International Journal of Otorhinolaryngology and Head and Neck Surgery最新文献_第10页

Clinical manifestations of nasoethmoid-central midface and lateral mid midface trauma: an analytical study 鼻筛-中央中脸及外侧中脸外伤的临床表现分析

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-10-25 DOI: 10.18203/issn.2454-5929.ijohns20233213

Manish Munjal, Sonika Kanotra, Shubham Munjal, Parth Chopra, Vanshika Saggar, Hardeep Kaur, Lovleen Sandhu, Tejbir Singh Binepal, Anjana Pillai, Hemant Chopra, Sanjeev Uppal

{"title":"Clinical manifestations of nasoethmoid-central midface and lateral mid midface trauma: an analytical study","authors":"Manish Munjal, Sonika Kanotra, Shubham Munjal, Parth Chopra, Vanshika Saggar, Hardeep Kaur, Lovleen Sandhu, Tejbir Singh Binepal, Anjana Pillai, Hemant Chopra, Sanjeev Uppal","doi":"10.18203/issn.2454-5929.ijohns20233213","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233213","url":null,"abstract":"Background: Patients with facial trauma were analyzed to determine the clinical presentation of fractures of the naso-ethmoid, mid and lateral face. Methods: 61 patients in the trauma unit of Dayanand Medical College were prospectively analyzed during a period of two years (August 2013 to August 2015). Results: Road traffic accidents were the major cause of fractures (72.13%) followed by assaults (14.75%) and falls (8.19%). The age group commonly affected was 21-30 years (54.09%) followed by 31-40 years (13.11%). Facial fractures were more in males, the females being 5 times less at risk. Epistaxis, swelling, tenderness, nasal obstruction, external nasal deformity and crepitus were noted in almost all patients. Ecchymosis, telecanthus and CSF rhinorrhea were noted in 90.9%, 72.7%, and 18.18% respectively. 90% presented with circumorbital ecchymosis, facial edema and anterior open bite. Other symptoms were epistaxis (81%), infraorbital nerve anesthesia and surgical emphysema (47.6%) and lengthening of face (42.8%). The commonest presentation was circumorbital ecchymosis (95.5%), subconjuctival hemorrhage (85.7%), flattening of cheek and step deformity at the infraorbital margin (81%). Facial edema was seen in 76% and trismus in 42.9%. Conclusions: Common symptoms and signs of nasoethmoid fractures included epistaxis, swelling and tenderness, nasal obstruction, external nasal deformity and crepitus in all patients, circumorbital ecchymosis in 90% and telecanthus in 73%.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"20 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166896","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}

引用次数: 0

Tonsillar Schwannoma: a rare case report 扁桃体神经鞘瘤1例报道

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-09-27 DOI: 10.18203/issn.2454-5929.ijohns20232906

Stuti Shukla, Vivek K. Pathak, Himani Sharma, Kanika Arora, Sama Rizvi

引用次数: 0

A prospective study of clinicopathological profile and outcome of otomycosis in patients presenting to a tertiary care center 一项前瞻性研究的临床病理特点和结果耳真菌病的患者提出了三级保健中心

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-09-27 DOI: 10.18203/issn.2454-5929.ijohns20232899

Preetham A. Puthukudy, Musarrat Feshan, Devipriya Muthu

{"title":"A prospective study of clinicopathological profile and outcome of otomycosis in patients presenting to a tertiary care center","authors":"Preetham A. Puthukudy, Musarrat Feshan, Devipriya Muthu","doi":"10.18203/issn.2454-5929.ijohns20232899","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20232899","url":null,"abstract":"Background: Otomycosis is reported all over the world and it accounts for 5 to 20 percent of all cases of infective otitis externa during rainy seasons. The article's main purpose was to study the predisposing factors, most common symptoms, different species of fungi involved, and the treatment outcome of otomycosis. A Chi-square test was used to analyze the association of various factors. Statistical package for the social sciences (SPSS) version 20 was used for statistical analysis. Methods: In this prospective observational study, 100 patients with clinical evidence of otomycosis were evaluated and data regarding age, gender, risk factors, clinical appearance, fungal culture, and treatment modality received were taken. Response to treatment at the 1st follow-up (at 1 week), 2nd follow-up (at 2 weeks), and 3rd follow-up (at 3 weeks) were statistically analyzed. Results: In our study we found the disease to be more common among the 51 to 60 years age group. Males were affected more than females. The most common occupation was housewife. The most common predisposing factor was ear picking and the symptom was otalgia followed by itching. The disease was predominantly unilateral. Aspergillus niger was found to be the most common organism. Clotrimazole was the effective drug for otomycosis and significant responses were seen at the end of the 3rd week of treatment. Conclusions: Aspergillus niger was the most common organism causing otomycosis and responded well with clotrimazole ear drops.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135580177","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}

引用次数: 0

Recurrence of follicular dendritic cell sarcoma in tonsils after 7 years: a rare case report 扁桃体滤泡树突状细胞肉瘤7年后复发1例罕见报告

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-09-27 DOI: 10.18203/issn.2454-5929.ijohns20232903

Sowmya S., Pavitra N., Sriranga Prasad

{"title":"Recurrence of follicular dendritic cell sarcoma in tonsils after 7 years: a rare case report","authors":"Sowmya S., Pavitra N., Sriranga Prasad","doi":"10.18203/issn.2454-5929.ijohns20232903","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20232903","url":null,"abstract":"Dystrophic calcifications are pathological mineral precipitates which occur in degenerative or dead tissue, despite normal serum calcium and phosphate levels, mostly seen in subcutaneous tissues secondary to infection or trauma. Chronic inflammation of the tonsils may lead to the formation of calcifications called tonsilloliths. The prevalence amongst the population is 2% to 16%, in age groups ranging from 10 years to 77 years of age, with a male/female ratio of 1:1. These calcifications display radiopaque images that are single or multiple, round or irregular, unilateral or bilateral and are superimposed upon the mandibular ramus. Computed tomography (CT) can be the investigation of choice for definitive diagnosis. The treatment of tonsilloliths is dependent on the size and presence of symptoms. It’s preferable to remove a single, large tonsillolith, as they can cause recurrent episodes of tonsillitis. Usually manual compression, curettage or a simple incision to release the calcified body should suffice for the relief. In case of numerous tonsilloliths, an attempt to remove them individually is not a feasible approach. Hence, bilateral tonsillectomy is opted.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135580461","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}

引用次数: 0

Cervical schwannoma: diagnosis and treatment 宫颈神经鞘瘤的诊断与治疗

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-09-27 DOI: 10.18203/issn.2454-5929.ijohns20232902

Amol Sulakhe, Sneha Save, Ravish Kumar

{"title":"Cervical schwannoma: diagnosis and treatment","authors":"Amol Sulakhe, Sneha Save, Ravish Kumar","doi":"10.18203/issn.2454-5929.ijohns20232902","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20232902","url":null,"abstract":"Schwannomas are benign, encapsulated, slow-growing, tumours deriving from the peri neural cells located in the nerve sheath. They can arise from any cranial, peripheral or autonomic nerves, and show a predilection for the head and neck region. They may produce secondary symptoms like nasal obstruction, dysphagia, and hoarseness of voice depending upon the location of the tumour. Preoperative diagnosis is difficult, relying on clinical suspicion, and confirmed by surgical pathology. Preoperative imaging or fine needle aspiration cytology may help to reveal diagnosis. The definitive diagnosis is made by histopathological examinations. A 28 years old female patient presented to the OPD with painless swelling on the left lateral side of the neck since 1 year. The swelling was mobile, non-tender, non-pulsatile firm in consistency measuring 4×3 cm with no bruit. MRI neck with contrast was done which revealed a moderately enhancing lesion of size 7×4×3 cm in the left carotid sheath. The tumour was approached by an anterior approach along the medial border of the sternocleidomastoid. Platysma and fascia were dissected followed by carotid sheath to reach the tumour. As the mass was seen arising from a branch of the ansa cervicalis, it had to be sacrificed.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135580777","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}

引用次数: 0

Preoperative continuous positive airway pressure use improves the hospital experience of children undergoing adenotonsillectomy for obstructive sleep apnea 术前持续气道正压通气可改善因阻塞性睡眠呼吸暂停而行腺扁桃体切除术儿童的住院体验

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-09-27 DOI: 10.18203/issn.2454-5929.ijohns20232895

Katrina Zaballa, Geshani Jayasuriya, Karen Waters

{"title":"Preoperative continuous positive airway pressure use improves the hospital experience of children undergoing adenotonsillectomy for obstructive sleep apnea","authors":"Katrina Zaballa, Geshani Jayasuriya, Karen Waters","doi":"10.18203/issn.2454-5929.ijohns20232895","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20232895","url":null,"abstract":"Background: Objective of the study was to determine how the preoperative use of continuous positive airway pressure (CPAP) in children diagnosed with obstructive sleep apnea (OSA), and their compliance with the therapy, impact perioperative outcomes of adenotonsillectomy. Methods: A retrospective chart review was conducted on patients diagnosed with OSA on polysomnography, who underwent adenotonsillectomy between 2011-2017. Comparisons were made between patients who were not prescribed CPAP (N-CPAP), prescribed CPAP but non-compliant (NC-CPAP), and those compliant with their CPAP prescription (C-CPAP) therapy. OSA severity was categorized by total apnea-hypopnea index into mild <5, moderate 5-10, and severe >10. Results: A total of 55 of the 162 patients (34%) were recommended CPAP. For those recommended CPAP, 25 were NC-CPAP and 30 C-CPAP. Compared to N-CPAP, NC-CPAP had a 47% reduction in wait time to surgery (p=0.0008) but 59% increase in LOS (p=0.001), while C-CPAP had 24% reduction in wait time (p=0.12) but 34% increase in LOS (p=0.026). Risk for post-operative admission to pediatric intensive care unit (PICU) was highest in NC-CPAP (OR=12 CI 3-44) and increased in C-CPAP (OR=9 CI 2-33). Children with severe OSA had higher frequency of postoperative CPAP use, NC-CPAP 29% and C-CPAP 64% (p≤0.0001). However, use of CPAP did not prevent a requirement for post-operative oxygen. Conclusions: Amongst children prescribed pre-operative CPAP, compliance with therapy had a positive impact on the patient hospital experience following adenotonsillectomy.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135581589","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}

引用次数: 0

Basal cell carcinoma of nose 鼻基底细胞癌

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-09-27 DOI: 10.18203/issn.2454-5929.ijohns20232908

Amol Sulakhe, Sneha Save, Ravish Kumar

引用次数: 0

A study on the utility of KOH mount and HPR in the diagnosis of post COVID mucormycosis KOH mount和HPR在COVID后毛霉菌病诊断中的应用研究

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-09-27 DOI: 10.18203/issn.2454-5929.ijohns20232901

Anjalikrishna B., Kavita Sachdeva, Soumya Saini, Mayur Kabade

{"title":"A study on the utility of KOH mount and HPR in the diagnosis of post COVID mucormycosis","authors":"Anjalikrishna B., Kavita Sachdeva, Soumya Saini, Mayur Kabade","doi":"10.18203/issn.2454-5929.ijohns20232901","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20232901","url":null,"abstract":"Background: Mucormycosis is a deadly disease that mostly affects the immunocompromised. Steroid therapy following COVID-19 infection has led to an alarming rise in the rates of this rare infection. Key to management of this disease is early diagnosis. The most common modalities used for diagnosis are KOH mount and histopathological examination. In our study we compare the efficacy of these two diagnostic modalities. Methods: Nasal endoscopy was done in all suspected cases of the disease. Nasal discharge, crusts were collected in a sterile manner and sent for KOH mount examination. Specimens collected following surgical debridement was sent for HPR examination. The results of both are compared. Results: In our study, HPR was positive in 82.2% cases while KOH mount showed positive results in 43.5% cases only. Conclusions: Histopathology helps in confirming the diagnosis of mucormycosis. It also helps to demonstrate tissue invasion and identification of species of fungus. But it is time consuming. KOH mount examination is rapid and inexpensive but the test shows high false negative values. Thus, KOH mount examination can be used as a screening tool while histopathological examination can be used as a confirmation test for post covid mucormycosis.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135581606","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}

引用次数: 0

Recurrence of follicular dendritic cell sarcoma in tonsils after 7 years: a rare case report 扁桃体滤泡树突状细胞肉瘤7年后复发1例罕见报告

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-09-27 DOI: 10.18203/issn.2454-5929.ijohns20232907

Pratiksha Pawar, Shubhanshi Kangloo, Ameya Bihani, Kunal Gupta, Soma Yadav

引用次数: 0

Eclipsed sunray in the tonsil: mystery unfolded 隐没的阳光照射在扁桃体上，谜团揭开了

International Journal of Otorhinolaryngology and Head and Neck Surgery Pub Date : 2023-09-27 DOI: 10.18203/issn.2454-5929.ijohns20232905

Saranya Thangavel, Charisha David, Magesh Kuppusami, Rajarajeswari Nalamate, Manjari Phansalkar, Mary Kurien

{"title":"Eclipsed sunray in the tonsil: mystery unfolded","authors":"Saranya Thangavel, Charisha David, Magesh Kuppusami, Rajarajeswari Nalamate, Manjari Phansalkar, Mary Kurien","doi":"10.18203/issn.2454-5929.ijohns20232905","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20232905","url":null,"abstract":"Actinomyces are saprophytic, filamentous branched bacteria, living as commensal organisms in the oral cavity. They become invasive when they gain access to the subcutaneous tissue, through a mucosal lesion. The common predisposing conditions are having dental caries, dental manipulations and maxillo facial trauma. Actinomycosis of the tonsil is usually related to obstructive tonsillar hypertrophy rather than recurrent tonsillitis. Since actinomyces is a normal inhabitant of the human body, it will be found in every anatomical site of the body. But tonsillar actinomycosis results from reduction of oxidation- reduction potential caused by pyogenic and anaerobic infections. Mucosal trauma plays a major role in the entry of the organisms. These organisms produce toxins and proteolytic enzymes to cause pathology within the tonsil. Dilated cystic spaces and neutrophilic infiltration are the unusual features highlighted in this report. Antibiotic therapy along with tonsillectomy is suggested as the preventive and curative treatment for tonsillar actinomycosis.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135581592","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}

引用次数: 0