Pub Date : 2020-01-01DOI: 10.37532/JOR.2020.9(6).399
Mahad Omar
INTRODUCTION: Trauma is the second leading of cause of death in South Africa. 3,5 million South Africans attended Trauma Units with injuries in 2015. Research has shown that the incidence of trauma has continued to increase in South Africa placing a significant burden on the health care system and society. This is the first epidemiological facial soft tissue trauma study has been completed in South Africa. The main aim was to define the epidemiology and management of facial trauma injuries. METHODS AND MATERIALS: It was a retrospective population study to delineate the epidemiology of facial trauma incident in a large academic hospital in Charlotte Maxeke Johannesburg Hospital Johannesburg the between October 2016- January 2017.Data were included age, gender, mechanism of injury, length of stay in trauma units, Injury Severity Score (ISS). RESULTS: Out of 1505 patients included in this study. The mean age was 34.5±11.9 years. Interpersonal violence was most common cause of facial injury 56.7% (n=854) followed by road traffic accident 22.10%(n=332). Falls and others attributed were 21.7% (n=320). CONCLUSION: There were high incidents of facial poly-trauma in South Africa. Therefore it is important to develop protocol which includes multidisciplinary approach.
{"title":"THE INCIDENCE AND MANAGEMENT OF TRAUMATIC FACIAL INJURY: 854 PATIENTS IN 4 MONTHS IN CHARLOTTE MAXEKE JOHANNESBURG ACADEMIC HOSPITAL (CMJA), SOUTH AFRICA","authors":"Mahad Omar","doi":"10.37532/JOR.2020.9(6).399","DOIUrl":"https://doi.org/10.37532/JOR.2020.9(6).399","url":null,"abstract":"INTRODUCTION: Trauma is the second leading of cause of death in South Africa. 3,5 million South Africans attended Trauma Units with injuries in 2015. Research has shown that the incidence of trauma has continued to increase in South Africa placing a significant burden on the health care system and society. This is the first epidemiological facial soft tissue trauma study has been completed in South Africa. The main aim was to define the epidemiology and management of facial trauma injuries. METHODS AND MATERIALS: It was a retrospective population study to delineate the epidemiology of facial trauma incident in a large academic hospital in Charlotte Maxeke Johannesburg Hospital Johannesburg the between October 2016- January 2017.Data were included age, gender, mechanism of injury, length of stay in trauma units, Injury Severity Score (ISS). RESULTS: Out of 1505 patients included in this study. The mean age was 34.5±11.9 years. Interpersonal violence was most common cause of facial injury 56.7% (n=854) followed by road traffic accident 22.10%(n=332). Falls and others attributed were 21.7% (n=320). CONCLUSION: There were high incidents of facial poly-trauma in South Africa. Therefore it is important to develop protocol which includes multidisciplinary approach.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"9 1","pages":"01-01"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925383","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 : 2020-01-01DOI: 10.37532/JOR.2020.9(6).403
D. Kuzmin
Statement of the Problem: The study and application of three-dimensional measurement is a new area in microsurgery which allows reducing the amount of intraoperative injuries as well as detailing the anatomical structures expanding the possibilities of surgical access. Using stereopsis phenomenon with virtual reality glasses is promising and useful practice in surgical procedures on the middle ear. Clinical Practice: This study included eight cadaver dissections performed on the temporal bone using two different scopy options. Four cadaver dissections were performed using traditional endoscopy which has proved its superiority to a microscope. The disadvantage of traditional endoscopy is the lack of immersion which is an important component in determining the relationship between the anatomical formations of the tympanic cavity. Four cadaver dissections were performed using our proposed method, based on the stereopsis phenomenon using a special camera adapter fixed on the endoscopic tube, which transmitted the video image to virtual reality glasses. It was found that the experiment participants experienced an immersion effect caused by the stereopsis phenomenon. The results of the study were evaluated by the NASA TLX scale for workload index assessing. Conclusion & Significance: Operators showed a lower level of the workload index using the proposed version of scopy based on the phenomenon of stereopsis in virtual reality glasses during dissection of the temporal bone. The participants felt the effect of immersion during the manipulations on the middle ear, as well as noted a more physiological ratio of the optical axis between the surgeon's eyes and working tools. The three-dimensional visualization of the surgical field based on the phenomenon of stereopsis using a virtual reality glasses allows perceiving the spatial depth of the wound thereby expanding the possibilities of surgical intervention and improving operator productivity.
{"title":"Stereopsis effect in otosurgery","authors":"D. Kuzmin","doi":"10.37532/JOR.2020.9(6).403","DOIUrl":"https://doi.org/10.37532/JOR.2020.9(6).403","url":null,"abstract":"Statement of the Problem: The study and application of three-dimensional measurement is a new area in microsurgery which allows reducing the amount of intraoperative injuries as well as detailing the anatomical structures expanding the possibilities of surgical access. Using stereopsis phenomenon with virtual reality glasses is promising and useful practice in surgical procedures on the middle ear. Clinical Practice: This study included eight cadaver dissections performed on the temporal bone using two different scopy options. Four cadaver dissections were performed using traditional endoscopy which has proved its superiority to a microscope. The disadvantage of traditional endoscopy is the lack of immersion which is an important component in determining the relationship between the anatomical formations of the tympanic cavity. Four cadaver dissections were performed using our proposed method, based on the stereopsis phenomenon using a special camera adapter fixed on the endoscopic tube, which transmitted the video image to virtual reality glasses. It was found that the experiment participants experienced an immersion effect caused by the stereopsis phenomenon. The results of the study were evaluated by the NASA TLX scale for workload index assessing. Conclusion & Significance: Operators showed a lower level of the workload index using the proposed version of scopy based on the phenomenon of stereopsis in virtual reality glasses during dissection of the temporal bone. The participants felt the effect of immersion during the manipulations on the middle ear, as well as noted a more physiological ratio of the optical axis between the surgeon's eyes and working tools. The three-dimensional visualization of the surgical field based on the phenomenon of stereopsis using a virtual reality glasses allows perceiving the spatial depth of the wound thereby expanding the possibilities of surgical intervention and improving operator productivity.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"9 1","pages":"01-01"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925638","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 : 2020-01-01DOI: 10.37532/JOR.2020.9(6).404
Renata Klagisa
Statement of the Problem: Medicine identified that recurrent and chronic infections of palatine tonsils are exacerbated by the creation of biofilms by microorganisms in the wet and warm folds of the tonsils which act as a repository of infection (Abu Bakar et al., 2018). Although 99% of all bacteria exist within biofilms, it is the planktonic state and swab samples from tonsillar surface that historically have received the attention. This is likely due to the fact that disease - causing bacteria is grown more rapidly in the planktonic form and it is much easier to sample fluids as opposed to surfaces (Snyder et al., 2009). Clinical Practice: At Pauls Stradiņs Clinical University Hospital was decided to microbiologically analyze the punch biopsy samples of tonsillar crypts of patients with chronic tonsillitis. Patients who met Paradise criteria were admitted to the Department of Otorhinolaryngology for tonsillectomies. Biopsies were taken before operations. Pathogenic bacteria of biopsy samples were tested for antibacterial susceptibility and biofilm producing ability. Results of the microbiological analysis revealed variety of pathogenic bacteria with resistance to common antibiotics un strong biofilm formation ability. Conclusion & Significance: Isolated pathogens from tonsillar crypts were resistant to antibiotics which are used to treat tonsillitis. Isolated pathogens from tonsillar crypts were weak, moderate or strong biofilm producers. Only 20 % of strains did not produce biofilm. During further studies the role of strong biofilm producers has to be evaluated as biofilm production plays a key role in the pathogenesis of chronic tonsillitis.
问题说明:医学发现，扁桃体湿层和温层中的微生物产生的生物膜会加剧腭扁桃体的复发性和慢性感染，而生物膜是感染的储存库(Abu Bakar等人，2018)。虽然99%的细菌存在于生物膜内，但浮游状态和扁桃体表面的拭子样本历来受到关注。这可能是因为致病细菌在浮游形式中生长得更快，而且对液体取样比对表面取样容易得多(Snyder et al.， 2009)。临床实践:在保罗Stradiņs临床大学医院决定对慢性扁桃体炎患者的扁桃体隐窝穿孔活检样本进行微生物学分析。符合天堂标准的患者被送往耳鼻咽喉科进行扁桃体切除术。手术前进行了活组织检查。检测活检标本病原菌的抗菌敏感性和生物膜生成能力。微生物学分析结果显示，病原菌多种多样，对常用抗生素耐药，生物膜形成能力强。结论与意义:扁桃体隐窝分离病原菌对治疗扁桃体炎的抗生素有耐药性。从扁桃体隐窝分离的病原菌是弱、中、强生物膜生产者。只有20%的菌株不产生生物膜。由于生物膜的产生在慢性扁桃体炎的发病机制中起着关键作用，因此在进一步的研究中必须对强生物膜产生者的作用进行评估。
{"title":"Microbiological Analysis of Punch Biopsies of Tonsillar Crypts of Patients with Chronic Tonsillitis","authors":"Renata Klagisa","doi":"10.37532/JOR.2020.9(6).404","DOIUrl":"https://doi.org/10.37532/JOR.2020.9(6).404","url":null,"abstract":"Statement of the Problem: Medicine identified that recurrent and chronic infections of palatine tonsils are exacerbated by the creation of biofilms by microorganisms in the wet and warm folds of the tonsils which act as a repository of infection (Abu Bakar et al., 2018). Although 99% of all bacteria exist within biofilms, it is the planktonic state and swab samples from tonsillar surface that historically have received the attention. This is likely due to the fact that disease - causing bacteria is grown more rapidly in the planktonic form and it is much easier to sample fluids as opposed to surfaces (Snyder et al., 2009). Clinical Practice: At Pauls Stradiņs Clinical University Hospital was decided to microbiologically analyze the punch biopsy samples of tonsillar crypts of patients with chronic tonsillitis. Patients who met Paradise criteria were admitted to the Department of Otorhinolaryngology for tonsillectomies. Biopsies were taken before operations. Pathogenic bacteria of biopsy samples were tested for antibacterial susceptibility and biofilm producing ability. Results of the microbiological analysis revealed variety of pathogenic bacteria with resistance to common antibiotics un strong biofilm formation ability. Conclusion & Significance: Isolated pathogens from tonsillar crypts were resistant to antibiotics which are used to treat tonsillitis. Isolated pathogens from tonsillar crypts were weak, moderate or strong biofilm producers. Only 20 % of strains did not produce biofilm. During further studies the role of strong biofilm producers has to be evaluated as biofilm production plays a key role in the pathogenesis of chronic tonsillitis.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"9 1","pages":"01-01"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925680","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 : 2020-01-01DOI: 10.37532/JOR.2020.9(6).398
Taísa Giannecchini
Introduction: Obstructive sleep apnea syndrome (OSAS) currently represents one of the biggest health problems for the individual, causing changes in breathing during sleep. It is accompanied by Snoring, described by a malfunctioning vibration of the oropharynx generating noise emissions. Among the causes of this pathology, there are alterations in the soft structures of the Stomatognathic System. Objective: To describe the specific myofunctional therapy work for the Pharynx Walls in a female patient, a 22-year-old patient, diagnosed with Apnea and to show its efficiency. Method: The object of study was a patient of the FMU clinic, 22 years old, diagnosed with severe Apnea by Polysomnography exam and with oromyofunctional alteration. Patient performed 30 continuous days of pharynx wall exercises. Results: After 30 days the patient showed a significant improvement in facial appearance, in the coloration of periorbital hyperpigmentation of the eyes, Mallampati II classification, greater balance of the muscles during chewing and absence of pain when swallowing. Conclusion: In this case, pharynx wall exercises are effective for improving muscle condition and should be included in the therapeutic plan for working with Apnea; however, they were not sufficient to resolve the change, due to the severe degree of the pathology.
{"title":"Apnea and Speech Therapy: Pharyngeal Stimulation Proposal","authors":"Taísa Giannecchini","doi":"10.37532/JOR.2020.9(6).398","DOIUrl":"https://doi.org/10.37532/JOR.2020.9(6).398","url":null,"abstract":"Introduction: Obstructive sleep apnea syndrome (OSAS) currently represents one of the biggest health problems for the individual, causing changes in breathing during sleep. It is accompanied by Snoring, described by a malfunctioning vibration of the oropharynx generating noise emissions. Among the causes of this pathology, there are alterations in the soft structures of the Stomatognathic System. Objective: To describe the specific myofunctional therapy work for the Pharynx Walls in a female patient, a 22-year-old patient, diagnosed with Apnea and to show its efficiency. Method: The object of study was a patient of the FMU clinic, 22 years old, diagnosed with severe Apnea by Polysomnography exam and with oromyofunctional alteration. Patient performed 30 continuous days of pharynx wall exercises. Results: After 30 days the patient showed a significant improvement in facial appearance, in the coloration of periorbital hyperpigmentation of the eyes, Mallampati II classification, greater balance of the muscles during chewing and absence of pain when swallowing. Conclusion: In this case, pharynx wall exercises are effective for improving muscle condition and should be included in the therapeutic plan for working with Apnea; however, they were not sufficient to resolve the change, due to the severe degree of the pathology.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"9 1","pages":"01-01"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925327","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 : 2020-01-01DOI: 10.37532/JOR.2020.9(6).402
M. Alqaydi
Statement of the Problem: Kimura`s disease( Kd) is rare entity . it is considered endemic in East Asians , but sporadic cases has been reported 1. It affect usually young (20-40 years of age) men ( male: female , 3:1 ) . Kd usually occurs in the head and neck( especially in the periauricular , parotid or submandibular , but there are few cases reported involvement of spermatic cord, elbows , heart , axillary , popliteal region inta – abdominal mass & chest wall. We discuss in this oral presentation, patient presented with lip and epiglottis mass. The case presentation: A 32 years old male, presented to our clinic ( otolaryngology head & neck surgery ) in our institute( King Fahad Medical City , Saudi Arabia ) , with a chief complaints of painless upper lip swelling ( mainly in left side ), since 8 years . Excised before 2 month in private hospital, no histopathology report was given to patient, but the diagnosis possible hemangioma. After excision it appear again in same site, no history of bleeding, trauma. During intubation in private hospital, they discover epiglottis mass and no investigation done there. Patient was under want microlaryngoscopy and excision of epiglottis, lip lesion and the samples was sent for histopathology reporting. Pathology report results: Kimora disease. Conclusion: after 4 years patient has recurrence of masses with mild symptoms.
{"title":"Case presentation: Kimura disease of epiglottis and lip","authors":"M. Alqaydi","doi":"10.37532/JOR.2020.9(6).402","DOIUrl":"https://doi.org/10.37532/JOR.2020.9(6).402","url":null,"abstract":"Statement of the Problem: Kimura`s disease( Kd) is rare entity . it is considered endemic in East Asians , but sporadic cases has been reported 1. It affect usually young (20-40 years of age) men ( male: female , 3:1 ) . Kd usually occurs in the head and neck( especially in the periauricular , parotid or submandibular , but there are few cases reported involvement of spermatic cord, elbows , heart , axillary , popliteal region inta – abdominal mass & chest wall. We discuss in this oral presentation, patient presented with lip and epiglottis mass. The case presentation: A 32 years old male, presented to our clinic ( otolaryngology head & neck surgery ) in our institute( King Fahad Medical City , Saudi Arabia ) , with a chief complaints of painless upper lip swelling ( mainly in left side ), since 8 years . Excised before 2 month in private hospital, no histopathology report was given to patient, but the diagnosis possible hemangioma. After excision it appear again in same site, no history of bleeding, trauma. During intubation in private hospital, they discover epiglottis mass and no investigation done there. Patient was under want microlaryngoscopy and excision of epiglottis, lip lesion and the samples was sent for histopathology reporting. Pathology report results: Kimora disease. Conclusion: after 4 years patient has recurrence of masses with mild symptoms.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"9 1","pages":"01-01"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925590","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 : 2020-01-01DOI: 10.37532/JOR.2020.9(6).400
Julya Macedo
Brazilian Speech Therapy has the development of techniques and programs to improve communication, especially now with this worldwide pandemic and the growing need for virtual communication. In the city of Umuarama, Parana, a project called “Speech Academy” is developed with great adherence of the telemarketers, managers, entrepreneurs, students, doctors, lawyers and many other professionals. This program has been running for two years, in my clinical practice with an average of 130 people. “Speech Academy” was developed to offer people the opportunity to conduct monthly training on their verbal and non-verbal communication in order to improve their evidence-based speech. Training is an approach that develops an impactful, credible and highly persuasive communication. It is held monthly in a group lasting two hours. The work always starts with a process of self-perception and individual assessment and then group training is conducted to improve communication and personal marketing. The program is divided in: breathing, voice, articulation and diction, clarity and objectivity, facial and body expression, intonation and emphases, speech velocity and pauses. And as a bonus we still work on accent and vocal warm-up and cool-down. There are an average number of meetings for each aspect based on the exercise physiologic and the development of groups and each one of these skills.
{"title":"Speech Academy: High performance communication training","authors":"Julya Macedo","doi":"10.37532/JOR.2020.9(6).400","DOIUrl":"https://doi.org/10.37532/JOR.2020.9(6).400","url":null,"abstract":"Brazilian Speech Therapy has the development of techniques and programs to improve communication, especially now with this worldwide pandemic and the growing need for virtual communication. In the city of Umuarama, Parana, a project called “Speech Academy” is developed with great adherence of the telemarketers, managers, entrepreneurs, students, doctors, lawyers and many other professionals. This program has been running for two years, in my clinical practice with an average of 130 people. “Speech Academy” was developed to offer people the opportunity to conduct monthly training on their verbal and non-verbal communication in order to improve their evidence-based speech. Training is an approach that develops an impactful, credible and highly persuasive communication. It is held monthly in a group lasting two hours. The work always starts with a process of self-perception and individual assessment and then group training is conducted to improve communication and personal marketing. The program is divided in: breathing, voice, articulation and diction, clarity and objectivity, facial and body expression, intonation and emphases, speech velocity and pauses. And as a bonus we still work on accent and vocal warm-up and cool-down. There are an average number of meetings for each aspect based on the exercise physiologic and the development of groups and each one of these skills.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"116 1","pages":"01-01"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925428","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 : 2019-12-10DOI: 10.37532/JOR.2020.8(4).378
H. Makki, Furat Abbas, M. Radi
Background: Adenoidectomy is one of the most common ENT procedures. We conducted this study in children to evaluate and compare the efficacy and safety of two methods of adenoidectomy, trans-oral endoscopic adenoidectomy (TEA) using bipolar radiofrequency suction diathermy versus transoral mirror adenoidectomy (TMA) using monopolar suction diathermy. Study design: Prospective randomized controlled study. Method: 80 patient with adenoid hypertrophy planned to do adenoidectomy with age range from 1 year to 12 years were recruited in this study, divided in 2 equal groups. 40 patients in Group A (TEA) and 40 patients in group B (TMA). The main parameters monitored are operation time, intraoperative blood loss, postoperative pain, complications and recurrence of adenoid. Result: operation time was found longer in group A (17.8 min) than in group B (13.95 min) with a P=0.015. The pain score is less in group A (1.73) than in group B (2.03) with P=0.088. Intraoperative blood loss was almost the same in both groups. No complications were recorded in both groups, also no recurrence of adenoid detected in both groups.
{"title":"Trans-Oral Endoscopic Radio Frequency Adenoidectomy vs. Mirror Mono-Polar Adenoidectomy in Children: A Comparative Study","authors":"H. Makki, Furat Abbas, M. Radi","doi":"10.37532/JOR.2020.8(4).378","DOIUrl":"https://doi.org/10.37532/JOR.2020.8(4).378","url":null,"abstract":"Background: Adenoidectomy is one of the most common ENT procedures. We conducted this study in children to evaluate and compare the efficacy and safety of two methods of adenoidectomy, trans-oral endoscopic adenoidectomy (TEA) using bipolar radiofrequency suction diathermy versus transoral mirror adenoidectomy (TMA) using monopolar suction diathermy. Study design: Prospective randomized controlled study. Method: 80 patient with adenoid hypertrophy planned to do adenoidectomy with age range from 1 year to 12 years were recruited in this study, divided in 2 equal groups. 40 patients in Group A (TEA) and 40 patients in group B (TMA). The main parameters monitored are operation time, intraoperative blood loss, postoperative pain, complications and recurrence of adenoid. Result: operation time was found longer in group A (17.8 min) than in group B (13.95 min) with a P=0.015. The pain score is less in group A (1.73) than in group B (2.03) with P=0.088. Intraoperative blood loss was almost the same in both groups. No complications were recorded in both groups, also no recurrence of adenoid detected in both groups.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2019 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49320252","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 : 2019-10-30DOI: 10.37532/jor.2019.8(3).373
Hassan Mohamed, Lei Peng
Ectopic thyroid tissue is uncommon congenital aberration. We report ectopic thyroid tissue base of hyoid region another at the base of tongue, at 6 years old patient presented with anterior cervical mass. This patient was clinically diagnosed with thyroglossal cyst and was being planned for surgery. Preoperative thyroid ultrasonography and CT helped to diagnose of ectopic thyroid tissue which was functioning as thyroid tissue. We started euthyrox medication with patient and the thyroid function become normal within 6 months. It’s important to differentiate this two diseases of the patient of hyoid mass with the help of US and enhanced CT, we do not recommend surgery with patient of ectopic thyroid in the hyoid region we only recommended surgery with the patient of mediastinal ectopic thyroid tissue and intracardiac ectopic thyroid tissue.
{"title":"Misdiagnose of Ectopic Thyroid with Thyroglossal Cyst Duct Ectopic Thyroid Gland in Hyoid Region","authors":"Hassan Mohamed, Lei Peng","doi":"10.37532/jor.2019.8(3).373","DOIUrl":"https://doi.org/10.37532/jor.2019.8(3).373","url":null,"abstract":"Ectopic thyroid tissue is uncommon congenital aberration. We report ectopic thyroid tissue base of hyoid region another at the base of tongue, at 6 years old patient presented with anterior cervical mass. This patient was clinically diagnosed with thyroglossal cyst and was being planned for surgery. Preoperative thyroid ultrasonography and CT helped to diagnose of ectopic thyroid tissue which was functioning as thyroid tissue. We started euthyrox medication with patient and the thyroid function become normal within 6 months. It’s important to differentiate this two diseases of the patient of hyoid mass with the help of US and enhanced CT, we do not recommend surgery with patient of ectopic thyroid in the hyoid region we only recommended surgery with the patient of mediastinal ectopic thyroid tissue and intracardiac ectopic thyroid tissue.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46501056","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 : 2019-08-20DOI: 10.4172/2324-8785.1000372
A. Rani, N. Salehuddin, M. Narayanan, N. Shukri
A 44-year-old chronic smoker presented with complaint of left nasal blockage for three months. The symptoms were accompanied by pain and blood-stained discharge. For this patient, the differential diagnosis includes sinonasal inflammatory polyps, nonkeratinizing respiratory carcinoma and verrucous carcinoma.
{"title":"A Unilateral Protruding Nasal Mass","authors":"A. Rani, N. Salehuddin, M. Narayanan, N. Shukri","doi":"10.4172/2324-8785.1000372","DOIUrl":"https://doi.org/10.4172/2324-8785.1000372","url":null,"abstract":"A 44-year-old chronic smoker presented with complaint of left nasal blockage for three months. The symptoms were accompanied by pain and blood-stained discharge. For this patient, the differential diagnosis includes sinonasal inflammatory polyps, nonkeratinizing respiratory carcinoma and verrucous carcinoma.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2019 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44177526","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 : 2019-08-01DOI: 10.37532/JOR.2019.8(1).370
Osuji Ae, A. Nwogbo
Introduction: External Frontoethmoidectomy is an open surgical procedure employed to remove disease from the frontal and ethmoidal sinuses. Pathologies in the para nasal sinuses can be managed endoscopically, however, the limited availability of skilled man power in endoscopic sinus surgeries, and the dearth of its instruments in this region, remains a challenge in most tertiary health care centres in Nigeria, thus promoting the use of external approach to manage sinus diseases. Method: This was a retrospective study of 10 patients who had Frontoethmoidectomy over a 6 year period, from January 2012 to December 2017.Their medical records were retrieved from operating theatre, and Ear, Nose and Throat ward. Information retrieved included their age, gender, presenting complain, indication for surgery and length of hospital stay. Results were presented in tables and figures. Results: Among the 10 patients, there were 7 males and 3 females, 6 (60%) were aged 10-19 years. The indications for surgery was Fronto-ethmoidal mucocele in 3 patients and frontal mucocele in 2 patients, frontal sinusitis with intracerebral abscess in 1 patient, pan sinusitis with sinu-cutaneous fistula in 1 patient, potts puffy tumor in 1 patient, fronto-ethmoidal abscess, and fronto-ethmoidal osteoma in 1 patient each. Nasal obstruction was the commonest complain 7(70%), followed by frontal headache 4(40%).The average hospital stay among the patients was 6 days. Conclusion: External fronto-ethmoidectomy has remained the mainstay of treatment for frontal and ethmoidal sinus pathologies in this region, despite the advent of endoscopic sinus surgery. Early presentation for specialist otorhinolaryngological management can reduce morbidity and mortality.
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