Pub Date : 2017-04-17DOI: 10.4172/2324-8785.1000311
Bawab It, Jacobs, S. Mutchnick
Prior to the 1970s, rehabilitation of aphonia following a total laryngectomy was accomplished using esophageal speech or through the use of mechanical or electrical devices. First described in 1980 by Singer and Blom, tracheoesophageal puncture (TEP) with prosthesis placement affords the clarity of esophageal speech without the volitional need to ingest and expel air. Deciding between a primary or secondary tracheoesophageal puncture (TEP) can depend on multiple factors. Pou describes that a primary TEP is absolutely contraindicated if the party wall between the trachea and esophagus have been separated, either as a consequence of surgeon technique or secondary to the degree of oncologic resection. Relative contraindications include conditions precluding adequate use of the prosthesis such as poor pulmonary function, poor manual dexterity, or bilateral hearing loss. Pou notes that preoperative or the need for postoperative radiation are not contraindications to primary TEP When comparing primary TEP to secondary TEP, the literature shows no significant difference in outcomes initially or at later follow-up, with success rates in the 75-90% range after 2 years.
{"title":"Stylet-Guided Secondary Tracheo-esophageal Puncture: A Safe and Simple Method","authors":"Bawab It, Jacobs, S. Mutchnick","doi":"10.4172/2324-8785.1000311","DOIUrl":"https://doi.org/10.4172/2324-8785.1000311","url":null,"abstract":"Prior to the 1970s, rehabilitation of aphonia following a total laryngectomy was accomplished using esophageal speech or through the use of mechanical or electrical devices. First described in 1980 by Singer and Blom, tracheoesophageal puncture (TEP) with prosthesis placement affords the clarity of esophageal speech without the volitional need to ingest and expel air. Deciding between a primary or secondary tracheoesophageal puncture (TEP) can depend on multiple factors. Pou describes that a primary TEP is absolutely contraindicated if the party wall between the trachea and esophagus have been separated, either as a consequence of surgeon technique or secondary to the degree of oncologic resection. Relative contraindications include conditions precluding adequate use of the prosthesis such as poor pulmonary function, poor manual dexterity, or bilateral hearing loss. Pou notes that preoperative or the need for postoperative radiation are not contraindications to primary TEP When comparing primary TEP to secondary TEP, the literature shows no significant difference in outcomes initially or at later follow-up, with success rates in the 75-90% range after 2 years.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43399221","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 : 2017-04-17DOI: 10.4172/2324-8785.1000312
S. VanderJeught, J. Dirckx
Recently, we published several full-field human tympanic membrane data sets that were obtained using a modified high-resolution optical coherence tomography setup. In this short communication letter, we provide an overview of the active research fields in which these data have been used or in which human tympanic membrane thickness measurements play an instrumental role. These applications include finite element modeling of the middle ear system, medical diagnosis of middle ear pathology and the design of tympanic membrane grafts.
{"title":"Recent Developments in FullField Thickness Measurements of the Human Eardrum","authors":"S. VanderJeught, J. Dirckx","doi":"10.4172/2324-8785.1000312","DOIUrl":"https://doi.org/10.4172/2324-8785.1000312","url":null,"abstract":"Recently, we published several full-field human tympanic membrane data sets that were obtained using a modified high-resolution optical coherence tomography setup. In this short communication letter, we provide an overview of the active research fields in which these data have been used or in which human tympanic membrane thickness measurements play an instrumental role. These applications include finite element modeling of the middle ear system, medical diagnosis of middle ear pathology and the design of tympanic membrane grafts.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47443841","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 : 2017-04-17DOI: 10.4172/2324-8785.1000310
M. Althbety, M. Alkarzae, Z. Almubarak, A. Elbana, L. Al-bulal
Extra Nasopharyngeal Angiofibroma (ENPA) is very rare benign but locally destructive vascular tumor. We present a rare case of ENPA originating from anterior ethmoid in a 30 years old male presented with unilateral nasal obstruction and ipsilateral eye protrusion. Diagnosis of ENA was based on imaging modalities (CT scan and MRI) and biopsy of the mass. Endoscopic and external surgical approach were used to remove the mass completely. Recurrence of the disease occurred after eight months of surgical excision. Patient underwent Endoscopic removal of the mass. To best of our knowledge, only a few cases of ENPA originated from ethmoid sinus has been reported in the literature.
{"title":"A Rare Case of Extra Nasopharyngeal Angiofibroma of the Ethmoid Sinus with Orbital Extension","authors":"M. Althbety, M. Alkarzae, Z. Almubarak, A. Elbana, L. Al-bulal","doi":"10.4172/2324-8785.1000310","DOIUrl":"https://doi.org/10.4172/2324-8785.1000310","url":null,"abstract":"Extra Nasopharyngeal Angiofibroma (ENPA) is very rare benign but locally destructive vascular tumor. We present a rare case of ENPA originating from anterior ethmoid in a 30 years old male presented with unilateral nasal obstruction and ipsilateral eye protrusion. Diagnosis of ENA was based on imaging modalities (CT scan and MRI) and biopsy of the mass. Endoscopic and external surgical approach were used to remove the mass completely. Recurrence of the disease occurred after eight months of surgical excision. Patient underwent Endoscopic removal of the mass. To best of our knowledge, only a few cases of ENPA originated from ethmoid sinus has been reported in the literature.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47880060","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 : 2017-03-01DOI: 10.4172/2324-8785.1000301
K. Vineeth, Sowmya Sv, P. Kavitha, B. Madhuri, Shwetha
Buccal mucosal swellings are more often noticed in day to day practice. Routinely they are associated with buccal space, buccal fat pad, buccinator muscle and minor/major salivary glands etc. Certain common oral swelling presenting in this region leads us to a prompting concern about the tumors. A 62 year old female patient reported with a chief complaint of pain in left cheek region since 2 years. A diffuse swelling approximately 2 × 2 cm in the buccal mucosa near to the retro-molar area was noticed. With this a working diagnosis of chronic sialadinitis of minor salivary gland or fibroma secondary to traumatic denture flanges was given. Surgically lesion was separated from underlying tissue and was excised into. The histopathological picture of the lesion was sclerosing variant of mucoepidermoid carcinoma of minor salivary gland which was unexpected and therefore probably the consideration of malignancy in the differential diagnosis even though the clinical presentation is not in favor is a take home message.
{"title":"A Case of Buccal Mucosal Swelling: The Diagnostic Conundrum","authors":"K. Vineeth, Sowmya Sv, P. Kavitha, B. Madhuri, Shwetha","doi":"10.4172/2324-8785.1000301","DOIUrl":"https://doi.org/10.4172/2324-8785.1000301","url":null,"abstract":"Buccal mucosal swellings are more often noticed in day to day practice. Routinely they are associated with buccal space, buccal fat pad, buccinator muscle and minor/major salivary glands etc. Certain common oral swelling presenting in this region leads us to a prompting concern about the tumors. A 62 year old female patient reported with a chief complaint of pain in left cheek region since 2 years. A diffuse swelling approximately 2 × 2 cm in the buccal mucosa near to the retro-molar area was noticed. With this a working diagnosis of chronic sialadinitis of minor salivary gland or fibroma secondary to traumatic denture flanges was given. Surgically lesion was separated from underlying tissue and was excised into. The histopathological picture of the lesion was sclerosing variant of mucoepidermoid carcinoma of minor salivary gland which was unexpected and therefore probably the consideration of malignancy in the differential diagnosis even though the clinical presentation is not in favor is a take home message.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2017 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41841839","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 : 2017-03-01DOI: 10.4172/2324-8785.1000308
O. Ramadan
A 48-year-old man presented to our outpatient clinic with 15 days history of left-sided epiphora that started after septoplasty and B/L SMD. The clinical examination show grayish cyst under the right inferior turbinate, while no cyst was seen under the left inferior turbinate. His preoperative coronal CT-Scan demonstrated the existence of B/L moderate ‘cyst’ beneath the left and right inferior turbinate together with dilation of the nasolacrimal duct. The postoperative coronal-sinus CT failed to reveal cyst under the left inferior turbinate. Full ophthalmologic and otolaryngologic assessment was conducted for this patient.
{"title":"Epiphora after Inferior Turbinate Surgery","authors":"O. Ramadan","doi":"10.4172/2324-8785.1000308","DOIUrl":"https://doi.org/10.4172/2324-8785.1000308","url":null,"abstract":"A 48-year-old man presented to our outpatient clinic with 15 days history of left-sided epiphora that started after septoplasty and B/L SMD. The clinical examination show grayish cyst under the right inferior turbinate, while no cyst was seen under the left inferior turbinate. His preoperative coronal CT-Scan demonstrated the existence of B/L moderate ‘cyst’ beneath the left and right inferior turbinate together with dilation of the nasolacrimal duct. The postoperative coronal-sinus CT failed to reveal cyst under the left inferior turbinate. Full ophthalmologic and otolaryngologic assessment was conducted for this patient.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46185049","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 : 2017-03-01DOI: 10.4172/2324-8785.1000306
R. Barazi, H. Adib, G. Ziadeh, E. Khalifeh, H. Tamim, M. Bitar
Objectives: Otitis media with effusion is the most common cause of acquired hearing loss in the pediatric population, however best medical treatment is unknown. The main objective of this article is to assess the role of desloratadine in avoiding the need for grommets in children with chronic otitis media with effusion (COME), in relieving the effusion and its associated hearing loss. Study design: Study design involved retrospective review of case series of children with COME referred for grommets. Age, gender, presenting signs and symptoms were recorded. Pre, post treatment and Audiological results were performed in most of the cases. Response to treatment was measured as clinical and or audiological improvement, along with this the effect of co-existing recurrent otitis media (ROM) and the use of nasal steroids also assessed. Children not responding to a 4-week course underwent were grommets’ insertion. Those responding received a longer treatment until the resolution of the signs and symptoms, up to 3 months. Results: We included 138 children (1-13y, mean 3.6y, 127 <7 yo) among 34.8% had coexisting ROM, 18.1% nasal obstruction, and 34.1% significant hearing loss. All received desloratadine; 63% received intranasal steroids. Grommets were not needed anymore in 52.2%, one month after initiating the treatment. None of the studied variables affected the outcome. No benefit from adding intranasal steroids to the treatment. Conclusion: Desloratadine seems to be effective in treating children with COME, accelerating the resolution of effusion and its associated hearing loss, sparing a good number of children the need for grommets. It would be important in the future to conduct placebo controlled trials to confirm these results
{"title":"The Effect of Desloratadine on Chronic Otitis Media with Effusion in Children Requiring Grommet","authors":"R. Barazi, H. Adib, G. Ziadeh, E. Khalifeh, H. Tamim, M. Bitar","doi":"10.4172/2324-8785.1000306","DOIUrl":"https://doi.org/10.4172/2324-8785.1000306","url":null,"abstract":"Objectives: Otitis media with effusion is the most common cause of acquired hearing loss in the pediatric population, however best medical treatment is unknown. The main objective of this article is to assess the role of desloratadine in avoiding the need for grommets in children with chronic otitis media with effusion (COME), in relieving the effusion and its associated hearing loss. \u0000Study design: Study design involved retrospective review of case series of children with COME referred for grommets. Age, gender, presenting signs and symptoms were recorded. Pre, post treatment and Audiological results were performed in most of the cases. Response to treatment was measured as clinical and or audiological improvement, along with this the effect of co-existing recurrent otitis media (ROM) and the use of nasal steroids also assessed. Children not responding to a 4-week course underwent were grommets’ insertion. Those responding received a longer treatment until the resolution of the signs and symptoms, up to 3 months. \u0000Results: We included 138 children (1-13y, mean 3.6y, 127 <7 yo) among 34.8% had coexisting ROM, 18.1% nasal obstruction, and 34.1% significant hearing loss. All received desloratadine; 63% received intranasal steroids. Grommets were not needed anymore in 52.2%, one month after initiating the treatment. None of the studied variables affected the outcome. No benefit from adding intranasal steroids to the treatment. \u0000Conclusion: Desloratadine seems to be effective in treating children with COME, accelerating the resolution of effusion and its associated hearing loss, sparing a good number of children the need for grommets. It would be important in the future to conduct placebo controlled trials to confirm these results","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47164168","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 : 2017-03-01DOI: 10.4172/2324-8785.1000309
M. Baek, N. Oh, S. An, M. Baek, J. Lee
Objectives: Compound nevus is a nevocytic nevus comprised of fully formed nests of nevus cells in epidermis and dermis and has malignant potential. The occurrence of this entity in the external auditory canal (EAC) is rare. The authors report a case of papillomatous nevus that almost completely obstructed an EAC and caused conductive hearing loss. Methods: A case report. Results: A 54-year-old female patient visited our hospital due to a progressive reduction of right-side hearing ability over the previous two years. During physical examination, a skin-colored papillomatous mass was observed to fully fill the right external auditory canal. Tissue examination revealed it a compound nevus. The mass and surrounding dermal tissue were surgically excised. At one month after surgery, the external auditory canal had healed completely and auditory testing results were normal. Conclusion: The ear canal was closed by papillomatous compound nevus in the external auditory canal, and such obstruction or narrowing causes conductive hearing loss. Transmeatal approach and secondary wound closure is used treated by wide excision.
{"title":"A Case of Papillomatous Compound Nevus of the Ear Canal","authors":"M. Baek, N. Oh, S. An, M. Baek, J. Lee","doi":"10.4172/2324-8785.1000309","DOIUrl":"https://doi.org/10.4172/2324-8785.1000309","url":null,"abstract":"Objectives: Compound nevus is a nevocytic nevus comprised of fully formed nests of nevus cells in epidermis and dermis and has malignant potential. The occurrence of this entity in the external auditory canal (EAC) is rare. The authors report a case of papillomatous nevus that almost completely obstructed an EAC and caused conductive hearing loss. Methods: A case report. Results: A 54-year-old female patient visited our hospital due to a progressive reduction of right-side hearing ability over the previous two years. During physical examination, a skin-colored papillomatous mass was observed to fully fill the right external auditory canal. Tissue examination revealed it a compound nevus. The mass and surrounding dermal tissue were surgically excised. At one month after surgery, the external auditory canal had healed completely and auditory testing results were normal. Conclusion: The ear canal was closed by papillomatous compound nevus in the external auditory canal, and such obstruction or narrowing causes conductive hearing loss. Transmeatal approach and secondary wound closure is used treated by wide excision.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44493613","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 : 2017-02-27DOI: 10.4172/2324-8785.1000302
Y. PrabhakaraRao, Vamshi K Biroj
Aim: The objective of this study was to identify whether prediabetics have a higher incidence of hearing loss than people with normal blood glucose levels. Materials and method: We performed a prospective study of audiometric data of a hundred patients with pre-diabetes matched with another hundred of normal control group over a span of a year. A complete detailed otological examination and pure tone averages were calculated initially from each group and evaluated. Result: There has been an increase incidence of high frequency hearing loss in prediabetic group compared to normal individuals implying that increase uncontrolled glucose levels increase risk of hearing impairment.
{"title":"Prediabetes Associated Hearing Loss: A One Year Prospective Study on Hundred Patients","authors":"Y. PrabhakaraRao, Vamshi K Biroj","doi":"10.4172/2324-8785.1000302","DOIUrl":"https://doi.org/10.4172/2324-8785.1000302","url":null,"abstract":"Aim: The objective of this study was to identify whether prediabetics have a higher incidence of hearing loss than people with normal blood glucose levels. \u0000Materials and method: We performed a prospective study of audiometric data of a hundred patients with pre-diabetes matched with another hundred of normal control group over a span of a year. A complete detailed otological examination and pure tone averages were calculated initially from each group and evaluated. \u0000Result: There has been an increase incidence of high frequency hearing loss in prediabetic group compared to normal individuals implying that increase uncontrolled glucose levels increase risk of hearing impairment.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2017 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42535268","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 : 2017-02-20DOI: 10.4172/2324-8785.1000304
Fidan
Aeration of nasal turbinates are named as concha bullosa. Concha bullosa is an often seen diversity of turbinates.but concha bullosa in another concha bullosa is never reported. Here is a thirty year old woman whish was presented of concha bullosa in a concha bullosa.
{"title":"A Rare Case: Double Concha Bullosa","authors":"Fidan","doi":"10.4172/2324-8785.1000304","DOIUrl":"https://doi.org/10.4172/2324-8785.1000304","url":null,"abstract":"Aeration of nasal turbinates are named as concha bullosa. Concha bullosa is an often seen diversity of turbinates.but concha bullosa in another concha bullosa is never reported. Here is a thirty year old woman whish was presented of concha bullosa in a concha bullosa.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48603251","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 : 2017-01-01DOI: 10.4172/2324-8785-C1-005
Furrukh Younus
{"title":"Treating recurrent and symptomatic cases of invasive mycotic rhinosinusitis presented with orbital involvement","authors":"Furrukh Younus","doi":"10.4172/2324-8785-C1-005","DOIUrl":"https://doi.org/10.4172/2324-8785-C1-005","url":null,"abstract":"","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70247857","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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