Teodora Tadić, Anđelina Jovanović, Svetlana Valjarević, Milan Jovanović
Introduction: Inverted papilloma is the most common benign tumour of the sinonasal region characterized by a locally destructive growth pattern, a tendency to recur, and a risk of malignant alteration. It grows from the epithelium of the sinonasal mucosa. One of its clinical signs is epistaxis, which is an emergency condition. This case report aims to acquaint Emergency Medicine physicians with inverted papilloma as an emergency condition in some patients. Case report: A 75-year-old woman presented to our Ear, Nose and Throat Emergency Room complaining of repetitive left-sided nose bleeds. Clinically, histopathologically, and using radiology scans, we confirmed the diagnosis of inverted papilloma and the patient was surgically treated. Conclusion: In patients with recurrent nose bleeds, an accurate diagnosis of inverted papilloma is needed for planning surgical treatment to avoid recurrence, local destruction and malignant alteration of the tumour.
{"title":"Recurring epistaxis as a result of a massive inverted papilloma of the sinonasal region","authors":"Teodora Tadić, Anđelina Jovanović, Svetlana Valjarević, Milan Jovanović","doi":"10.5937/halo29-43419","DOIUrl":"https://doi.org/10.5937/halo29-43419","url":null,"abstract":"Introduction: Inverted papilloma is the most common benign tumour of the sinonasal region characterized by a locally destructive growth pattern, a tendency to recur, and a risk of malignant alteration. It grows from the epithelium of the sinonasal mucosa. One of its clinical signs is epistaxis, which is an emergency condition. This case report aims to acquaint Emergency Medicine physicians with inverted papilloma as an emergency condition in some patients. Case report: A 75-year-old woman presented to our Ear, Nose and Throat Emergency Room complaining of repetitive left-sided nose bleeds. Clinically, histopathologically, and using radiology scans, we confirmed the diagnosis of inverted papilloma and the patient was surgically treated. Conclusion: In patients with recurrent nose bleeds, an accurate diagnosis of inverted papilloma is needed for planning surgical treatment to avoid recurrence, local destruction and malignant alteration of the tumour.","PeriodicalId":491058,"journal":{"name":"Halo 194","volume":"90 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":"136306370","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}
Introduction: Early recognition and calling for help, early cardiopulmonary resuscitation (CPR), early defibrillation, and post-resuscitation care are the four links in the chain of survival in cases of sudden cardiac arrest. Objective: To determine the incidence of Basic Life Support (BLS) measures being implemented by the eyewitnesses in cases of out-of-hospital cardiac arrest before the arrival of the ambulance, as well as telephone-assisted CPR, and whether the measures taken affected the rate of achieving the return of spontaneous circulation (ROSC). Material and Methods: The study is retrospective and observational. It was conducted for a year at the Institute for Emergency Medical Assistance Novi Sad. The study included patients with sudden cardiac arrest who were resuscitated by ambulance teams. Results: There were 148 patients enrolled in the study. In the group of patients who survived, there were fewer unrecognized cardiac arrests by the dispatcher, more telephone-assisted CPRs and fewer cases of no CPR measures undertaken by the eyewitnesses before the arrival of the ambulance. In the group of patients who survived, the only statistically significant event was cardiac arrest in the presence of the ambulance team. Conclusion: The implementation of telephone-assisted CPR protocol in dispatch centres would increase the number of cases in which bystanders could implement BLS measures before the arrival of the medical team.
{"title":"The second link in the chain of survival in out-of-hospital cardiac arrest","authors":"Stefan Jakšić, Radojka Jokšić-Mazinjanin","doi":"10.5937/halo29-44556","DOIUrl":"https://doi.org/10.5937/halo29-44556","url":null,"abstract":"Introduction: Early recognition and calling for help, early cardiopulmonary resuscitation (CPR), early defibrillation, and post-resuscitation care are the four links in the chain of survival in cases of sudden cardiac arrest. Objective: To determine the incidence of Basic Life Support (BLS) measures being implemented by the eyewitnesses in cases of out-of-hospital cardiac arrest before the arrival of the ambulance, as well as telephone-assisted CPR, and whether the measures taken affected the rate of achieving the return of spontaneous circulation (ROSC). Material and Methods: The study is retrospective and observational. It was conducted for a year at the Institute for Emergency Medical Assistance Novi Sad. The study included patients with sudden cardiac arrest who were resuscitated by ambulance teams. Results: There were 148 patients enrolled in the study. In the group of patients who survived, there were fewer unrecognized cardiac arrests by the dispatcher, more telephone-assisted CPRs and fewer cases of no CPR measures undertaken by the eyewitnesses before the arrival of the ambulance. In the group of patients who survived, the only statistically significant event was cardiac arrest in the presence of the ambulance team. Conclusion: The implementation of telephone-assisted CPR protocol in dispatch centres would increase the number of cases in which bystanders could implement BLS measures before the arrival of the medical team.","PeriodicalId":491058,"journal":{"name":"Halo 194","volume":"16 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":"136306325","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}
Anđelina Jovanović, Svetlana Valjarević, Andrej Grubor, Milan Jovanović
Introduction: Choanal atresia is a rare anomaly of the nasal cavity, which is associated with other congenital malformations in half of the cases. The diagnosis is usually made immediately after birth, but late diagnoses are not rare in otorhinolaryngology practice. Case report: We are presenting the case of an eighteen-year-old woman with a history of difficulty in breathing through her left nostril that lasted for many years, increased secretion from the nostril and frequent headaches. During preoperative preparation, computerized tomography of the paranasal sinuses revealed left-sided choanal atresia and obstruction in the region of the left osteomeatal complex, which was then successfully resolved using a modern surgical approach. She was observed postoperatively. A control examination with an endoscope was performed one month after the operation, indicating that both choanae were passable. Choanal atresia can be an isolated craniofacial malformation or associated with CHARGE, Teacher Collins, Down, Crouson and Pfeiffer syndromes. Bilateral choanal atresias are life-threatening. Unilateral choanal atresias can present with a variety of symptoms depending on the type of atresia and the age of the patient. Conclusion: The diagnosis is made with a clinical otorhinolaryngological examination, nasal endoscopy and computerized tomography of the paranasal sinuses and the skull base. The therapy is surgical.
{"title":"Unilateral choanal atresia in an adult","authors":"Anđelina Jovanović, Svetlana Valjarević, Andrej Grubor, Milan Jovanović","doi":"10.5937/halo29-43527","DOIUrl":"https://doi.org/10.5937/halo29-43527","url":null,"abstract":"Introduction: Choanal atresia is a rare anomaly of the nasal cavity, which is associated with other congenital malformations in half of the cases. The diagnosis is usually made immediately after birth, but late diagnoses are not rare in otorhinolaryngology practice. Case report: We are presenting the case of an eighteen-year-old woman with a history of difficulty in breathing through her left nostril that lasted for many years, increased secretion from the nostril and frequent headaches. During preoperative preparation, computerized tomography of the paranasal sinuses revealed left-sided choanal atresia and obstruction in the region of the left osteomeatal complex, which was then successfully resolved using a modern surgical approach. She was observed postoperatively. A control examination with an endoscope was performed one month after the operation, indicating that both choanae were passable. Choanal atresia can be an isolated craniofacial malformation or associated with CHARGE, Teacher Collins, Down, Crouson and Pfeiffer syndromes. Bilateral choanal atresias are life-threatening. Unilateral choanal atresias can present with a variety of symptoms depending on the type of atresia and the age of the patient. Conclusion: The diagnosis is made with a clinical otorhinolaryngological examination, nasal endoscopy and computerized tomography of the paranasal sinuses and the skull base. The therapy is surgical.","PeriodicalId":491058,"journal":{"name":"Halo 194","volume":"21 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":"136304751","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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