approach has been used to remove skull base tumors and also to reconstruct skull base in CSF leakage cases. With the development of endoscope technology and endoscopic surgery, resection of these Skull base tumors, like meningiomas, craniopharyngiomas, and large pituitary adenomas has been achieved by using endoscopic endonasal skull base (EESB) approaches. Many surgeons have reported the usefulness. Aim: Clinical assessment of endoscopic endonasal skull base surgeries for tumour resection or reconstructive purpose and also to evaluate development of skull base surgeries in southern region of Saudi Arabia. Methodology: A case series study was conducted in Division of Rhinology, Department of ORL HNS at Aseer central Hospital (ACH), Southern of Saudi Arabia. The study included all patients, who diagnosed with skull base lesion and CSF leakage and undergone endoscopic endonasal skull base surgeries over a period of 6 years. All records for identified cases were reviewed to find out the demographic data and surgeries related data. Results: The study included 20 cases whose ages ranged from 18 to 66 years old with mean age of 43.3 16.6 years old. Exact of 85% of the bases had tumour and 10% had traumatic injuries. Intra-operative CSF was recorded among 70% of the cases and 55% recorded complications while recurrence was recorded among 25% of the cases. Conclusion: In conclusion, the less invasive endoscopic endonasal approach of the skull base and the pituitary fossa is an innovative time saving surgeries with minimal complications. Better training for clinical skills and new techniques was recommended for all concerned surgeons.","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76734242","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 : 2020-05-07DOI: 10.19080/gjo.2020.22.556085
Anita Vazquez Tibau
The controversy between pharmaceutical drugs and supplements is ever present in global society, especially now, in the media during the current Covid-19 virus. One of the most important, yet, provocative supplements is vitamin C. While historically, its positive benefits have long been known, during the last decades the push for pharmaceutical drugs, instead of supplements like vitamin C, has created a heated debate against this, and other very affordable supplements. The majority of primates, including humans, guinea pigs, some birds and fish do not make vitamin C, however, most mammals are able to synthesize it in their liver or kidneys. The result of this genetic mutation in humans, therefore, requires vitamin C to be consumed through dietary sources. Clinical studies indicate that vitamin C neither increases nor reduces the occurrence of kidney stones, it also has no mutagenic effect with up to 5000mg per day [1].
{"title":"From COVID to Cancer, is Vitamin C the Answer?","authors":"Anita Vazquez Tibau","doi":"10.19080/gjo.2020.22.556085","DOIUrl":"https://doi.org/10.19080/gjo.2020.22.556085","url":null,"abstract":"The controversy between pharmaceutical drugs and supplements is ever present in global society, especially now, in the media during the current Covid-19 virus. One of the most important, yet, provocative supplements is vitamin C. While historically, its positive benefits have long been known, during the last decades the push for pharmaceutical drugs, instead of supplements like vitamin C, has created a heated debate against this, and other very affordable supplements. The majority of primates, including humans, guinea pigs, some birds and fish do not make vitamin C, however, most mammals are able to synthesize it in their liver or kidneys. The result of this genetic mutation in humans, therefore, requires vitamin C to be consumed through dietary sources. Clinical studies indicate that vitamin C neither increases nor reduces the occurrence of kidney stones, it also has no mutagenic effect with up to 5000mg per day [1].","PeriodicalId":12708,"journal":{"name":"Global Journal of Otolaryngology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89510420","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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