Acrocordon or soft fibromas are very frequent benign lesions on the skin, specifically in the axillary region and neck, with reports in unusual places such as the penis, región perineal, anal, vulvar, vaginal and are extremely rare in oral mucosa. A case is presented and a documentation of what has been published is made.
{"title":"Oral Cavity Acrochordon about a Case","authors":"Alejandra Arellano Barcenas","doi":"10.23880/ooaj-16000270","DOIUrl":"https://doi.org/10.23880/ooaj-16000270","url":null,"abstract":"Acrocordon or soft fibromas are very frequent benign lesions on the skin, specifically in the axillary region and neck, with reports in unusual places such as the penis, región perineal, anal, vulvar, vaginal and are extremely rare in oral mucosa. A case is presented and a documentation of what has been published is made.","PeriodicalId":471595,"journal":{"name":"Otolaryngology open access journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135318229","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}
Amyloidoses are a heterogeneous group of rare diseases that consist of the abnormal folding of a precursor protein that ends up being deposited in the form of fibrillar structures in various organs and systems. It can present as a hereditary or isolated disease, localized or systemic, primary (idiopathic) or secondary to infectious processes such as tuberculosis, leprosy and osteomyelitis or chronic inflammatory processes such as rheumatoid arthritis. Within the clinical manifestations, vague symptoms and signs appear, depending on the location and size of the deposits, since the heart, kidneys, liver, gastrointestinal tract, peripheral nervous system, lungs, soft tissues, etc. may be affected. Therefore, it is of utmost importance that once the diagnosis is confirmed, a systemic study is performed to evaluate the extensión of the disease to other possible target organs. We present the case of a 59-year-old man, with a lesion in the upper pole of the right tonsil, positive for amyloidosis. Objective: Present the case of amyloidosis in an extremely rare location, for the dissemination and knowledge of the disease.
{"title":"Amyloidosis in ENT Presentation of a Case","authors":"Alejandra Arellano Barcenas","doi":"10.23880/ooaj-16000272","DOIUrl":"https://doi.org/10.23880/ooaj-16000272","url":null,"abstract":"Amyloidoses are a heterogeneous group of rare diseases that consist of the abnormal folding of a precursor protein that ends up being deposited in the form of fibrillar structures in various organs and systems. It can present as a hereditary or isolated disease, localized or systemic, primary (idiopathic) or secondary to infectious processes such as tuberculosis, leprosy and osteomyelitis or chronic inflammatory processes such as rheumatoid arthritis. Within the clinical manifestations, vague symptoms and signs appear, depending on the location and size of the deposits, since the heart, kidneys, liver, gastrointestinal tract, peripheral nervous system, lungs, soft tissues, etc. may be affected. Therefore, it is of utmost importance that once the diagnosis is confirmed, a systemic study is performed to evaluate the extensión of the disease to other possible target organs. We present the case of a 59-year-old man, with a lesion in the upper pole of the right tonsil, positive for amyloidosis. Objective: Present the case of amyloidosis in an extremely rare location, for the dissemination and knowledge of the disease.","PeriodicalId":471595,"journal":{"name":"Otolaryngology open access journal","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135318243","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}
Objective: We report a rare case of family clustering of cholesteatoma. Method: Case reports of three first-degree relatives in a family affected with cholesteatoma and a review of world literature on hereditary causes for cholesteatoma are presented. Results: The family consists of parents and two siblings, of whom the father and both siblings (a daughter and a son) were surgically treated for cholesteatoma. All cholesteatomas in this family cluster were acquired. Conclusion: Family clustering of acquired cholesteatoma is rare. This report indicates the interplay of hereditary factors along with environmental factors in the genesis of cholesteatoma.
{"title":"A Curious Cluster of Cholesteatoma: A Family Study","authors":"Sunil Mathews","doi":"10.23880/ooaj-16000268","DOIUrl":"https://doi.org/10.23880/ooaj-16000268","url":null,"abstract":"Objective: We report a rare case of family clustering of cholesteatoma. Method: Case reports of three first-degree relatives in a family affected with cholesteatoma and a review of world literature on hereditary causes for cholesteatoma are presented. Results: The family consists of parents and two siblings, of whom the father and both siblings (a daughter and a son) were surgically treated for cholesteatoma. All cholesteatomas in this family cluster were acquired. Conclusion: Family clustering of acquired cholesteatoma is rare. This report indicates the interplay of hereditary factors along with environmental factors in the genesis of cholesteatoma.","PeriodicalId":471595,"journal":{"name":"Otolaryngology open access journal","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135318435","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}
Background: Dysphagia management is vital in individuals reporting swallowing difficulties post-stroke. The literature review recommends the effortful swallow maneuver as a simple technique with multiple benefits for treating patients with oropharyngeal dysphagia due to stroke. No studies have documented the effect of effortful swallow and progressive resistance in individuals with swallowing difficulties post-stroke. Aim: To investigate whether the effortful swallow with added progressive resistance helps alleviate the swallowing function in individuals with dysphagia following stroke. Case report: In this case report, we describe a 30-year-old male who presented with left middle cerebral artery infarction and subsequent swallowing difficulty. The treatment procedure included 20 sessions of swallowing therapy incorporating effortful swallow with progressive resistance. Conclusion: Following 20 sessions of swallow treatment, significant improvement was seen in oro-facial measurements such as anterior and posterior tongue strength, anterior and posterior tongue endurance, and typical and effortful swallow tongue pressure. Functional oral intake level, dysphagia outcome and severity levels also improved significantly, contributing to better quality of life. Fiberoptic Endoscopic Evaluation of Swallowing (FEES) examination showed improved swallow safety and efficiency post-therapy. Conclusion: Effortful swallow with progressive resistance effectively improved oro-pharyngeal swallow functions in an individual who presented with dysphagia following stroke. The case study highlights the effect of effortful swallow with progressive resistance in treating swallowing difficulties in a participant who presented with dysphagia following stroke.
{"title":"The Effect of Effortful Swallow with Progressive Resistance on Swallow Function in Post-Stroke Dysphagia: A Case Study","authors":"Bilvashree Chandrashekaraiah","doi":"10.23880/ooaj-16000269","DOIUrl":"https://doi.org/10.23880/ooaj-16000269","url":null,"abstract":"Background: Dysphagia management is vital in individuals reporting swallowing difficulties post-stroke. The literature review recommends the effortful swallow maneuver as a simple technique with multiple benefits for treating patients with oropharyngeal dysphagia due to stroke. No studies have documented the effect of effortful swallow and progressive resistance in individuals with swallowing difficulties post-stroke. Aim: To investigate whether the effortful swallow with added progressive resistance helps alleviate the swallowing function in individuals with dysphagia following stroke. Case report: In this case report, we describe a 30-year-old male who presented with left middle cerebral artery infarction and subsequent swallowing difficulty. The treatment procedure included 20 sessions of swallowing therapy incorporating effortful swallow with progressive resistance. Conclusion: Following 20 sessions of swallow treatment, significant improvement was seen in oro-facial measurements such as anterior and posterior tongue strength, anterior and posterior tongue endurance, and typical and effortful swallow tongue pressure. Functional oral intake level, dysphagia outcome and severity levels also improved significantly, contributing to better quality of life. Fiberoptic Endoscopic Evaluation of Swallowing (FEES) examination showed improved swallow safety and efficiency post-therapy. Conclusion: Effortful swallow with progressive resistance effectively improved oro-pharyngeal swallow functions in an individual who presented with dysphagia following stroke. The case study highlights the effect of effortful swallow with progressive resistance in treating swallowing difficulties in a participant who presented with dysphagia following stroke.","PeriodicalId":471595,"journal":{"name":"Otolaryngology open access journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135318437","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}
This research explores the COVID-19 vaccination connection to tinnitus, considering its onset and exacerbation post vaccination. A survey of 417 respondents (mean age 63.2 years), mainly European American/White, studied COVID-19, vaccines, and tinnitus. Preliminary results showed those aged 46 to 65 had higher tinnitus rates. Pfizer-BioNTech was common (initial first dose 54%), and 86.7% hadn't had COVID-19 infection prior to vaccination. Before vaccination, 45.8% reported no tinnitus, while 32.4% had persistent tinnitus symptoms. Tinnitus symptoms worsened post-vaccination for most, with varying durations. The onset of new tinnitus post vaccination occurred particularly after the second dose. Psychological distress is linked to tinnitus development, affecting the quality of life. A participant's struggle underscores the need for support. The conclusion emphasizes vigilance, intervention, and collaboration to address tinnitus and its impact. Ongoing research is essential for understanding COVID-19-related tinnitus
{"title":"A Report on Emerging Evidence and Implications of COVID-19 Related Tinnitus: Preliminary Survey Results","authors":"Anusha Yellamsetty","doi":"10.23880/ooaj-16000271","DOIUrl":"https://doi.org/10.23880/ooaj-16000271","url":null,"abstract":"This research explores the COVID-19 vaccination connection to tinnitus, considering its onset and exacerbation post vaccination. A survey of 417 respondents (mean age 63.2 years), mainly European American/White, studied COVID-19, vaccines, and tinnitus. Preliminary results showed those aged 46 to 65 had higher tinnitus rates. Pfizer-BioNTech was common (initial first dose 54%), and 86.7% hadn't had COVID-19 infection prior to vaccination. Before vaccination, 45.8% reported no tinnitus, while 32.4% had persistent tinnitus symptoms. Tinnitus symptoms worsened post-vaccination for most, with varying durations. The onset of new tinnitus post vaccination occurred particularly after the second dose. Psychological distress is linked to tinnitus development, affecting the quality of life. A participant's struggle underscores the need for support. The conclusion emphasizes vigilance, intervention, and collaboration to address tinnitus and its impact. Ongoing research is essential for understanding COVID-19-related tinnitus","PeriodicalId":471595,"journal":{"name":"Otolaryngology open access journal","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135318245","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}
Objective: To evaluate the predictive relationship between independent variables (age, sex, BMI, hypertension, diabetes mellitus, chronic obstructive pulmonary disease (COPD), stroke, heart disease, pychiatric history and seizures, and successful tracheostomy decannulation (TD) with either the traditional method or single-stage method. Study Design: Retrospective chart review of both in-patient and out-patient clinic charts between the periods of January 1, 2013 and July 31, 2020 at Detroit Medical Center for information related to TD. Methods: Inclusion criteria include any patient diagnosed with tracheostomy status over the age of 18 years with decannulation. Exclusion criteria included no information about tracheostomy decannulation, i.e. incomplete medical records. Tracheostomy patients who underwent traditional TD (with capping trial) were compared to those who underwent newer single-stage TD (without capping trial). Chi-square analysis, multinomial regression analysis and t tests were performed to assess if there was a significant difference in successful TD between traditional method versus single-stage method. Binary dependent variable and independent variable relationship were analyzed with multinomial regression analysis with p<0.05 indicate a statistical significance. Results: Only 93 met the inclusion and exclusion criteria after 115 patient charts review. Majority of subjects were males 57% (n=53) .Oldest patient age was 81 years (mean=54.08; SD= 11.449). 49 was the highest BMI (mean=28.2; SD=6.86). There was no statistically significant difference between mean in age, sex, BMI, hypertension, diabetes mellitus, COPD, stroke, heart disease, psychiatric history, and seizures. Conclusion: This study showed the age, sex, BMI, hypertension, diabetes mellitus, COPD, stroke, heart disease, psychiatric history, and seizures are not significant indicators for successful TD in either method.
{"title":"Tracheostomy Decannulation: Traditional Method vs Single Stage Comparison","authors":"Samba Siva R Bathula","doi":"10.23880/ooaj-16000267","DOIUrl":"https://doi.org/10.23880/ooaj-16000267","url":null,"abstract":"Objective: To evaluate the predictive relationship between independent variables (age, sex, BMI, hypertension, diabetes mellitus, chronic obstructive pulmonary disease (COPD), stroke, heart disease, pychiatric history and seizures, and successful tracheostomy decannulation (TD) with either the traditional method or single-stage method. Study Design: Retrospective chart review of both in-patient and out-patient clinic charts between the periods of January 1, 2013 and July 31, 2020 at Detroit Medical Center for information related to TD. Methods: Inclusion criteria include any patient diagnosed with tracheostomy status over the age of 18 years with decannulation. Exclusion criteria included no information about tracheostomy decannulation, i.e. incomplete medical records. Tracheostomy patients who underwent traditional TD (with capping trial) were compared to those who underwent newer single-stage TD (without capping trial). Chi-square analysis, multinomial regression analysis and t tests were performed to assess if there was a significant difference in successful TD between traditional method versus single-stage method. Binary dependent variable and independent variable relationship were analyzed with multinomial regression analysis with p<0.05 indicate a statistical significance. Results: Only 93 met the inclusion and exclusion criteria after 115 patient charts review. Majority of subjects were males 57% (n=53) .Oldest patient age was 81 years (mean=54.08; SD= 11.449). 49 was the highest BMI (mean=28.2; SD=6.86). There was no statistically significant difference between mean in age, sex, BMI, hypertension, diabetes mellitus, COPD, stroke, heart disease, psychiatric history, and seizures. Conclusion: This study showed the age, sex, BMI, hypertension, diabetes mellitus, COPD, stroke, heart disease, psychiatric history, and seizures are not significant indicators for successful TD in either method.","PeriodicalId":471595,"journal":{"name":"Otolaryngology open access journal","volume":"175 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135318438","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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