Pub Date : 2018-10-06DOI: 10.4172/2324-8785.1000347
Mariana Nagata Cavalheiro, L. Lima, Juliana Cristina Mesti, Eric Hiromoto Taninaka, Ricardo Hiroyuki, T. Fujiwara, L. Zambon
Introduction: Odontogenic infection may happen due to toothalveolar infections. The infection can affect the subfascial spaces, especially when affecting the lower molars, although formation of temporal abscesses is unusual. Such abscesses occur with pain, edema, erythema, trismus, fever, and diagnostic confirmation comes from Tomography/Resonance of the Face and laboratory tests. Recommended treatment involves hospitalization, support, empirical antibiotic therapy-Secondarily directed by culture and antibiogram-and surgical drainage. Objective: To Report an unusual case of complex odontogenic infection and its therapeutic approach. Resumed Report: A 60-year-old female presented pain and edema on left hemi face after endodontic treatment of the second lower molar, treated with oral antibiotics. After five days: clinical worsening, being referred to the Red Cross Hospital–Parana, presenting trismus, edema in left temporal and malar regions, without floating point. Tomography and Resonance of the Face: net collection in anterior region of left masticator and temporal spaces, edema of the masticatory musculature. We have proceeded with hospitalization and treatment with intravenous Ceftriaxone, Clindamycin and corticosteroid for 4 days, without any improvement. Surgical collection drainage conducted in left masticator and temporal spaces, keeping Penrose drain for 5 days. Favorable evolution and hospital discharge followed, with oral antibiotic and corticosteroid therapy for 10 days. Ambulatory denouement: no signs or symptoms of infection, referral to dentist for follow-up. Conclusion: Odontogenic infections can evolve to extensive abscesses, systemic impairment and sepsis. Despite clinical efforts, early diagnosis and surgical approach are the most important measures on complex infections.
{"title":"Odontogenic Infection Secondary to Endodontic Treatment Complicated with Masticatory and Temporal Abscess: Case Report","authors":"Mariana Nagata Cavalheiro, L. Lima, Juliana Cristina Mesti, Eric Hiromoto Taninaka, Ricardo Hiroyuki, T. Fujiwara, L. Zambon","doi":"10.4172/2324-8785.1000347","DOIUrl":"https://doi.org/10.4172/2324-8785.1000347","url":null,"abstract":"Introduction: Odontogenic infection may happen due to toothalveolar infections. The infection can affect the subfascial spaces, especially when affecting the lower molars, although formation of temporal abscesses is unusual. Such abscesses occur with pain, edema, erythema, trismus, fever, and diagnostic confirmation comes from Tomography/Resonance of the Face and laboratory tests. Recommended treatment involves hospitalization, support, empirical antibiotic therapy-Secondarily directed by culture and antibiogram-and surgical drainage. \u0000Objective: To Report an unusual case of complex odontogenic infection and its therapeutic approach. \u0000Resumed Report: A 60-year-old female presented pain and edema on left hemi face after endodontic treatment of the \u0000second lower molar, treated with oral antibiotics. After five days: clinical worsening, being referred to the Red Cross Hospital–Parana, presenting trismus, edema in left temporal and malar regions, without floating point. Tomography and Resonance of the Face: net collection in anterior region of left masticator and temporal spaces, edema of the masticatory musculature. We have proceeded with hospitalization and treatment with intravenous Ceftriaxone, Clindamycin and corticosteroid for 4 days, without any improvement. Surgical collection drainage conducted in left masticator and temporal spaces, keeping Penrose drain for 5 days. Favorable evolution and hospital discharge followed, with oral antibiotic and corticosteroid therapy for 10 days. Ambulatory denouement: no signs or symptoms of infection, referral to dentist for follow-up. \u0000Conclusion: Odontogenic infections can evolve to extensive abscesses, systemic impairment and sepsis. Despite clinical efforts, early diagnosis and surgical approach are the most important measures on complex infections.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46015416","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 : 2018-09-19DOI: 10.4172/2324-8785.1000351
A. Osisanya, A. Adekola, P. Fada
Ototoxicity caused by injectable aminoglycosides are capable of causing cochleotoxicity which is characterised as death of auditory hair cells (hearing loss) and vestibulotoxicity manifesting as balance disorders. Ototoxicity is always as a result of insidious effects of aminoglycosides on auditory system, with a kind of irreversible (permanent) hearing loss which is common among individuals being treated for Drug Resistant Tuberculosis (DRTB). Therefore, this study examined the effect of injectable aminoglycosides on the auditory performance of patients with DRTB in Osun state. Twenty (20) DRTB patients comprising of 14 males and 6 females were purposively selected to participate in this ex post facto research. Instruments used include Otoscope to diagnose infection of the middle ear and outer parts of the ear, Maico ST 20 portable diagnostic audiometer to determine the hearing threshold of the participants, and audiograms to record the test results. Baseline audiometry revealed that 35% of the participants had mild hearing loss before commencement of treatment with injectable aminoglycosides, while 70% of the participants had severe to profound hearing loss after completion of injectable aminoglycosides. 65% of the participants had tinnitus in addition to hearing loss, while 55% had high frequency loss only. Therefore, health workers should ensure that people with DRTB are well educated about the side effects of injectable aminoglycosides and be encouraged to access audiologic follow up and rehabilitation, while alternative injectable drugs with reduced or milder side effects are employed for treatment of Drug Resistant Tuberculosis.
可注射氨基糖苷引起的耳毒性可引起耳蜗毒性，其特征是听觉毛细胞死亡(听力丧失)和前庭毒性，表现为平衡障碍。耳毒性一直是氨基糖苷类药物对听觉系统的潜移默化作用的结果，在耐药结核病(DRTB)患者中常见的一种不可逆(永久性)听力损失。因此，本研究考察了注射氨基糖苷类药物对奥松州DRTB患者听觉表现的影响。有意选择20例DRTB患者参与本事后研究，其中男性14例，女性6例。使用的仪器包括用于诊断中耳和耳外感染的耳镜，用于确定参与者的听力阈值的Maico ST 20便携式诊断听力学仪，用于记录测试结果的听力图。基线听力测量显示，35%的参与者在开始注射氨基糖苷治疗前有轻度听力损失，而70%的参与者在完成注射氨基糖苷治疗后有严重到深度的听力损失。65%的参与者除了听力损失外还有耳鸣，而55%的参与者只有高频听力损失。因此，卫生工作者应确保对耐药结核病患者进行有关可注射氨基糖苷类药物副作用的良好教育，并鼓励他们进行听科学随访和康复，同时使用副作用较小或较轻的可替代注射药物治疗耐药结核病。
{"title":"Effects of Injectable Aminoglycosides on the Auditory Performance of Individuals with Drug Resistant Tuberculosis in Osun State, Nigeria","authors":"A. Osisanya, A. Adekola, P. Fada","doi":"10.4172/2324-8785.1000351","DOIUrl":"https://doi.org/10.4172/2324-8785.1000351","url":null,"abstract":"Ototoxicity caused by injectable aminoglycosides are capable of causing cochleotoxicity which is characterised as death of auditory hair cells (hearing loss) and vestibulotoxicity manifesting as balance disorders. Ototoxicity is always as a result of insidious effects of aminoglycosides on auditory system, with a kind of irreversible (permanent) hearing loss which is common among individuals being treated for Drug Resistant Tuberculosis (DRTB). Therefore, this study examined the effect of injectable aminoglycosides on the auditory performance of patients with DRTB in Osun state. Twenty (20) DRTB patients comprising of 14 males and 6 females were purposively selected to participate in this ex post facto research. Instruments used include Otoscope to diagnose infection of the middle ear and outer parts of the ear, Maico ST 20 portable diagnostic audiometer to determine the hearing threshold of the participants, and audiograms to record the test results. Baseline audiometry revealed that 35% of the participants had mild hearing loss before commencement of treatment with injectable aminoglycosides, while 70% of the participants had severe to profound hearing loss after completion of injectable aminoglycosides. 65% of the participants had tinnitus in addition to hearing loss, while 55% had high frequency loss only. Therefore, health workers should ensure that people with DRTB are well educated about the side effects of injectable aminoglycosides and be encouraged to access audiologic follow up and rehabilitation, while alternative injectable drugs with reduced or milder side effects are employed for treatment of Drug Resistant Tuberculosis.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2018 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42764136","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 : 2018-09-19DOI: 10.4172/2324-8785.1000350
A. Kar, ikar, Siu Cheng Loke, J. Goh, T. Tan
Aim: To retrospectively evaluate the MR imaging features of histologically proven minor salivary gland tumors (MSGTs). Materials and Methods: A retrospective review of MR imaging features of 29 histologically proven MSGTs was performed. Results: The commonest site of involvement was base of tongue (n=7) and the commonest pathology was adenoid cystic carcinoma (n=12). All the MSGTs revealed smooth surface with well-defined margins and polypoidal appearance (100% sensitivity, 100%PPV). T2w hyperintensity and enhancement results (ranged from intense to intermediate hyperintensity) were variable. Larger tumors (more than 3.5 cm) had a heterogeneous appearance. Discussion: All MSGTs showed smooth surface, well-defined margins and polypoidal appearance. The T2w hyperintense signal of the MSGTs (ranging from intermediate T2w hyperintensity to intense T2w hyperintensity) and the post contrast enhancement (also ranging from intermediate to intense enhancement) was variable. In the head and neck region, MSGTs need to be differentiated from the more common entities such as squamous cell ancers (SCC) and Lymphoma. While this differentiation is not always easy, orphologically SCCs typically present as locally infiltrative tumors with ill-defined margins. Lymphomas typically present as polypoidal masses with well-defined margins and hence may closely resemble MSGTs. Lymphomas are generally homogeneous masses showing intermediate T2w hyperintensity. Thus differentiation between lymphomas and MSGTs can sometimes be a challenge, however if the mass shows intense T2w hyperintensity with intense enhancement, it could point to a diagnosis of MSGT.
{"title":"MR Imaging Features of Minor Salivary Gland Tumors","authors":"A. Kar, ikar, Siu Cheng Loke, J. Goh, T. Tan","doi":"10.4172/2324-8785.1000350","DOIUrl":"https://doi.org/10.4172/2324-8785.1000350","url":null,"abstract":"Aim: To retrospectively evaluate the MR imaging features of histologically proven minor salivary gland tumors (MSGTs). Materials and Methods: A retrospective review of MR imaging features of 29 histologically proven MSGTs was performed. Results: The commonest site of involvement was base of tongue (n=7) and the commonest pathology was adenoid cystic carcinoma (n=12). All the MSGTs revealed smooth surface with well-defined margins and polypoidal appearance (100% sensitivity, 100%PPV). T2w hyperintensity and enhancement results (ranged from intense to intermediate hyperintensity) were variable. Larger tumors (more than 3.5 cm) had a heterogeneous appearance. Discussion: All MSGTs showed smooth surface, well-defined margins and polypoidal appearance. The T2w hyperintense signal of the MSGTs (ranging from intermediate T2w hyperintensity to intense T2w hyperintensity) and the post contrast enhancement (also ranging from intermediate to intense enhancement) was variable. In the head and neck region, MSGTs need to be differentiated from the more common entities such as squamous cell ancers (SCC) and Lymphoma. While this differentiation is not always easy, orphologically SCCs typically present as locally infiltrative tumors with ill-defined margins. Lymphomas typically present as polypoidal masses with well-defined margins and hence may closely resemble MSGTs. Lymphomas are generally homogeneous masses showing intermediate T2w hyperintensity. Thus differentiation between lymphomas and MSGTs can sometimes be a challenge, however if the mass shows intense T2w hyperintensity with intense enhancement, it could point to a diagnosis of MSGT.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2018 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43615931","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 : 2018-09-19DOI: 10.4172/2324-8785.1000354
P. Thakur, Shikhar Kumar, V. Verma
Laryngeal neuroendocrine carcinomas (LNEC) constitute <1% of all tumours originating from the larynx and are believed to originate from pluripotential stem cells located in the submucosa of the larynx. It is hard to estimate the true incidence of large-cell neuroendocrine carcinoma (LCNEC) because the WHO classification does not make a distinction between atypical carcinoid tumors and large-cell neuroendocrine carcinoma. In the current classification, laryngeal LCNEC is considered synonymous with atypical carcinoid/moderately-differentiated (Grade II) neuroendocrine carcinoma. This distinction is clinically important as the clinical behavior and response to treatment differs greatly between subtypes. We report a rare case of metastatic LCNEC of subglottic region of larynx who is treated with chemotherapy and radiotherapy and a review of literature on the diagnosis and treatment of these tumors is presented.
{"title":"Large Cell Neuroendocrine Carcinoma of the Larynx: A Case Report and Review of Literature","authors":"P. Thakur, Shikhar Kumar, V. Verma","doi":"10.4172/2324-8785.1000354","DOIUrl":"https://doi.org/10.4172/2324-8785.1000354","url":null,"abstract":"Laryngeal neuroendocrine carcinomas (LNEC) constitute <1% of all tumours originating from the larynx and are believed to originate from pluripotential stem cells located in the submucosa of the larynx. It is hard to estimate the true incidence of large-cell neuroendocrine carcinoma (LCNEC) because the WHO classification does not make a distinction between atypical carcinoid tumors and large-cell neuroendocrine carcinoma. In the current classification, laryngeal LCNEC is considered synonymous with atypical carcinoid/moderately-differentiated (Grade II) neuroendocrine carcinoma. This distinction is clinically important as the clinical behavior and response to treatment differs greatly between subtypes. We report a rare case of metastatic LCNEC of subglottic region of larynx who is treated with chemotherapy and radiotherapy and a review of literature on the diagnosis and treatment of these tumors is presented.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43717227","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 : 2018-04-09DOI: 10.4172/2324-8785.1000340
T. Gün
This study is designed to observe the clinical efficiency of Castellani solution for the treatment of granular myringitis (GM). We have included 20 patients among which 15 men and 5 women of mean age, 49.7 years; range, 9–77 years; they were diagnosed with GM and treated with Castellani solution. Topical treatment using Castellani solution and otoendoscopy of tympanic membrane were performed and the follow-up period ranged from 3 to 72 months and the mean follow-up period was 14.4 months. 13 patients showed complete resolution of GM after treatment with Castellani solution. However, one patient had a persistent, small, wet lesion residual lesion. Topical application of Castellani solution is a simple and effective treatment for GM. This study confirms the use of Castellani solution for treatment of granular myringitis.
{"title":"Clinical Efficiency of Castellani Solution for the Treatment of Granular Myringitis","authors":"T. Gün","doi":"10.4172/2324-8785.1000340","DOIUrl":"https://doi.org/10.4172/2324-8785.1000340","url":null,"abstract":"This study is designed to observe the clinical efficiency of Castellani solution for the treatment of granular myringitis (GM). We have included 20 patients among which 15 men and 5 women of mean age, 49.7 years; range, 9–77 years; they were diagnosed with GM and treated with Castellani solution. Topical treatment using Castellani solution and otoendoscopy of tympanic membrane were performed and the follow-up period ranged from 3 to 72 months and the mean follow-up period was 14.4 months. 13 patients showed complete resolution of GM after treatment with Castellani solution. However, one patient had a persistent, small, wet lesion residual lesion. Topical application of Castellani solution is a simple and effective treatment for GM. This study confirms the use of Castellani solution for treatment of granular myringitis.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48540424","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 : 2018-04-09DOI: 10.4172/2324-8785.1000337
A. Sheyn, Liu, Gb Shah
We present a case of airway obstruction by an unusual foreign body in a 10 month old male. The child was brought intubated to the emergency room after he was found unconscious and blue by his parents. His older sibling reported a choking episode after he placed a black object in his mouth. Chest x-ray on arrival demonstrated right-sided air trapping but no definite radio-opaque foreign body. Due to difficulty with ventilation and post-obstructive pulmonary edema on initial bronchoscopy, emergent extracorporeal membrane oxygenation (ECMO) was initiated to help stabilize the patient. Subsequent bronchoscopy demonstrated near total obstruction of the mid-trachea by an insect-like object. The object removed appeared to be a common American cockroach. Airway foreign body retrieval is a common part of otolaryngology practice. Most of the time, these foreign bodies are food materials or other inanimate objects. Finding a cockroach in the airway is incredibly rare and only three cases have been reported in the literature. This case also illustrates that ECMO may be considered in a patient too unstable to tolerate temporary withdrawal of ventilatory support for endoscopy. Additionally, rapid diagnosis and treatment is important when caring for a child with suspected foreign body aspiration.
{"title":"An Unusual Airway Foreign Body: A Cockroach in the Trachea","authors":"A. Sheyn, Liu, Gb Shah","doi":"10.4172/2324-8785.1000337","DOIUrl":"https://doi.org/10.4172/2324-8785.1000337","url":null,"abstract":"We present a case of airway obstruction by an unusual foreign body in a 10 month old male. The child was brought intubated to the emergency room after he was found unconscious and blue by his parents. His older sibling reported a choking episode after he placed a black object in his mouth. Chest x-ray on arrival demonstrated right-sided air trapping but no definite radio-opaque foreign body. Due to difficulty with ventilation and post-obstructive pulmonary edema on initial bronchoscopy, emergent extracorporeal membrane oxygenation (ECMO) was initiated to help stabilize the patient. Subsequent bronchoscopy demonstrated near total obstruction of the mid-trachea by an insect-like object. The object removed appeared to be a common American cockroach. \u0000Airway foreign body retrieval is a common part of otolaryngology practice. Most of the time, these foreign bodies are food materials or other inanimate objects. Finding a cockroach in the airway is incredibly rare and only three cases have been reported in the literature. This case also illustrates that ECMO may be considered in a patient too unstable to tolerate temporary withdrawal of ventilatory support for endoscopy. Additionally, rapid diagnosis and treatment is important when caring for a child with suspected foreign body aspiration.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":"2018 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41715222","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 : 2018-04-09DOI: 10.4172/2324-8785.1000341
Han li-yan
Voice Medicine is a discipline that studies the anatomy, development, physiology and pathology related to voice, speech and language, and explores the etiology, mechanism, diagnosis, treatment and prevention of voice related diseases. This review provides a clear view on Present Situation of the Vocal Arts Medicine in China along with its future aspects, where we conclude that vocal arts medicine will have a better future with collaboration and the support from the city, province, and central governments.
{"title":"Present Situation and Future of Vocal Arts Medicine in China","authors":"Han li-yan","doi":"10.4172/2324-8785.1000341","DOIUrl":"https://doi.org/10.4172/2324-8785.1000341","url":null,"abstract":"Voice Medicine is a discipline that studies the anatomy, development, physiology and pathology related to voice, speech and language, and explores the etiology, mechanism, diagnosis, treatment and prevention of voice related diseases. This review provides a clear view on Present Situation of the Vocal Arts Medicine in China along with its future aspects, where we conclude that vocal arts medicine will have a better future with collaboration and the support from the city, province, and central governments.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44084235","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 : 2018-04-09DOI: 10.4172/2324-8785.1000338
C. Ndiaye, H. Ahmed, A. Tall, E. Diom, D. Rea, Diouf Ms, S. Maiga, Diallo Mb, A. Mbaye, Barry Mw, Ndiaye Ic
Introduction: Sensorineural hearing loss is linked to the impairment of the sensorineural structures of the hearing system. Sensorineural hearing loss is a topical subject hardly reported in African francophone medical literature. Objectives: To analyze, through a literature review, the features of sensorineural hearing loss, in the context of a sub-Saharan country. Methods: This is a retrospective study covering the period 1 January 2005 to 31 December 2010. We collected four hundred and twenty seven (427) cases of patients with sensorineural hearing loss. We also recorded the Epidemiological, clinical, functional exploration, morphological and therapeutic data. Results: The average age of patients was 40. Children represented 19.20% (n = 82) of the series. The average age during diagnosis was 10 in children. The series included 231 men (54%) and 196 women (46%). The average time to consultation was 54 months. Unilateral deafness represented 10.54% of the cases. The average hearing loss predominated with a rate of 42.70%, representing 5.94% of deafness. The most common etiologies were presbycusis (29.27%), meningitis (5.15%), and malaria (4%). In 47.3% of cases the cause was unknown. Only 1.87% of our patients have received a hearing aid. Conclusion: Sensorineural hearing loss (SNHL) poses etiological diagnosis problems as well as therapeutic management problems. Indeed etiological research and hearing rehabilitation are expensive. These difficulties could be overcome through the development of a program against deafness.
{"title":"Profile of Sensorineural Hearing Loss in a Sub-Saharan Africa ENT Service","authors":"C. Ndiaye, H. Ahmed, A. Tall, E. Diom, D. Rea, Diouf Ms, S. Maiga, Diallo Mb, A. Mbaye, Barry Mw, Ndiaye Ic","doi":"10.4172/2324-8785.1000338","DOIUrl":"https://doi.org/10.4172/2324-8785.1000338","url":null,"abstract":"Introduction: Sensorineural hearing loss is linked to the impairment of the sensorineural structures of the hearing system. Sensorineural hearing loss is a topical subject hardly reported in African francophone medical literature. \u0000Objectives: To analyze, through a literature review, the features of sensorineural hearing loss, in the context of a sub-Saharan country. \u0000Methods: This is a retrospective study covering the period 1 January 2005 to 31 December 2010. We collected four hundred and twenty seven (427) cases of patients with sensorineural hearing loss. We also recorded the Epidemiological, clinical, functional exploration, morphological and therapeutic data. \u0000Results: The average age of patients was 40. Children represented 19.20% (n = 82) of the series. The average age during diagnosis was 10 in children. The series included 231 men (54%) and 196 women (46%). The average time to consultation was 54 months. Unilateral deafness represented 10.54% of the cases. The average hearing loss predominated with a rate of 42.70%, representing 5.94% of deafness. The most common etiologies were presbycusis (29.27%), meningitis (5.15%), and malaria (4%). In 47.3% of cases the cause was unknown. Only 1.87% of our patients have received a hearing aid. \u0000Conclusion: Sensorineural hearing loss (SNHL) poses etiological diagnosis problems as well as therapeutic management problems. Indeed etiological research and hearing rehabilitation are expensive. These difficulties could be overcome through the development of a program against deafness.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41741709","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 : 2018-04-09DOI: 10.4172/2324-8785.1000339
Ahmed Abdelrahman Abdelziz, N. Osman, M. Gayyed
Langerhans cell histiocytosis (LCH) is a rare disorder characterized by uncontrolled proliferation of Langerhans cells. We report a case of a 5-years old girl with left post auricular swelling, otalagia and otorrhea of 2 month duration, High resolution computed tomography of temporal bone show destructive expanding tissue density mass. Apparent diffusion coefficient is 1.08×10³ mm²/s in diffusion weight magnetic resonance imaging .Post auricular incision revealed a pinkish, firm granulomatous mass occupied middle ear and mastoid Histopathological examination revealed a mixture of Langerhans histocytes and eosinophils. CD1 and S100 are positive in mmunohistochemistry.
{"title":"Langerhans Cell Histiocytosis in Temporal Bone: Case Report","authors":"Ahmed Abdelrahman Abdelziz, N. Osman, M. Gayyed","doi":"10.4172/2324-8785.1000339","DOIUrl":"https://doi.org/10.4172/2324-8785.1000339","url":null,"abstract":"Langerhans cell histiocytosis (LCH) is a rare disorder characterized by uncontrolled proliferation of Langerhans cells. We report a case of a 5-years old girl with left post auricular swelling, otalagia and otorrhea of 2 month duration, High resolution computed tomography of temporal bone show destructive expanding tissue density mass. Apparent diffusion coefficient is 1.08×10³ mm²/s in diffusion weight magnetic resonance imaging .Post auricular incision revealed a pinkish, firm granulomatous mass occupied middle ear and mastoid Histopathological examination revealed a mixture of Langerhans histocytes and eosinophils. CD1 and S100 are positive in mmunohistochemistry.","PeriodicalId":90613,"journal":{"name":"Journal of otology & rhinology","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49485417","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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