Appointment no-show refers to patient nonattendance to previously scheduled clinic or surgical appointments without canceling the appointment in advance. No-shows have been an ongoing issue nationally and incur significant strains on the healthcare system, while negatively impacting health outcomes. Furthermore, when no-shows occur in an academic institution, they can lead to fewer educational opportunities for healthcare trainees such as medical students and residents. Prior studies have demonstrated variable no-show rates depending on the location and the type of healthcare setting, with rates range between 15% and 30% in general medicine clinics and urban community centers. In academic otolaryngology clinics, the no-show rate has been estimated to be around 8.3% [5].
{"title":"Factors Contributing To Clinic No-Show at a Safety Net Hospital","authors":"Garrett Ni","doi":"10.31579/2692-9562/045","DOIUrl":"https://doi.org/10.31579/2692-9562/045","url":null,"abstract":"Appointment no-show refers to patient nonattendance to previously scheduled clinic or surgical appointments without canceling the appointment in advance. No-shows have been an ongoing issue nationally and incur significant strains on the healthcare system, while negatively impacting health outcomes. Furthermore, when no-shows occur in an academic institution, they can lead to fewer educational opportunities for healthcare trainees such as medical students and residents. Prior studies have demonstrated variable no-show rates depending on the location and the type of healthcare setting, with rates range between 15% and 30% in general medicine clinics and urban community centers. In academic otolaryngology clinics, the no-show rate has been estimated to be around 8.3% [5].","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"113 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74853672","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: Congenital tracheoseophageal fistula (TEF) involve an abnormal pathological connection between the oesophagus and trachea. Congenital TEF presenting in adults is extremely rare and literature is limited to case series of significantly symptomatic patients. Case presentation: An asymptomatic 41 year-old gentleman presented to clinic, having been diagnosed with a congenital tracheoesophageal fistula 10 years ago on a routine oesophagogastroduodenoscopy (OGD) in Brazil. He underwent a barium contrast swallow revealing contrast in the left main bronchi and significant pooling in the upper trachea. A computerised tomography (CT) scan of the neck and thorax with contrast revealed a small fistula measuring 6mm in diameter between the trachea and the oesophagus at the level of the second thoracic vertebral body. A microlaryngobronchoscopy and examination under anaesthesia visualised a fistula measuring 1.8cm to 2cm superior to inferiorly and similar in transverse dimension, 6-7cm below the level of the glottis. Management and outcome: He opted to have surgical treatment to prevent symptoms developing in the future. A trans-cervical approach was performed, and the oesophageal defect and tracheal defect underwent primary closure with sutures. The oesophageal defect repair was oversewn with the sternohyoid. He recovered well post-operatively but due to the considerable rotation and retraction of the trachea, he suffered a vocal cord palsy. This is improving at the latest follow-up. Discussion: Otolaryngologist (ENT) surgeons need to be aware of asymptomatic adult patients presenting with congenital tracheoesophageal fistulas and the investigation and management options available.
{"title":"Congenital Tracheoesophageal Fistula Presenting in an Asymptomatic Adult- A Case Report","authors":"Y. Devabalan","doi":"10.31579/2692-9562/044","DOIUrl":"https://doi.org/10.31579/2692-9562/044","url":null,"abstract":"Introduction: Congenital tracheoseophageal fistula (TEF) involve an abnormal pathological connection between the oesophagus and trachea. Congenital TEF presenting in adults is extremely rare and literature is limited to case series of significantly symptomatic patients. Case presentation: An asymptomatic 41 year-old gentleman presented to clinic, having been diagnosed with a congenital tracheoesophageal fistula 10 years ago on a routine oesophagogastroduodenoscopy (OGD) in Brazil. He underwent a barium contrast swallow revealing contrast in the left main bronchi and significant pooling in the upper trachea. A computerised tomography (CT) scan of the neck and thorax with contrast revealed a small fistula measuring 6mm in diameter between the trachea and the oesophagus at the level of the second thoracic vertebral body. A microlaryngobronchoscopy and examination under anaesthesia visualised a fistula measuring 1.8cm to 2cm superior to inferiorly and similar in transverse dimension, 6-7cm below the level of the glottis. Management and outcome: He opted to have surgical treatment to prevent symptoms developing in the future. A trans-cervical approach was performed, and the oesophageal defect and tracheal defect underwent primary closure with sutures. The oesophageal defect repair was oversewn with the sternohyoid. He recovered well post-operatively but due to the considerable rotation and retraction of the trachea, he suffered a vocal cord palsy. This is improving at the latest follow-up. Discussion: Otolaryngologist (ENT) surgeons need to be aware of asymptomatic adult patients presenting with congenital tracheoesophageal fistulas and the investigation and management options available.","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72915504","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: chloroquine and hydroxychloroquine are antimalarial drugs that, although normally well tolerated, have side effects, such as gastrointestinal intolerance, retinopathy and arrhythmias. There are reports of sensorineural hearing loss, tinnitus and vertigo related to the two drugs. However, the ototoxic potential of these medications is routinely not researched. With the significant increase in the use of these drugs in the face of the COVID-19 pandemic, the study of their ototoxic effects becomes even more important. Objective: to evaluate the ototoxic potential of chloroquine and hydroxychloroquine through a systematic review of the articles available in the literature. Method: a search for articles published until April 2020 was carried out in the PubMed, Web of Science, SciELO and Lilacs databases, with descriptors registered in MeSH. Articles that associated the use of chloroquine or hydroxychloroquine with auditory and / or vestibular effects were included. Result: the search resulted in 161 articles, of which 18 met the inclusion criteria. Of these, 16 demonstrated ototoxic effects of chloroquine and / or hydroxychloroquine. Chloroquine was considered the second main drug involved in ototoxicity in 2 studies. A 5-fold higher risk of hearing loss has also been reported in neonates whose mothers used chloroquine during pregnancy. Conclusion: studies have shown that chloroquine and hydroxychloroquine have ototoxic action, which may initially go unnoticed if there is no active investigation. The significant increase in the use of chloroquine and hydroxychloroquine in the face of the COVID-19 pandemic may represent an escalation in ototoxicity, which should not be neglected.
简介:氯喹和羟氯喹是抗疟疾药物，虽然通常耐受性良好，但有副作用，如胃肠道不耐受、视网膜病变和心律失常。有报道称，感觉神经性听力损失，耳鸣和眩晕与这两种药物有关。然而，这些药物的耳毒性潜能通常没有研究。面对COVID-19大流行，随着这些药物的使用显著增加，对其耳毒性作用的研究变得更加重要。目的:通过对现有文献的系统综述，评价氯喹和羟氯喹的耳毒性。方法:在PubMed、Web of Science、SciELO和Lilacs数据库中检索2020年4月前发表的文章，并在MeSH中注册描述符。将氯喹或羟氯喹的使用与听觉和/或前庭影响联系起来的文章被纳入。结果:检索到161篇文章，其中18篇符合纳入标准。其中16例表现出氯喹和/或羟氯喹的耳毒性作用。在两项研究中，氯喹被认为是导致耳毒性的第二大主要药物。据报道，母亲在怀孕期间使用氯喹的新生儿听力损失的风险高出5倍。结论:研究表明，氯喹和羟氯喹具有耳毒性作用，如果不积极调查，最初可能会被忽视。面对COVID-19大流行，氯喹和羟氯喹使用量的显著增加可能代表耳毒性的升级，这一点不应被忽视。
{"title":"A Systematic Review of the Auditory and Vestibular Effects of Chloroquine and Hydroxychloroquine","authors":"Marília Batista Costa","doi":"10.31579/2692-9562/042","DOIUrl":"https://doi.org/10.31579/2692-9562/042","url":null,"abstract":"Introduction: chloroquine and hydroxychloroquine are antimalarial drugs that, although normally well tolerated, have side effects, such as gastrointestinal intolerance, retinopathy and arrhythmias. There are reports of sensorineural hearing loss, tinnitus and vertigo related to the two drugs. However, the ototoxic potential of these medications is routinely not researched. With the significant increase in the use of these drugs in the face of the COVID-19 pandemic, the study of their ototoxic effects becomes even more important. Objective: to evaluate the ototoxic potential of chloroquine and hydroxychloroquine through a systematic review of the articles available in the literature. Method: a search for articles published until April 2020 was carried out in the PubMed, Web of Science, SciELO and Lilacs databases, with descriptors registered in MeSH. Articles that associated the use of chloroquine or hydroxychloroquine with auditory and / or vestibular effects were included. Result: the search resulted in 161 articles, of which 18 met the inclusion criteria. Of these, 16 demonstrated ototoxic effects of chloroquine and / or hydroxychloroquine. Chloroquine was considered the second main drug involved in ototoxicity in 2 studies. A 5-fold higher risk of hearing loss has also been reported in neonates whose mothers used chloroquine during pregnancy. Conclusion: studies have shown that chloroquine and hydroxychloroquine have ototoxic action, which may initially go unnoticed if there is no active investigation. The significant increase in the use of chloroquine and hydroxychloroquine in the face of the COVID-19 pandemic may represent an escalation in ototoxicity, which should not be neglected.","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91020671","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: Oligometastatic disease in head and neck cancer is a new entity that is beginning to gather significant attention. It is a concept that is defined as <5 lesions with control of the primary lesion. Methods: In this paper, we explore the literature for the presentation and management of patients presenting with oligometastatic disease in the head and neck from non-head and neck primaries. Results: The most common infraclavicular primary tumours to metastasise to the head and neck are breast, lung and renal carcinomas. Management of these oligometastatic lesions is currently very variable and surgery and/or ablative therapies can in fact be associated with good survival outcomes or locoregional control compared to patients with widespread metastatic disease. Conclusion: The recommendations in this paper will help towards establishing clear guidelines in the future for surgical and ablative therapies for these patients.
{"title":"How Can We Best Manage Patients With Oligometastatic Disease In Head And Neck Cancer?","authors":"Y. Devabalan","doi":"10.31579/2692-9562/043","DOIUrl":"https://doi.org/10.31579/2692-9562/043","url":null,"abstract":"Background: Oligometastatic disease in head and neck cancer is a new entity that is beginning to gather significant attention. It is a concept that is defined as <5 lesions with control of the primary lesion. Methods: In this paper, we explore the literature for the presentation and management of patients presenting with oligometastatic disease in the head and neck from non-head and neck primaries. Results: The most common infraclavicular primary tumours to metastasise to the head and neck are breast, lung and renal carcinomas. Management of these oligometastatic lesions is currently very variable and surgery and/or ablative therapies can in fact be associated with good survival outcomes or locoregional control compared to patients with widespread metastatic disease. Conclusion: The recommendations in this paper will help towards establishing clear guidelines in the future for surgical and ablative therapies for these patients.","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"151 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78059767","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}
Malignancy of ear & temporal bone are uncommon and unusual, but if occurs belongs to destructive variety. It can have both local as well as distant spread from external ear canal to inner ear passages. The spread can involve parotid gland to petrous apex. After a prompt radiological investigation, treatment is scheduled as per staging of the disease process. Early detection with treatment will have good prognosis while delayed recognition will have poor prognosis.
{"title":"Sinister growth behind the ear: how can a person be sloppy and shoddy???","authors":"Sphoorthi Basavannaiah","doi":"10.31579/2692-9562/050","DOIUrl":"https://doi.org/10.31579/2692-9562/050","url":null,"abstract":"Malignancy of ear & temporal bone are uncommon and unusual, but if occurs belongs to destructive variety. It can have both local as well as distant spread from external ear canal to inner ear passages. The spread can involve parotid gland to petrous apex. After a prompt radiological investigation, treatment is scheduled as per staging of the disease process. Early detection with treatment will have good prognosis while delayed recognition will have poor prognosis.","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86789021","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}
Facial trauma can involve soft tissue injuries such as burns, lacerations, bruises and even fractures of the facial bones such as nasal fractures and fractures of the jaw as well as injury to the eye. Symptoms are specific to the type of injury that can be either signs of inflammation or changes in facial definition. Facial injuries have the potential to cause temporary deviations in facial delineation to permanent disfigurement of facial structures.
{"title":"Pearls of plastics in ENT practice that Conceals & Camouflages the Camber, Contour & Cosmesis in Facial Trauma","authors":"Sphoorthi Basavannaiah","doi":"10.31579/2692-9562/040","DOIUrl":"https://doi.org/10.31579/2692-9562/040","url":null,"abstract":"Facial trauma can involve soft tissue injuries such as burns, lacerations, bruises and even fractures of the facial bones such as nasal fractures and fractures of the jaw as well as injury to the eye. Symptoms are specific to the type of injury that can be either signs of inflammation or changes in facial definition. Facial injuries have the potential to cause temporary deviations in facial delineation to permanent disfigurement of facial structures.","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74396363","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}
Here we present a 43-years old Malay man with Kimura’s disease of the right parotid gland. Asian men have a predisposition for this chronic inflammatory disorder of unknown etiology mostly presenting at the head and neck region. The management in dealing with this patient is not straight forward as the presentation mimics a subcutaneous tumor-like mass in which main differential diagnosis includes lymphoproliferative disorders and parotid neoplasm. Moreover, cytological investigation is inadequate, and this necessitates the use intra-operative frozen section prior to tumor debulking. Without proper investigation, misdiagnosis can occur and potentially expose the patient to unnecessary extensive surgical procedures. Here we discuss step by step approach in managing this patient.
{"title":"Kimura Disease of the Parotid Gland: Management Approach","authors":"Hafeza Ms, Vanitha Palanisamy","doi":"10.31579/2692-9562/038","DOIUrl":"https://doi.org/10.31579/2692-9562/038","url":null,"abstract":"Here we present a 43-years old Malay man with Kimura’s disease of the right parotid gland. Asian men have a predisposition for this chronic inflammatory disorder of unknown etiology mostly presenting at the head and neck region. The management in dealing with this patient is not straight forward as the presentation mimics a subcutaneous tumor-like mass in which main differential diagnosis includes lymphoproliferative disorders and parotid neoplasm. Moreover, cytological investigation is inadequate, and this necessitates the use intra-operative frozen section prior to tumor debulking. Without proper investigation, misdiagnosis can occur and potentially expose the patient to unnecessary extensive surgical procedures. Here we discuss step by step approach in managing this patient.","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"5 11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85514759","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}
Invasive fungal infection or mucormycosis is almost always confined to the patients with altered host defenses such as in transplant recipients, diabetics or patients with malignancies. Hypergycemia or uncontrolled diabetes, particularly diabetes acidosis is considered as the strongest and very well known risk factor for mucormycosis. It has spread like fire amongst the active COVID-19 and post COVID-19 diabetic patients. Many studies across the world have established the definitive severity of SARS-CoV-2 infection amongst diabetic patients.
{"title":"COVID-19 Associated Rhino-Orbital-Cerebral Mucormycosis - An Institutional Series","authors":"N. Rana","doi":"10.31579/2692-9562/041","DOIUrl":"https://doi.org/10.31579/2692-9562/041","url":null,"abstract":"Invasive fungal infection or mucormycosis is almost always confined to the patients with altered host defenses such as in transplant recipients, diabetics or patients with malignancies. Hypergycemia or uncontrolled diabetes, particularly diabetes acidosis is considered as the strongest and very well known risk factor for mucormycosis. It has spread like fire amongst the active COVID-19 and post COVID-19 diabetic patients. Many studies across the world have established the definitive severity of SARS-CoV-2 infection amongst diabetic patients.","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79949964","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}
Meniere's disease, cervicocephalic syndrome and migraine are relatively common pathologies. It is important for the clinicians to make difference between these pathologies in clinical settings. This is a brief review on the important clues to differentiate these pathologies from each other to make the diagnosis of each one of these pathologies easier.
{"title":"Clinical differentiation of Migraine, Cervicocephalic Syndrome and Meniere's Disease","authors":"B. Saberi","doi":"10.31579/2692-9562/037","DOIUrl":"https://doi.org/10.31579/2692-9562/037","url":null,"abstract":"Meniere's disease, cervicocephalic syndrome and migraine are relatively common pathologies. It is important for the clinicians to make difference between these pathologies in clinical settings. This is a brief review on the important clues to differentiate these pathologies from each other to make the diagnosis of each one of these pathologies easier.","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73330827","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}
These are powered by USB attachments and can be viewed on mobile phones or home PCs. They are targeted at the home market for examination of ears, nose, and mouths and even some sellers advocate using their use on pets too. They often come with attachments to allow ear cleaning of waand removal of foreign bodies etc. These are available on various online seller websites and can cost as little as £11.
{"title":"Risk of self-Injury by Patients using Video Otoendoscopes Aimed at home Market","authors":"Waqas Jamil","doi":"10.31579/2692-9562/046","DOIUrl":"https://doi.org/10.31579/2692-9562/046","url":null,"abstract":"These are powered by USB attachments and can be viewed on mobile phones or home PCs. They are targeted at the home market for examination of ears, nose, and mouths and even some sellers advocate using their use on pets too. They often come with attachments to allow ear cleaning of waand removal of foreign bodies etc. These are available on various online seller websites and can cost as little as £11.","PeriodicalId":79680,"journal":{"name":"Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74721669","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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