Pub Date : 2020-08-03DOI: 10.33552/ojor.2020.03.000552
Islam Ma
Background & Objectives: Local Anesthesia (LA) is getting popularity in comparison to general anesthesia (GA) in underdeveloped and developing countries in many otolaryngological operations. The rationale for LA is the lack of trained anesthesia staff, lack of adequate anesthesia machines and monitoring equipment. LA is safe; and ability to perform more cases in a shorter period of time. This study aimed to find out patients compliance in the operative procedures under LA without sedation. Methods: 7905 patents underwent tympanoplsty under LA without sedation from 1999 to 2019 in the different hospital of Bangladesh. Preoperative thorough counselling with psychological motivation, advantages of LA, intraoperative surgeon patient conversation and watching surgical steps on monitor, tests of facial nerve function were explained to the patient. LA with different Adrenaline concentrations (1: 1000 to 1: 200,000) was used either by injection or topically. Patients’ satisfaction, vertigo, drowsiness, hangover, orientation and other parameters ware recorded. Results: Amongst 7905 patients; male 56.2% and 43.8% was female. Maximum numbers (26.3) were found between 26 year to 35 year of age. Patients’ intraoperative compliance showed excellent without sedation. Operative time was short with a bloodless field. The overall safety was good and needed shortest hospital stay (Hour/day); and of course, very less expensive. Conclusion: Patient’s safety is the primary objective considered in all patients. The advantages recorded as day/hour care hospital stay, patients comfort, less bleeding, ability to assess patient’s hearing during surgery and cost effectiveness.
{"title":"Local Anesthesia (La) without Preoperative Sedation in Tympanoplasty","authors":"Islam Ma","doi":"10.33552/ojor.2020.03.000552","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000552","url":null,"abstract":"Background & Objectives: Local Anesthesia (LA) is getting popularity in comparison to general anesthesia (GA) in underdeveloped and developing countries in many otolaryngological operations. The rationale for LA is the lack of trained anesthesia staff, lack of adequate anesthesia machines and monitoring equipment. LA is safe; and ability to perform more cases in a shorter period of time. This study aimed to find out patients compliance in the operative procedures under LA without sedation. Methods: 7905 patents underwent tympanoplsty under LA without sedation from 1999 to 2019 in the different hospital of Bangladesh. Preoperative thorough counselling with psychological motivation, advantages of LA, intraoperative surgeon patient conversation and watching surgical steps on monitor, tests of facial nerve function were explained to the patient. LA with different Adrenaline concentrations (1: 1000 to 1: 200,000) was used either by injection or topically. Patients’ satisfaction, vertigo, drowsiness, hangover, orientation and other parameters ware recorded. Results: Amongst 7905 patients; male 56.2% and 43.8% was female. Maximum numbers (26.3) were found between 26 year to 35 year of age. Patients’ intraoperative compliance showed excellent without sedation. Operative time was short with a bloodless field. The overall safety was good and needed shortest hospital stay (Hour/day); and of course, very less expensive. Conclusion: Patient’s safety is the primary objective considered in all patients. The advantages recorded as day/hour care hospital stay, patients comfort, less bleeding, ability to assess patient’s hearing during surgery and cost effectiveness.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125036205","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 : 2020-07-08DOI: 10.33552/ojor.2020.02.000549
P. Sheshegov
An urgent problem in industry and transport continues to be the adverse effects of noise. In terms of prevalence among industrial physical factors, noise in Russia ranks first (17.5%). Exposure to noise with a level exceeding the maximum permissible level, several million people are exposed. Among occupational diseases from physical factors, sensorineural hearing loss (STI) steadily takes the first place, and its share in 2018 was 55%. When studying the working conditions of aviation specialists (AS), the spectrum of aviation noise (AS) contains an infrasound component, the role of which was not given much importance in the formation of aviation pathology. It is shown that the simultaneous action of noise and infrasound (FR) exacerbates the harmful effects of each of these factors. Despite numerous studies on the adverse effects of AS, the mechanisms of its action on humans require further study.
{"title":"Features of Sensorineural Hearing Loss Caused by Exposure to Aircraft Noise","authors":"P. Sheshegov","doi":"10.33552/ojor.2020.02.000549","DOIUrl":"https://doi.org/10.33552/ojor.2020.02.000549","url":null,"abstract":"An urgent problem in industry and transport continues to be the adverse effects of noise. In terms of prevalence among industrial physical factors, noise in Russia ranks first (17.5%). Exposure to noise with a level exceeding the maximum permissible level, several million people are exposed. Among occupational diseases from physical factors, sensorineural hearing loss (STI) steadily takes the first place, and its share in 2018 was 55%. When studying the working conditions of aviation specialists (AS), the spectrum of aviation noise (AS) contains an infrasound component, the role of which was not given much importance in the formation of aviation pathology. It is shown that the simultaneous action of noise and infrasound (FR) exacerbates the harmful effects of each of these factors. Despite numerous studies on the adverse effects of AS, the mechanisms of its action on humans require further study.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122605532","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 : 2020-07-08DOI: 10.33552/ojor.2020.02.000550
Hicham Lyoubi
Foreign body ingestion is a common emergency. Adults we count 20% of the reported cases of foreign body aspiration. We describe an uncommon case of a young 27-year-old patient, who accidentally ingested a big metal spoon. The cervical X-ray shows the presence of a metallic foreign body at cervical and thoracic esophagus. The extraction of the foreign body under general was without notable incidents, and referred to a psychiatric consultation, according to the nature of the foreign body and the circumstances of occurrence.
{"title":"Unusual Case of Pharyngeal Foreign Body: Metal Spoon in An Adult (Case Report)","authors":"Hicham Lyoubi","doi":"10.33552/ojor.2020.02.000550","DOIUrl":"https://doi.org/10.33552/ojor.2020.02.000550","url":null,"abstract":"Foreign body ingestion is a common emergency. Adults we count 20% of the reported cases of foreign body aspiration. We describe an uncommon case of a young 27-year-old patient, who accidentally ingested a big metal spoon. The cervical X-ray shows the presence of a metallic foreign body at cervical and thoracic esophagus. The extraction of the foreign body under general was without notable incidents, and referred to a psychiatric consultation, according to the nature of the foreign body and the circumstances of occurrence.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129583390","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 : 2020-07-08DOI: 10.33552/ojor.2020.03.000551
M. L. N. Álvaro
On the other hand, when we talk about the chronic cholesteatomatous otitis media, we refer to the accumulation of desquamative keratinized epithelium, either in the tympanic cavity or in the mastoid bone, which may be secondary to an eardrum perforation but may also occur as a primary lesion [1]. Marginal perforations are considered to be more dangerous because they are usually associated with the development of a cholesteatoma [2]. In this type of perforations, the stratified squamous epithelium of the external auditory canal can grow into the middle ear and form a cholesteatoma [3].
{"title":"Intraoperative Finding of Cholesteatoma in Central Tympanic Perforation","authors":"M. L. N. Álvaro","doi":"10.33552/ojor.2020.03.000551","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000551","url":null,"abstract":"On the other hand, when we talk about the chronic cholesteatomatous otitis media, we refer to the accumulation of desquamative keratinized epithelium, either in the tympanic cavity or in the mastoid bone, which may be secondary to an eardrum perforation but may also occur as a primary lesion [1]. Marginal perforations are considered to be more dangerous because they are usually associated with the development of a cholesteatoma [2]. In this type of perforations, the stratified squamous epithelium of the external auditory canal can grow into the middle ear and form a cholesteatoma [3].","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128740067","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 : 2020-07-06DOI: 10.33552/ojor.2020.02.000548
R. Mehrotra
Introduction: This study is a comparitive study between oticon Digisonic and Cochlear limited implants outcomes in 200 implant surgeries at late Dr S N Mehrotra charitable ENT foundation between 2016 to 2019. Material and methods: 100 children of Digisonic and 100 of Cochlear Ltd who were implanted between 2016-2019 in Mehrotra ENT hospital, were included in the study. Outcomes of all the implanted children in both groups were analyzed. Scoring system for auditory performance, speech rehabilitation and quality of life were also taken into account for every child implanted. Results of both groups were compared. Results: Highest CAP level attained in cochlear group was 10 whereas in Digisonic group 5. 23% in Cochlear group had CAP level of 5 and above compared to only 1% in Digisonic group. 88% of children in Cochlear group had highest SIR of 5 and 6 compared to 75% in Digisonic group. 87% of cochlear group had GCBI index greater than 80(maximum benefit) compared to 41% of Digisonic group. Only 1% belongs to mild benefit in Cochlear group whereas in Digisonic 29% in minimal benefit group. Conclusion: Cochlear LTD group results were better when compared to Digisonic group in terms of hearing, speech and quality of life index. Digisonic implants had easier insertion. Cochlear proved to be better than Digisonic owing to superior hearing, speech and quality of life outcomes.
本研究是对2016年至2019年Dr S N Mehrotra慈善耳鼻喉科基金会200例人工耳蜗植入手术中Digisonic耳蜗与Cochlear有限耳蜗植入结果的比较研究。材料与方法:选取2016-2019年在Mehrotra ENT医院植入Digisonic和Cochlear Ltd的100名儿童作为研究对象。对两组患儿全部植入后的结果进行分析。每个植入儿童的听觉表现、语言康复和生活质量评分系统也被考虑在内。比较两组结果。结果:人工耳蜗组CAP水平最高，为10，而双音组CAP水平最高，为5。耳蜗组23%的患者CAP水平在5级及以上，而Digisonic组仅有1%。耳蜗组患儿SIR最高为5、6分的占88%，而Digisonic组患儿SIR最高为75%。耳蜗组有87%的患者GCBI指数大于80(最大效益)，而Digisonic组有41%。在人工耳蜗组中只有1%属于轻度获益，而在Digisonic组中只有29%属于轻度获益。结论:与Digisonic组相比，Cochlear LTD组在听力、言语及生活质量指标上均优于Digisonic组。双超声植入物更容易植入。人工耳蜗在听力、语言和生活质量方面优于Digisonic。
{"title":"Our Study of Comparison of Oticon Digisonic and Cochlear Limited Implants in North India","authors":"R. Mehrotra","doi":"10.33552/ojor.2020.02.000548","DOIUrl":"https://doi.org/10.33552/ojor.2020.02.000548","url":null,"abstract":"Introduction: This study is a comparitive study between oticon Digisonic and Cochlear limited implants outcomes in 200 implant surgeries at late Dr S N Mehrotra charitable ENT foundation between 2016 to 2019. Material and methods: 100 children of Digisonic and 100 of Cochlear Ltd who were implanted between 2016-2019 in Mehrotra ENT hospital, were included in the study. Outcomes of all the implanted children in both groups were analyzed. Scoring system for auditory performance, speech rehabilitation and quality of life were also taken into account for every child implanted. Results of both groups were compared. Results: Highest CAP level attained in cochlear group was 10 whereas in Digisonic group 5. 23% in Cochlear group had CAP level of 5 and above compared to only 1% in Digisonic group. 88% of children in Cochlear group had highest SIR of 5 and 6 compared to 75% in Digisonic group. 87% of cochlear group had GCBI index greater than 80(maximum benefit) compared to 41% of Digisonic group. Only 1% belongs to mild benefit in Cochlear group whereas in Digisonic 29% in minimal benefit group. Conclusion: Cochlear LTD group results were better when compared to Digisonic group in terms of hearing, speech and quality of life index. Digisonic implants had easier insertion. Cochlear proved to be better than Digisonic owing to superior hearing, speech and quality of life outcomes.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122298336","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 : 2020-07-01DOI: 10.21203/rs.3.rs-40231/v1
M. K. Arefin, Md. Baha Uddin, Md. Zahidul Islam, Mohammad Shaharior Arafat, Md Noor Alam, Debesh Chandra Talukder, S. N. F. Rumi, Md Nazmul Islam, Brig. General Dr. Akm Nasiruddin, Md. Abu Yusuf Fakir
BackgroundWHO declared COVID-19 outbreak as pandemic in March, 2020, which was started from Wuhan of china. Mastoidectomy is an aerosol generating procedure. If a patient of COVID-19, either confirmed, suspected or asymptomatic career, requires mastoidectomy urgently, it’s a critical issue for the health care professionals for the highly contagious nature of this novel corona virus. Here, some simple, but novel and very effective measures will be discussed for protection of all health care providers (HCPs). Polythene sheet and Povidone Iodine are the change makers in this novel approach of mastoidectomy, mentioned in this article. So, we named the technique as ‘POLIDON approach’ of mastoidectomy.Method/ MaterialPlacement of a transparent, sterile polythene sheet which acts as an interface between patient and surgeons and all other OR staffs is an important issue. Meanwhile, extended use of Povidone Iodine (PVP-I) is recommended in different way. Mouthwash for gargling and nasal application either by spray or nasal irrigation or drop will reduce viral load from nose and mouth of patient. HCPs should use PVP-I prophylactically also. Thus the chance of transmissibility of novel coronavirus is reducedMeanwhile, Povidone Iodine should be mixed with irrigating fluid to help in reduction of contamination by bone dust mixed with fluid, produced during surgery. Conclusion As mastoidectomy is an aerosol generating procedure, and novel coronavirus is highly contagious, so higher level of protection is required. A simple and cheap polythene sheet as barrier drape as well as rational and novel use of Povidone Iodine, i.e. the proposed ‘POLIDON’ approach can significantly reduce the chance of corona virus transmission among the health care professionals working in the operation theatre.
{"title":"‘POLIDON’ Approach-A Novel Approach of Mastoidectomy in the COVID-19 Pandemic","authors":"M. K. Arefin, Md. Baha Uddin, Md. Zahidul Islam, Mohammad Shaharior Arafat, Md Noor Alam, Debesh Chandra Talukder, S. N. F. Rumi, Md Nazmul Islam, Brig. General Dr. Akm Nasiruddin, Md. Abu Yusuf Fakir","doi":"10.21203/rs.3.rs-40231/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-40231/v1","url":null,"abstract":"\u0000 BackgroundWHO declared COVID-19 outbreak as pandemic in March, 2020, which was started from Wuhan of china. Mastoidectomy is an aerosol generating procedure. If a patient of COVID-19, either confirmed, suspected or asymptomatic career, requires mastoidectomy urgently, it’s a critical issue for the health care professionals for the highly contagious nature of this novel corona virus. Here, some simple, but novel and very effective measures will be discussed for protection of all health care providers (HCPs). Polythene sheet and Povidone Iodine are the change makers in this novel approach of mastoidectomy, mentioned in this article. So, we named the technique as ‘POLIDON approach’ of mastoidectomy.Method/ MaterialPlacement of a transparent, sterile polythene sheet which acts as an interface between patient and surgeons and all other OR staffs is an important issue. Meanwhile, extended use of Povidone Iodine (PVP-I) is recommended in different way. Mouthwash for gargling and nasal application either by spray or nasal irrigation or drop will reduce viral load from nose and mouth of patient. HCPs should use PVP-I prophylactically also. Thus the chance of transmissibility of novel coronavirus is reducedMeanwhile, Povidone Iodine should be mixed with irrigating fluid to help in reduction of contamination by bone dust mixed with fluid, produced during surgery. Conclusion As mastoidectomy is an aerosol generating procedure, and novel coronavirus is highly contagious, so higher level of protection is required. A simple and cheap polythene sheet as barrier drape as well as rational and novel use of Povidone Iodine, i.e. the proposed ‘POLIDON’ approach can significantly reduce the chance of corona virus transmission among the health care professionals working in the operation theatre.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133766986","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 : 2020-06-10DOI: 10.33552/ojor.2020.02.000547
R. Mehrotra
study is based on assessment of outcome of cochlear implantation at Late Dr. Shiv Nath Mehrotra Charitable ENT foundation between 2016 to 2019 under ADIP(assistance to disable persons) scheme by taking into account various scoring systems like category of auditory performance (CAP), Speech intelligibility rating (SIR) and Glasgow children benefit inventory (GCBI). Materials and methods: 300 children who were implanted between July 2016-March 2019 at Late. Dr. Shiv Nath Mehrotra Charitable ENT Foundation were included in the study. The results were analyzed using the above scoring system to assess the performance level and quality of life of each implanted children taking into consideration practical issues in Indian set up. Results: 90% of total children implanted showed significant improved hearing, 80% with significant speech benefit and 90% with improved quality of life. Conclusion: Outcome in terms of quality of life, auditory perception and rehabilitation was very good. The ADIP (assistance to disabled persons) scheme of central government has been a blessings for lower socio economic status children. Considerable improvement in hearing, speech and overall quality of life in almost 80% of children.
{"title":"A Study of Outcomes Following Cochlear Implantation in Children under Adip Scheme-an Indian Experience","authors":"R. Mehrotra","doi":"10.33552/ojor.2020.02.000547","DOIUrl":"https://doi.org/10.33552/ojor.2020.02.000547","url":null,"abstract":"study is based on assessment of outcome of cochlear implantation at Late Dr. Shiv Nath Mehrotra Charitable ENT foundation between 2016 to 2019 under ADIP(assistance to disable persons) scheme by taking into account various scoring systems like category of auditory performance (CAP), Speech intelligibility rating (SIR) and Glasgow children benefit inventory (GCBI). Materials and methods: 300 children who were implanted between July 2016-March 2019 at Late. Dr. Shiv Nath Mehrotra Charitable ENT Foundation were included in the study. The results were analyzed using the above scoring system to assess the performance level and quality of life of each implanted children taking into consideration practical issues in Indian set up. Results: 90% of total children implanted showed significant improved hearing, 80% with significant speech benefit and 90% with improved quality of life. Conclusion: Outcome in terms of quality of life, auditory perception and rehabilitation was very good. The ADIP (assistance to disabled persons) scheme of central government has been a blessings for lower socio economic status children. Considerable improvement in hearing, speech and overall quality of life in almost 80% of children.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132456056","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 : 2020-05-22DOI: 10.33552/ojor.2020.02.000545
Y. Ahmed, S. Nabila, E. Mohamed, Lachgar Amine
The pandemic of Corona virus affected almost all countries in the world and causing several thousand deaths. Africa in particular Morocco in full confinement to limit the damage has adopted several ways to protect its patients in anti cancer centers.
{"title":"Adaptation of Moroccan Radiotherapy Services to the Covid-19 Outbreak","authors":"Y. Ahmed, S. Nabila, E. Mohamed, Lachgar Amine","doi":"10.33552/ojor.2020.02.000545","DOIUrl":"https://doi.org/10.33552/ojor.2020.02.000545","url":null,"abstract":"The pandemic of Corona virus affected almost all countries in the world and causing several thousand deaths. Africa in particular Morocco in full confinement to limit the damage has adopted several ways to protect its patients in anti cancer centers.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114806781","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 : 2020-05-19DOI: 10.33552/ojor.2020.02.000544
Eduardo Machado Rossi Monteiro, Lívia Bernardi Lopes, C. Silva, Flávia Amarante Cardoso, Marianna Novaes da Costa Avila, B. S. Oliveira
Hamartoma (from the Greek, Hamartia, meaning fault or defect) is used to describe an overgrowth of normal mature cells and tissues indigenous to the area of its occurrence. It may occur in any organ of the body. Wenig and Heffner described a series of 31 cases of Respiratory Epithelial Adenomatoid Hamartoma (REAH) from what they considered a benign neoplasm. Today the most acceptable hypothesis is that REAH is a hyperplasia of the respiratory epithelium induced by a local chronic inflammation. Since its publishing, 394 cases of the disease have been described and REAH was found in 35-48% of patients operated on for nasal polypose. Some authors believe that REAH is the most important differential diagnosis of nasal polypose. REAH can be observed in two forms: isolated REAH (less frequent) or in association with another inflammatory process. The location in the olfactory cleft is concisely described in literature. Patients with REAH exhibit similar symptoms to those with chronic nasal inflammatory diseases. Endoscopy usually reveals a mass with a slight cerebriform aspect, fleshy to firm, pinkish or sometimes yellowish. The mass typically emerges from the cleft between the nasal septum superior-anterior and the middle turbinates, with a lateralization of the middle turbinates. Computed tomography (CT) scan is essential to diagnosis suspicion, which is increased by a CT scan that shows opacified and widened olfactory clefts. The conclusive diagnosis is only made by biopsies. Surgical treatment of the olfactory cleft is reported to be curative for REAH and the literature have also not described any recurrence or malignization. The knowledge of this lesion, mostly underdiagnosed, will allow the correct and necessary treatment that it takes.
{"title":"Hamartoma Epithelial Respiratory Adenomatoid- Literature Review","authors":"Eduardo Machado Rossi Monteiro, Lívia Bernardi Lopes, C. Silva, Flávia Amarante Cardoso, Marianna Novaes da Costa Avila, B. S. Oliveira","doi":"10.33552/ojor.2020.02.000544","DOIUrl":"https://doi.org/10.33552/ojor.2020.02.000544","url":null,"abstract":"Hamartoma (from the Greek, Hamartia, meaning fault or defect) is used to describe an overgrowth of normal mature cells and tissues indigenous to the area of its occurrence. It may occur in any organ of the body. Wenig and Heffner described a series of 31 cases of Respiratory Epithelial Adenomatoid Hamartoma (REAH) from what they considered a benign neoplasm. Today the most acceptable hypothesis is that REAH is a hyperplasia of the respiratory epithelium induced by a local chronic inflammation. Since its publishing, 394 cases of the disease have been described and REAH was found in 35-48% of patients operated on for nasal polypose. Some authors believe that REAH is the most important differential diagnosis of nasal polypose. REAH can be observed in two forms: isolated REAH (less frequent) or in association with another inflammatory process. The location in the olfactory cleft is concisely described in literature. Patients with REAH exhibit similar symptoms to those with chronic nasal inflammatory diseases. Endoscopy usually reveals a mass with a slight cerebriform aspect, fleshy to firm, pinkish or sometimes yellowish. The mass typically emerges from the cleft between the nasal septum superior-anterior and the middle turbinates, with a lateralization of the middle turbinates. Computed tomography (CT) scan is essential to diagnosis suspicion, which is increased by a CT scan that shows opacified and widened olfactory clefts. The conclusive diagnosis is only made by biopsies. Surgical treatment of the olfactory cleft is reported to be curative for REAH and the literature have also not described any recurrence or malignization. The knowledge of this lesion, mostly underdiagnosed, will allow the correct and necessary treatment that it takes.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127688027","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 : 2020-05-11DOI: 10.33552/ojor.2020.02.000543
T. S. Nee, Rajarajeswari Arunathan, Mohd Shakir Bathusha
Mixed tumor (MT) is an unusual, benign skin appendageal tumor, with an eccrine and apocrine origin, resembling mixed tumors of the salivary glands. Although it usually involves the head and neck region, the nasal region is a rare location. It develops as a slow-growing, small cutaneous mass. We report a rare case of mixed tumor in a 35-year-old female, who presented with a firm, asymptomatic mass in the right nasal sill, slowly growing for approximately 5 years. A provisional clinical diagnosis was made by fine needle aspiration cytology evaluation. The final diagnosis is confirmed by histopathological examination. This case highlights the importance of fine needle aspiration cytology in providing the essential clue to uncover the diagnosis and orient the surgical management of the patient. The excision and repair techniques require more skill and time, considering the location of the lesion.
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