Pub Date : 2019-06-05DOI: 10.4172/2324-8785.1000369
F. Arshad, A. Kara, S. Mirza
Allergic fungal rhinosinusitis (AFRS) is a type of hypersensitive inflammatory response that causes chronic, recurrent, and noninvasive hypertrophic sinus disease. The aim of this paper is to report the latest information and development in the diagnostic conundrum that allergic fungal rhinosinusitis can present. A literature review was conducted of PubMed English language search of current diagnostic criteria for allergic fungal rhinosinusitis, from 1951 to 2017. The diagnosis of allergic fungal rhinosinusitis needs to be considered in all patients with severe chronic rhinosinusitis with nasal polyposis. Patients often have asthma and complain of thick ‘wallpaper glue’ like nasal secretions that can also often be seen on nasal endoscopy. CT scanning often shows heterogeneity and MRI scanning may also help to identify cases. The diagnostic role of total and fungus-specific IgE in AFRS requires further prospective evaluation. The role of genetic and immunological testing in AFRS requires developing as diagnostic tools. The diagnosis is therefore often a clinical one supported by investigations such as radiology
{"title":"An Update on the Criteria for Diagnosing Allergic Fungal Rhinosinusitis: A Review of the Literature","authors":"F. Arshad, A. Kara, S. Mirza","doi":"10.4172/2324-8785.1000369","DOIUrl":"https://doi.org/10.4172/2324-8785.1000369","url":null,"abstract":"Allergic fungal rhinosinusitis (AFRS) is a type of hypersensitive inflammatory response that causes chronic, recurrent, and noninvasive hypertrophic sinus disease. The aim of this paper is to report the latest information and development in the diagnostic conundrum that allergic fungal rhinosinusitis can present. A literature review was conducted of PubMed English language search of current diagnostic criteria for allergic fungal rhinosinusitis, from 1951 to 2017. The diagnosis of allergic fungal rhinosinusitis needs to be considered in all patients with severe chronic rhinosinusitis with nasal polyposis. Patients often have asthma and complain of thick ‘wallpaper glue’ like nasal secretions that can also often be seen on nasal endoscopy. CT scanning often shows heterogeneity and MRI scanning may also help to identify cases. The diagnostic role of total and fungus-specific IgE in AFRS requires further prospective evaluation. The role of genetic and immunological testing in AFRS requires developing as diagnostic tools. The diagnosis is therefore often a clinical one supported by investigations such as radiology","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"8 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45006142","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 : 2019-05-09DOI: 10.37532/jor.2019.8(1).367
Ouaye Jp, Fan Xt, Mahulu Em, J. Xiao, Maloko Lh, Wang Xw, Xu At
Background: Presbycusis is a complex phenomenon resulting from an elevation hearing levels as well as changes in auditory processing. Chronic diseases such as diabetes (D), arterial hypertension (H) may act as an accelerating factor in agerelated degeneration of the auditory system. The most used diagnostic test is PTA, ABR is recorded when the pure tone audiometry cannot be access. Objective: to compare the relation between ABR and PTA threshold in presbycusis patients and evaluate the influence of diabetes and/or hypertension on the relationship between ABR and PTA threshold. Material and methods: This is a prospective hospital-based study on the comparison between ABR and PTA of presbycusis patients (≥ 50 years old) composed of 35 females and 21 males. The participants were divided into groups, set as follows group 1 composed of 21 patients, group 2 comprising 12 patients, group 3 made of 14 patients and group 4 composed of 9 patients. Results: The comparison between the mean threshold difference of ABR and PTA in group I and II was significant at each frequency with the mean difference in decibel was 20 dB at 0.5 and 1 kHz in group 2,while in group 2 a mean difference 20 dB at 0.5, 1, and 2 kHz. However, group IV showed no significant difference between ABR and PTA thresholds, the mean threshold difference was>20 dB at each frequency. Conclusion: it was found that there is a positive relationship between ABR and PTA, threshold, which appear to be insignificant in presbycusis patients with both hypertension and diabetes; this may be probably related to synergic effects of the two chronic illnesses on the cochlea.
{"title":"Presbycusis: Comparison between the Auditory Brainstem Response (ABR) and the Pure Tone Audiometry (PTA) in Presbycusis Patient","authors":"Ouaye Jp, Fan Xt, Mahulu Em, J. Xiao, Maloko Lh, Wang Xw, Xu At","doi":"10.37532/jor.2019.8(1).367","DOIUrl":"https://doi.org/10.37532/jor.2019.8(1).367","url":null,"abstract":"Background: Presbycusis is a complex phenomenon resulting from an elevation hearing levels as well as changes in auditory processing. Chronic diseases such as diabetes (D), arterial hypertension (H) may act as an accelerating factor in agerelated degeneration of the auditory system. The most used diagnostic test is PTA, ABR is recorded when the pure tone audiometry cannot be access. \u0000 \u0000Objective: to compare the relation between ABR and PTA threshold in presbycusis patients and evaluate the influence of diabetes and/or hypertension on the relationship between ABR and PTA threshold. \u0000 \u0000Material and methods: This is a prospective hospital-based study on the comparison between ABR and PTA of presbycusis patients (≥ 50 years old) composed of 35 females and 21 males. The participants were divided into groups, set as follows group 1 composed of 21 patients, group 2 comprising 12 patients, group 3 made of 14 patients and group 4 composed of 9 patients. \u0000 \u0000Results: The comparison between the mean threshold difference of ABR and PTA in group I and II was significant at each frequency with the mean difference in decibel was 20 dB at 0.5 and 1 kHz in group 2,while in group 2 a mean difference 20 dB at 0.5, 1, and 2 kHz. However, group IV showed no significant difference between ABR and PTA thresholds, the mean threshold difference was>20 dB at each frequency. \u0000 \u0000Conclusion: it was found that there is a positive relationship between ABR and PTA, threshold, which appear to be insignificant in presbycusis patients with both hypertension and diabetes; this may be probably related to synergic effects of the two chronic illnesses on the cochlea.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2019 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2019-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42174554","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 : 2019-05-09DOI: 10.37532/jor.2019.8(1).368
T. Kusunoki, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Kenji Sonoda, Y. Saikawa, R. Wada, K. Ikeda
An 88-year-old Japanese man underwent cervical spondylotic surgery under general anesthesia at a referring hospital. He soon fell into dyspnea after extubation. He underwent tracheotomy to keep the airway patent and was transferred to our hospital. In the preoperative CT scan, tumors of the bilateral lobes of the thyroid were diffusely swollen and had grown into the space between the posterior wall of the trachea and esophagus, leading to the tracheal stenosis by compressing the posterior wall of the trachea .
{"title":"Tracheal Stenosis Due to an Abscess from Thyroid Tumor","authors":"T. Kusunoki, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Kenji Sonoda, Y. Saikawa, R. Wada, K. Ikeda","doi":"10.37532/jor.2019.8(1).368","DOIUrl":"https://doi.org/10.37532/jor.2019.8(1).368","url":null,"abstract":"An 88-year-old Japanese man underwent cervical spondylotic surgery under general anesthesia at a referring hospital. He soon fell into dyspnea after extubation. He underwent tracheotomy to keep the airway patent and was transferred to our hospital. In the preoperative CT scan, tumors of the bilateral lobes of the thyroid were diffusely swollen and had grown into the space between the posterior wall of the trachea and esophagus, leading to the tracheal stenosis by compressing the posterior wall of the trachea .","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2019-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48755381","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 : 2019-04-04DOI: 10.37532/JOR.2019.8(1).365
Kealan Hobelmann, D. Fitzgerald
increasingly used to treat a variety of cancers by enhancing the immune response against cancer cells. Pembrolizumab is a humanized antibody which prevents tumor cells from deactivating host T-cells. Like most forms of immunotherapy, many of the adverse effects are autoimmune in origin due to the heightened immune response. Case: We present a rare case of Pembrolizumab induced autoimmune hearing loss in a patient with invasive melanoma which was responsive to steroids. A 67-year-old male presented with metastatic melanoma of the toe. He underwent amputation followed by treatment with IV pembrolizumab 2 mg/kg every 3 weeks. After a single dose, he experienced severe bilateral sensorineural hearing loss. His treatments were stopped and he was started on oral steroids. He later also underwent intratympanic steroid injection. He ultimately achieved improvement to normal-to-mild hearing loss levels in conversational frequencies with subjective return to baseline hearing. According to the FDA, this is one of 14 reported cases of autoimmune hearing loss from Pembrolizumab. Conclusion: Autoimmune hearing loss is a rare, but significant adverse effect of Pembrolizumab treatment for advanced melanoma which is responsive to steroids started up to 4 weeks after onset. While heightened awareness of this response is necessary, we do not recommend routine audiograms in patients undergoing treatment.
{"title":"A Case of Pembrolizumab Induced Autoimmune Sensorineural Hearing Loss","authors":"Kealan Hobelmann, D. Fitzgerald","doi":"10.37532/JOR.2019.8(1).365","DOIUrl":"https://doi.org/10.37532/JOR.2019.8(1).365","url":null,"abstract":"increasingly used to treat a variety of cancers by enhancing the immune response against cancer cells. Pembrolizumab is a humanized antibody which prevents tumor cells from deactivating host T-cells. Like most forms of immunotherapy, many of the adverse effects are autoimmune in origin due to the heightened immune response. Case: We present a rare case of Pembrolizumab induced autoimmune hearing loss in a patient with invasive melanoma which was responsive to steroids. A 67-year-old male presented with metastatic melanoma of the toe. He underwent amputation followed by treatment with IV pembrolizumab 2 mg/kg every 3 weeks. After a single dose, he experienced severe bilateral sensorineural hearing loss. His treatments were stopped and he was started on oral steroids. He later also underwent intratympanic steroid injection. He ultimately achieved improvement to normal-to-mild hearing loss levels in conversational frequencies with subjective return to baseline hearing. According to the FDA, this is one of 14 reported cases of autoimmune hearing loss from Pembrolizumab. Conclusion: Autoimmune hearing loss is a rare, but significant adverse effect of Pembrolizumab treatment for advanced melanoma which is responsive to steroids started up to 4 weeks after onset. While heightened awareness of this response is necessary, we do not recommend routine audiograms in patients undergoing treatment.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46096020","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 : 2019-04-04DOI: 10.37532/JOR.2019.8(1).364
Koné Fatogoma Issa, S. Kadidiatou, Soumaoro Siaka, D. Abraham, Dao Sidiki, Guindo Boubacary, Diarra Kassim, S. Djibril, Konaté N’faly, Cissé Naouma, N. Tafo, Timbo Samba Karim, K. Amadou
Objectives: Our goal was to analyze the post-operative outcome of myringoplasty. Materiel and methods: This is a prospective and descriptive study conducted in the Otorhinolaryngology and Head and Neck Surgery Department of the Gabriel Toure University Hospital Center from January 2012 to December 2015. We included all patients over six years of age who had myringoplasty. Choleatomatous otitis, traumatic perforations, and children under six, patients with nasopharyngeal infections, patients with immunosuppression and incomplete files were excluded. Operative technique was the classic one with the microscope under general anesthesia. Results: During this study period, 84 patients were identified. The young age group of 06-25 was the most represented with 52% and the average age was 28 years old. The satisfactory anatomic result was obtained (tympanic membrane closure) in 95.2% and the reperforation and graft drop in 4.8%. An improvement of 11 to 30 dB was observed in 49.9% postoperatively. Conclusion:The anatomical result is an imperative for any otology surgeon. This result can be successful by looking for factors that can influence the outcome. The permeatal route with removal of the perichondrium and cartilage with control of the anterior angle gives good results.
{"title":"Myringoplasty in Sub- Medicalized Area: What Result","authors":"Koné Fatogoma Issa, S. Kadidiatou, Soumaoro Siaka, D. Abraham, Dao Sidiki, Guindo Boubacary, Diarra Kassim, S. Djibril, Konaté N’faly, Cissé Naouma, N. Tafo, Timbo Samba Karim, K. Amadou","doi":"10.37532/JOR.2019.8(1).364","DOIUrl":"https://doi.org/10.37532/JOR.2019.8(1).364","url":null,"abstract":"Objectives: Our goal was to analyze the post-operative outcome of myringoplasty. Materiel and methods: This is a prospective and descriptive study conducted in the Otorhinolaryngology and Head and Neck Surgery Department of the Gabriel Toure University Hospital Center from January 2012 to December 2015. We included all patients over six years of age who had myringoplasty. Choleatomatous otitis, traumatic perforations, and children under six, patients with nasopharyngeal infections, patients with immunosuppression and incomplete files were excluded. Operative technique was the classic one with the microscope under general anesthesia. Results: During this study period, 84 patients were identified. The young age group of 06-25 was the most represented with 52% and the average age was 28 years old. The satisfactory anatomic result was obtained (tympanic membrane closure) in 95.2% and the reperforation and graft drop in 4.8%. An improvement of 11 to 30 dB was observed in 49.9% postoperatively. Conclusion:The anatomical result is an imperative for any otology surgeon. This result can be successful by looking for factors that can influence the outcome. The permeatal route with removal of the perichondrium and cartilage with control of the anterior angle gives good results.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2019 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42511873","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 : 2019-01-01DOI: 10.37532/JOR.2019.8(1).361
Zahra Al-Slail, Rashed AlGhanim, Jyan Bhati, Zeinab Al Qudehy
Ingestion of sharp foreign body such as fish bone is not uncommon among all ages. Fortunately, complications due to foreign body ingestion are rare; however, if present, these can cause significant morbidity to the patient. It fairly known that the fish bone can migrate within the neck causing variable symptoms and signs in clinical presentation. Migration of a foreign body from the oropharynx to the submandibular gland is extremely rare, with only one case reported in English literatures. In this short communication we are reporting what we considered as second case of migrating fish bone in an adult. The foreign body was not seen in plain radiological study done initially. The patient presented a week later with swelling of left submandibular region. Computed tomography scan showed features of sialoadenitis with fish bone seen within the submandibular gland. Patient was treated conservatively with IV antibiotics, and was discharged with follow up but unfortunately he lost his follow up. We conclude from this case that careful assessment of symptomatic patient with sharp foreign body ingestion is crucial to avoid more serious complications.
{"title":"A Rare Impaction’s Site of a Common Ingested Foreign Body on Neck in an Adult","authors":"Zahra Al-Slail, Rashed AlGhanim, Jyan Bhati, Zeinab Al Qudehy","doi":"10.37532/JOR.2019.8(1).361","DOIUrl":"https://doi.org/10.37532/JOR.2019.8(1).361","url":null,"abstract":"Ingestion of sharp foreign body such as fish bone is not uncommon among all ages. Fortunately, complications due to foreign body ingestion are rare; however, if present, these can cause significant morbidity to the patient. It fairly known that the fish bone can migrate within the neck causing variable symptoms and signs in clinical presentation. Migration of a foreign body from the oropharynx to the submandibular gland is extremely rare, with only one case reported in English literatures. In this short communication we are reporting what we considered as second case of migrating fish bone in an adult. The foreign body was not seen in plain radiological study done initially. The patient presented a week later with swelling of left submandibular region. Computed tomography scan showed features of sialoadenitis with fish bone seen within the submandibular gland. Patient was treated conservatively with IV antibiotics, and was discharged with follow up but unfortunately he lost his follow up. We conclude from this case that careful assessment of symptomatic patient with sharp foreign body ingestion is crucial to avoid more serious complications.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2019 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69924951","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 : 2019-01-01DOI: 10.37532/JOR.2019.8(1).363
Z. Abraham, S. B. Aubroo, V. Mashamba, Daudi Ntunaguzi Kassim Babu Mapondella, E. Massawe
Background: An estimation of about 1.4 billion people are suffering from allergic rhinitis worldwide. Allergic rhinitis (AR) is a common debilitating disorder that can adversely affect the quality of life and the academic performance of school-age children and its prevalence has steadily increased during the last decades. Data on the prevalence of allergic rhinitis among secondary school students is scarce despite its reported impact on academic performance of students. The aim of this study was thus to determine the prevalence of allergic rhinitis and its clinical presentation among secondary school students in Kinondoni District which is one of the largest districts in Dar es Salaam Region. Methods: A community based, cross-sectional prospective study was conducted in selected secondary schools in Kinondoni district, Dar-es-salaam Region from August 2016 to January 2017 using random sampling technique. Data was collected using pre-tested questionnaires and analyzed using SPSS program. Results: A point prevalence rate of 34.7% was reported with female predominance and 15-16 age group predilections were found in this study. Sneezing (65.9%) was the commonest nasal symptom and hypertrophied inferior turbinate (61.8%) the commonest physical finding. The commonest aeroallergen was the house dust mite (77.3%) and the least was dog fur (5.9%). Conclusion: Allergic rhinitis affects a significant proportion of the adolescent population with symptoms which have a negative impact on the lifestyle of these participants. The common aeroallergens are found within our immediate surroundings e.g. house dust mite, which can be controlled if participants are educated and proper clean environmental control measures are instituted.
{"title":"Prevalence of Allergic Rhinitis among Secondary School Students in Kinondoni District, Dar es Salaam, Tanzania","authors":"Z. Abraham, S. B. Aubroo, V. Mashamba, Daudi Ntunaguzi Kassim Babu Mapondella, E. Massawe","doi":"10.37532/JOR.2019.8(1).363","DOIUrl":"https://doi.org/10.37532/JOR.2019.8(1).363","url":null,"abstract":"Background: An estimation of about 1.4 billion people are suffering from allergic rhinitis worldwide. Allergic rhinitis (AR) is a common debilitating disorder that can adversely affect the quality of life and the academic performance of school-age children and its prevalence has steadily increased during the last decades. Data on the prevalence of allergic rhinitis among secondary school students is scarce despite its reported impact on academic performance of students. The aim of this study was thus to determine the prevalence of allergic rhinitis and its clinical presentation among secondary school students in Kinondoni District which is one of the largest districts in Dar es Salaam Region. Methods: A community based, cross-sectional prospective study was conducted in selected secondary schools in Kinondoni district, Dar-es-salaam Region from August 2016 to January 2017 using random sampling technique. Data was collected using pre-tested questionnaires and analyzed using SPSS program. Results: A point prevalence rate of 34.7% was reported with female predominance and 15-16 age group predilections were found in this study. Sneezing (65.9%) was the commonest nasal symptom and hypertrophied inferior turbinate (61.8%) the commonest physical finding. The commonest aeroallergen was the house dust mite (77.3%) and the least was dog fur (5.9%). Conclusion: Allergic rhinitis affects a significant proportion of the adolescent population with symptoms which have a negative impact on the lifestyle of these participants. The common aeroallergens are found within our immediate surroundings e.g. house dust mite, which can be controlled if participants are educated and proper clean environmental control measures are instituted.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2019 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925001","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 : 2019-01-01DOI: 10.37532/JOR.2019.8(3).377
Fengju Chen, Qiu Xiaodong, Wang Yan, Li Yanzhong
The clinical data of one patient who was misdiagnosed as chronic tonsillitis and finally diagnosed as malignant lymphoma of tonsil were analyzed retrospectively. To summarize and reflect on the clinical manifestations, diagnosis and treatment of malignant lymphoma of tonsil, so as to improve the clinical understanding and diagnosis of this disease. It has been reported that the misdiagnosis rate of malignant lymphoma of tonsil is quite high, up to 41.3%.
{"title":"Reflection on the Misdiagnosis of Tonsil Malignant Lymphoma as Chronic Tonsillitis in Clinical Treatment","authors":"Fengju Chen, Qiu Xiaodong, Wang Yan, Li Yanzhong","doi":"10.37532/JOR.2019.8(3).377","DOIUrl":"https://doi.org/10.37532/JOR.2019.8(3).377","url":null,"abstract":"The clinical data of one patient who was misdiagnosed as chronic tonsillitis and finally diagnosed as malignant lymphoma of tonsil were analyzed retrospectively. To summarize and reflect on the clinical manifestations, diagnosis and treatment of malignant lymphoma of tonsil, so as to improve the clinical understanding and diagnosis of this disease. It has been reported that the misdiagnosis rate of malignant lymphoma of tonsil is quite high, up to 41.3%.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2019 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925302","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 : 2019-01-01DOI: 10.37532/JOR.2020.8(3).374
Dena Elsawy, Mahmoud Elsayed, Abdelrahman E. M. Ezzat, Phillip Moore
Globus pharyngeus is a common benign condition. Patients with this condition are commonly investigated to exclude the risk of upper aero-digestive malignancies. One of the investigations carried out is barium swallow. However, there is great debate regarding the role of barium swallow in the diagnosis of head and neck cancers. Therefore, the aim of this audit is to review the validity of barium swallow in diagnosing malignancies amongst patients with globus. Data retrieved from the Head and Neck service in Ysbyty Gwynedd reviews all patients diagnosed with head and neck cancer in Betsi Cadwaladr Health Board, which covers all North West Wales in the period between January 2010 and December 2014. Results show that out of 708 patients, barium swallow suspected malignancy in 5 patients. Therefore, the audit confirms that that barium swallow has a very limited sensitivity and specificity in diagnosing head and neck cancer. In conclusion, barium swallow should not be requested routinely as part of the management of globus pharyngeus patients, as it is not. This approach will reduce the cost and radiation effect of unnecessary investigations.
{"title":"The Validity of Barium Swallow in the Diagnosis of Head and Neck Cancer Patients","authors":"Dena Elsawy, Mahmoud Elsayed, Abdelrahman E. M. Ezzat, Phillip Moore","doi":"10.37532/JOR.2020.8(3).374","DOIUrl":"https://doi.org/10.37532/JOR.2020.8(3).374","url":null,"abstract":"Globus pharyngeus is a common benign condition. Patients with this condition are commonly investigated to exclude the risk of upper aero-digestive malignancies. One of the investigations carried out is barium swallow. However, there is great debate regarding the role of barium swallow in the diagnosis of head and neck cancers. Therefore, the aim of this audit is to review the validity of barium swallow in diagnosing malignancies amongst patients with globus. Data retrieved from the Head and Neck service in Ysbyty Gwynedd reviews all patients diagnosed with head and neck cancer in Betsi Cadwaladr Health Board, which covers all North West Wales in the period between January 2010 and December 2014. Results show that out of 708 patients, barium swallow suspected malignancy in 5 patients. Therefore, the audit confirms that that barium swallow has a very limited sensitivity and specificity in diagnosing head and neck cancer. In conclusion, barium swallow should not be requested routinely as part of the management of globus pharyngeus patients, as it is not. This approach will reduce the cost and radiation effect of unnecessary investigations.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"8 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925311","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 : 2019-01-01DOI: 10.37532/JOR.2019.8(3).375
A. Kasem, R. Kasem
Pleomorphic adenoma is a rare type of major salivary gland tumour that occurs in the nasal septum. We present the case of a 40-year-old woman with pleomorphic adenoma. A CT scan was performed and a well-defined soft tissue lesion at the left anterior nostril was found. An endonasal endoscopic excision of the mass was achieved. To reach the free margin of the mass, the perichondrium of the nasal septum was dissected. The post-operative course was uneventable.
{"title":"A Rare Case of Pleomorphic Adenoma","authors":"A. Kasem, R. Kasem","doi":"10.37532/JOR.2019.8(3).375","DOIUrl":"https://doi.org/10.37532/JOR.2019.8(3).375","url":null,"abstract":"Pleomorphic adenoma is a rare type of major salivary gland tumour that occurs in the nasal septum. We present the case of a 40-year-old woman with pleomorphic adenoma. A CT scan was performed and a well-defined soft tissue lesion at the left anterior nostril was found. An endonasal endoscopic excision of the mass was achieved. To reach the free margin of the mass, the perichondrium of the nasal septum was dissected. The post-operative course was uneventable.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2019 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69925089","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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