Pub Date : 2022-03-23DOI: 10.36879/tohns.2022.000107
Neal Tw
{"title":"Attempted self-amputation of excess tissue following traumatic split of a dilated earlobe","authors":"Neal Tw","doi":"10.36879/tohns.2022.000107","DOIUrl":"https://doi.org/10.36879/tohns.2022.000107","url":null,"abstract":"","PeriodicalId":296309,"journal":{"name":"Trends in Otorhinolaryngology- Head and Neck Surgery","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132890375","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 : 2022-02-25DOI: 10.36879/tohns.2022.000108
Jeffe J
{"title":"Home Sleep Apnea Testing in Pediatric Patients: Parent Preferences","authors":"Jeffe J","doi":"10.36879/tohns.2022.000108","DOIUrl":"https://doi.org/10.36879/tohns.2022.000108","url":null,"abstract":"","PeriodicalId":296309,"journal":{"name":"Trends in Otorhinolaryngology- Head and Neck Surgery","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114246999","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 : 2022-01-18DOI: 10.36879/tohns.2022.000106
Background: Rolled up gauzes held in place under the nose with a sticky tape applied to the cheeks are routinely used immediately post-op on patients following their sinonasal surgery. Removal of the tape can be painful for patient. To avoid this, we introduced a nasal bolster made by putting a rolled up swab in an elasticated tubular bandage which is then tied at the back of the head. Methods: A prospective patient satisfaction survey questionnaire carried out over 8 months from inpatient stay patients who underwent sinonasal surgery. A database was created to record patient demographics, type of surgery, type of bolster used, patients reported satisfaction and preference for type of nasal bolster scored on a visual analogue scale (VAS) from 1-10. Results: A total of 130 (Male 77; age range 14-79 years) completed the questionnaires. Most common operations were FESS and septoplasty. Of the 130 patients, 100 used only the soft nasal bolster and scored it 8.5/10 on the VAS. A cohort of 30 patients used both types of bolsters and had preferred the soft bolster compared to the tape dressing (VAS 8.3 vs 3.8). Conclusion: Our simple service evaluation study shows that non-adhesive nasal bolster is preferred following sinonasal surgery. The soft nasal bolster is easy to make at a relative small cost and is non-abrasive and painless for post-op patients. Therefore, we propose the soft nasal bolster should be more widely used in post-operative care for patient comfort.
背景:将纱布卷在鼻下，用胶带粘在脸颊上，是鼻窦手术后立即使用的常规方法。撕掉胶带对病人来说是痛苦的。为了避免这种情况，我们引入了一种鼻垫，将卷起的棉签放入有弹性的管状绷带中，然后将其绑在脑后。方法:对接受鼻外科手术的住院患者进行为期8个月的满意度问卷调查。建立了一个数据库，记录患者的人口统计数据、手术类型、使用的枕型、患者报告的满意度和对鼻枕类型的偏好，以视觉模拟量表(VAS)从1-10分进行评分。结果:共130例(男77例;年龄范围14-79岁)完成问卷。最常见的手术是FESS和鼻中隔成形术。在130例患者中，100例仅使用软鼻垫，VAS评分为8.5/10。一组30名患者使用了两种类型的支撑，与胶带敷料相比，他们更喜欢软支撑(VAS 8.3 vs 3.8)。结论:我们的简单服务评价研究表明，无粘连鼻托是鼻外科手术后首选的方法。柔软的鼻托易于制作，成本相对较低，对术后患者无磨蚀性和无痛性。因此，我们建议在术后护理中更广泛地使用软性鼻托，以提高患者的舒适度。
{"title":"Soft nasal bolster or tape nasal dressing after sinonasal surgery: The patient knows best","authors":"","doi":"10.36879/tohns.2022.000106","DOIUrl":"https://doi.org/10.36879/tohns.2022.000106","url":null,"abstract":"Background: Rolled up gauzes held in place under the nose with a sticky tape applied to the cheeks are routinely used immediately post-op on\u0000patients following their sinonasal surgery. Removal of the tape can be painful for patient. To avoid this, we introduced a nasal bolster made by\u0000putting a rolled up swab in an elasticated tubular bandage which is then tied at the back of the head.\u0000Methods: A prospective patient satisfaction survey questionnaire carried out over 8 months from inpatient stay patients who underwent\u0000sinonasal surgery. A database was created to record patient demographics, type of surgery, type of bolster used, patients reported satisfaction\u0000and preference for type of nasal bolster scored on a visual analogue scale (VAS) from 1-10.\u0000Results: A total of 130 (Male 77; age range 14-79 years) completed the questionnaires. Most common operations were FESS and septoplasty.\u0000Of the 130 patients, 100 used only the soft nasal bolster and scored it 8.5/10 on the VAS. A cohort of 30 patients used both types of bolsters\u0000and had preferred the soft bolster compared to the tape dressing (VAS 8.3 vs 3.8).\u0000Conclusion: Our simple service evaluation study shows that non-adhesive nasal bolster is preferred following sinonasal surgery. The soft nasal\u0000bolster is easy to make at a relative small cost and is non-abrasive and painless for post-op patients. Therefore, we propose the soft nasal bolster\u0000should be more widely used in post-operative care for patient comfort.","PeriodicalId":296309,"journal":{"name":"Trends in Otorhinolaryngology- Head and Neck Surgery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125280820","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 : 2021-07-02DOI: 10.36879/tohns.21.000103
{"title":"Influence of an Insole with individual sensory feedback on the Cranio-Cervical Mobility When Standing and the Rolling Behavior of the Foot When Walking","authors":"","doi":"10.36879/tohns.21.000103","DOIUrl":"https://doi.org/10.36879/tohns.21.000103","url":null,"abstract":"","PeriodicalId":296309,"journal":{"name":"Trends in Otorhinolaryngology- Head and Neck Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115358533","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 : 2021-06-06DOI: 10.36879/tohns.21.000102
{"title":"Cutting the Gordian Knot: Unravelling Demographic and Pathophysiological Factors Influencing Pathogen-Specific Immune Responses in Chronic Otitis Media-Prone Children","authors":"","doi":"10.36879/tohns.21.000102","DOIUrl":"https://doi.org/10.36879/tohns.21.000102","url":null,"abstract":"","PeriodicalId":296309,"journal":{"name":"Trends in Otorhinolaryngology- Head and Neck Surgery","volume":"82 24","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120818705","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 : 2021-04-21DOI: 10.36879/tohns.21.000101
Introduction: Olfactory and gustatory disturbance has been recognized as one of the COVID-19 symptoms. The prevalence of the symptoms may vary between region globally and multiple factors may have contributed to the development of the symptoms. Objective: To identify the prevalence of olfactory and gustatory disturbance in patients with COVID-19 in Sungai Buloh centres. Methods: This retrospective study, conducted for a month – April/May 2020, recruited 201 COVID-19 patients from Hospital Sungai Buloh (HSB), National Leprosy Control Centre (NLCC), and Institut Latihan Kejururawatan Kebangsaan Malaysia (ILKKM) who met the inclusion criteria. Socio-clinical data were collected from ‘ehis’ electronic system database and anosmia clerking sheet, designed for the study. Statistical analyses were performed using IBM-SPSS statistical software version 26. Results: This study reported 14.9% of patients diagnosed with COVID-19 experienced olfactory and/or gustatory disturbances, where the mean age is 33 years, and patients predominantly male (70%) and asymptomatic of COVID-19 symptoms (70%). Some patients (4.5%) had olfactory and/or gustatory disturbance in the absence of other symptoms, and 10.4% reported olfactory and/or gustatory disturbances with other COVID-19 symptoms. Logistic regression showed an association between developments of olfactory and/or gustatory disturbances with symptomatic of COVID-19 symptoms, smoking status, and nationality. Conclusion: New onset of olfactory and/or gustatory disturbances during the COVID-19 pandemic is a good screening tool for early detection of COVID-19 in the absence of other symptoms. Patients who are symptomatic of COVID-19 symptoms, smoker and Malaysian may have a higher risk of developing olfactory and/or gustatory disturbances in COVID-19.
{"title":"The Sungai Buloh experience: A retrospective study in olfactory and gustatory disturbance in COVID-19","authors":"","doi":"10.36879/tohns.21.000101","DOIUrl":"https://doi.org/10.36879/tohns.21.000101","url":null,"abstract":"Introduction: Olfactory and gustatory disturbance has been recognized as one of the COVID-19 symptoms. The prevalence of the\u0000symptoms may vary between region globally and multiple factors may have contributed to the development of the symptoms.\u0000Objective: To identify the prevalence of olfactory and gustatory disturbance in patients with COVID-19 in Sungai Buloh centres.\u0000Methods: This retrospective study, conducted for a month – April/May 2020, recruited 201 COVID-19 patients from Hospital Sungai\u0000Buloh (HSB), National Leprosy Control Centre (NLCC), and Institut Latihan Kejururawatan Kebangsaan Malaysia (ILKKM) who\u0000met the inclusion criteria. Socio-clinical data were collected from ‘ehis’ electronic system database and anosmia clerking sheet,\u0000designed for the study. Statistical analyses were performed using IBM-SPSS statistical software version 26.\u0000Results: This study reported 14.9% of patients diagnosed with COVID-19 experienced olfactory and/or gustatory disturbances, where\u0000the mean age is 33 years, and patients predominantly male (70%) and asymptomatic of COVID-19 symptoms (70%). Some patients\u0000(4.5%) had olfactory and/or gustatory disturbance in the absence of other symptoms, and 10.4% reported olfactory and/or gustatory\u0000disturbances with other COVID-19 symptoms. Logistic regression showed an association between developments of olfactory and/or\u0000gustatory disturbances with symptomatic of COVID-19 symptoms, smoking status, and nationality.\u0000Conclusion: New onset of olfactory and/or gustatory disturbances during the COVID-19 pandemic is a good screening tool for early\u0000detection of COVID-19 in the absence of other symptoms. Patients who are symptomatic of COVID-19 symptoms, smoker and\u0000Malaysian may have a higher risk of developing olfactory and/or gustatory disturbances in COVID-19.","PeriodicalId":296309,"journal":{"name":"Trends in Otorhinolaryngology- Head and Neck Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129992349","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 : 2018-07-03DOI: 10.26226/morressier.5adde3c2d462b80290b593ed
M. Shakeel
Aim: To present a case of large cell neuroendocrine carcinoma (LCNEC) involving the hypopharynx focusing on the histopathological diagnosis, radiological investigations and oncology treatment. Methodology: A case report with relevant literature review Case report: A 71-year-old Caucasian male presented with a four-month history of right sided sore throat, a one-month history of feeling something stuck in his throat at the level of the larynx associated with a deeper voice and two weeks history of right referred otalgia. On examination his voice has a rough but there was no stridor. There was a 2 x 2 cm node palpable in the right neck level II. Flexible pharyngolaryngoscopy revealed an exophytic growth on the right aryepiglottic fold that was covering the whole of the glottis. However, panendoscopy showed a large exophytic mass filling up the right piriform fossa involving the adjacent aryepiglottic fold and the postcricoid region. The biopsy confirmed the LCNEC and the fine needle aspiration cytology showed metastasis in his neck. The scans did not show any widespread disease in the body. He was managed in the multidisciplinary team setting and was treated with chemoradiotherapy. Conclusion: LCNEC involving the hypopharynx is an extremely rare clinical entity with poor prognosis. Early diagnosis and radical treatment with chemoradiotherapy would appear to be an acceptable treatment option.
{"title":"Large Cell Neuroendocrine Carcinoma of Hypopharynx: a distinct histopathological entity","authors":"M. Shakeel","doi":"10.26226/morressier.5adde3c2d462b80290b593ed","DOIUrl":"https://doi.org/10.26226/morressier.5adde3c2d462b80290b593ed","url":null,"abstract":"Aim: To present a case of large cell neuroendocrine carcinoma (LCNEC) involving the hypopharynx focusing on the histopathological\u0000diagnosis, radiological investigations and oncology treatment.\u0000Methodology: A case report with relevant literature review\u0000Case report: A 71-year-old Caucasian male presented with a four-month history of right sided sore throat, a one-month history of\u0000feeling something stuck in his throat at the level of the larynx associated with a deeper voice and two weeks history of right referred\u0000otalgia. On examination his voice has a rough but there was no stridor. There was a 2 x 2 cm node palpable in the right neck level II.\u0000Flexible pharyngolaryngoscopy revealed an exophytic growth on the right aryepiglottic fold that was covering the whole of the glottis.\u0000However, panendoscopy showed a large exophytic mass filling up the right piriform fossa involving the adjacent aryepiglottic fold and\u0000the postcricoid region. The biopsy confirmed the LCNEC and the fine needle aspiration cytology showed metastasis in his neck. The\u0000scans did not show any widespread disease in the body. He was managed in the multidisciplinary team setting and was treated with\u0000chemoradiotherapy.\u0000Conclusion: LCNEC involving the hypopharynx is an extremely rare clinical entity with poor prognosis. Early diagnosis and radical\u0000treatment with chemoradiotherapy would appear to be an acceptable treatment option.","PeriodicalId":296309,"journal":{"name":"Trends in Otorhinolaryngology- Head and Neck Surgery","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116638270","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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