Australian Journal of Otolaryngology最新文献_第8页

The rate of incidental secondary tumours in 18-fluorodeoxyglucose positron-emission tomography in current literature—a systematic review and meta-analysis 当前文献中18-氟脱氧葡萄糖正电子发射断层扫描附带继发性肿瘤的发生率-系统回顾和荟萃分析

Australian Journal of Otolaryngology Pub Date : 2021-12-01 DOI: 10.21037/ajo-21-17

Aydin Mohammadi, T. Havas

引用次数: 0

Tick induced facial nerve paresis 蜱诱发面神经麻痹

Australian Journal of Otolaryngology Pub Date : 2021-12-01 DOI: 10.21037/ajo-20-88

Jemma K Porrett, Hashm Albarki, Adam Honeybrook

{"title":"Tick induced facial nerve paresis","authors":"Jemma K Porrett, Hashm Albarki, Adam Honeybrook","doi":"10.21037/ajo-20-88","DOIUrl":"https://doi.org/10.21037/ajo-20-88","url":null,"abstract":": We present a literature review examining the research surrounding tick paralysis resulting in facial nerve palsy. A novel case of an intra-aural paralysis tick bite resulting in unilateral facial nerve palsy is also discussed. A review of the literature was conducted using MEDLINE and EMBASE databases for relevant literature published between 1915 and 2020. Utilising the following key words: “Ixodes”, “Facial paralysis”, “Tick bite”, and “Australia”. Eighteen articles included in the review comprised a total of 48 patients. Patients’ ages ranged from 1 to 84 years of age. Ten studies estimated the possible duration between tick bite and facial nerve palsy, averaging 8.9 days. Forty-one patients presented with a single tick within the external auditory canal (EAC), three had a single tick located on the temple or forehead region, three had post-auricular ticks and one patient had a remarkable 44 ticks removed from the face, scalp, neck, back and limbs. A complete ipsilateral facial nerve palsy was present in 45 patients, notably in 16 patients this occurred following tick removal. House-Brackmann classification was utilised in 7 patients; 4 patients with grade 4, 1 patient with grade 3, and 2 patients with grade 2 facial nerve palsy. Thirty-eight patients had complete recovery of facial palsy. Thirteen studies were analysed for time to recovery, with an average time of 19 days. Six patients had partial recovery at time of follow up. One patient died from respiratory arrest following generalized paralysis. Tick paralysis is a severe, but preventable disease. Careful examination of the face, scalp and EAC should be conducted in patients presenting with otalgia and facial nerve palsy, particularly in tropical areas, to exclude the possibility of tick infestation.","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131446152","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: 1

Stylohyoid pain syndrome—an Australian case series and review 茎突舌骨痛综合征——澳大利亚病例系列和回顾

Australian Journal of Otolaryngology Pub Date : 2021-11-01 DOI: 10.21037/ajo-21-5

O. A. Nicholson, Royale Nicholson

引用次数: 0

Endoscopic management of en-plaque cholesteatoma associated with tympanic membrane perforations 伴有鼓膜穿孔的斑块胆脂瘤的内镜治疗

Australian Journal of Otolaryngology Pub Date : 2021-11-01 DOI: 10.21037/ajo-20-86

Amshuman Rao, Craig P Mooney, Andrew K. Ma, N. Jufas, A. Saxby, Jonathan H. K. Kong, N. Patel

引用次数: 0

Evaluation of the temporal relationship between formalin submersion time and routine tissue processing on resected head and neck specimen size 评估福尔马林浸泡时间与常规组织处理对切除头部和颈部标本大小的时间关系

Australian Journal of Otolaryngology Pub Date : 2021-10-01 DOI: 10.21037/ajo-20-46

Sathish Paramasivan, V. Padhye, Caroline Loft, C. James, Z. Awad, Michael C. Switajewski, S. Krishnan, A. Foreman, J. Hodge

引用次数: 0

Paediatric sinonasal surgery: a literature review 儿科鼻窦外科:文献综述

Australian Journal of Otolaryngology Pub Date : 2021-09-01 DOI: 10.21037/ajo-21-16

R. Campbell

引用次数: 2

Fungal otitis externa and tympanic membrane perforation: four-year experience at a Victorian hospital 真菌性外耳炎和鼓膜穿孔:在维多利亚医院的四年经验

Australian Journal of Otolaryngology Pub Date : 2021-08-01 DOI: 10.21037/ajo-21-10

Hannah B. Tan, J. Lim, Elizabeth Rose

{"title":"Fungal otitis externa and tympanic membrane perforation: four-year experience at a Victorian hospital","authors":"Hannah B. Tan, J. Lim, Elizabeth Rose","doi":"10.21037/ajo-21-10","DOIUrl":"https://doi.org/10.21037/ajo-21-10","url":null,"abstract":"Background: It is estimated that 9% of all otitis externa is due to fungal pathogens. A recent literature review revealed only 10 case series reporting on fungal otitis externa (FOE) and tympanic membrane perforation (TMP) with few reporting the rates of persistent TMP. Therefore, we aim to investigate patients with FOE and TMP over a four-year period. Methods: A retrospective chart review was performed on patients presenting to a specialty ear, nose, and throat emergency department with FOE and TMP between June 2015 to October 2019. Diagnosis of FOE was accepted based on positive swab culture or documented fungal spores on examination. Data collection included patient demographics, perforation details, treatment, follow up, persistent TMP, recurrence of FOE with or without TMP. Statistical analysis was performed using JASP 0.11.1. Results: A total of 87 patients were identified, corresponding to 93 ears. In 58 (62.4%) ears, a swab was taken, with Aspergillus niger identified as the most common pathogen. Fungal spores were noted in 66 (71%) ears. In 59 (63.4%) ears, more than one topical agent was required to achieve resolution of infection. Persistent TMP was noted in 19 (28.4%) ears with an acute TMP and in 22 (84.6%) ears with a possible chronic TMP. Forty ears (43%) had recurrence of FOE. Three (3.2%) ears had recurrent TMP. Conclusions: FOE with co-existing acute or chronic TMP remains a difficult condition to treat with most ears requiring multiple topical agents and there is a high rate of recurrence of FOE. Persistent TMP remains a common complication of FOE with acute TMP.","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133246453","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

Forehead flap nasal reconstruction: oncologic and functional outcomes in a regional centre 前额皮瓣鼻部重建:肿瘤和功能结果在区域中心

Australian Journal of Otolaryngology Pub Date : 2021-08-01 DOI: 10.21037/ajo-21-6

C. Schmidt, J. Nightingale, C. Ioannou, R. Grigg

引用次数: 0

Office-based unsedated bronchoscopy for the diagnosis of excessive dynamic airways collapse 办公室非镇静支气管镜检查诊断过度动态气道塌陷

Australian Journal of Otolaryngology Pub Date : 2021-08-01 DOI: 10.21037/ajo-20-90

Clemente Chia, Debra Phyland, Daniel P Steinfort, T. Leong, P. Paddle

{"title":"Office-based unsedated bronchoscopy for the diagnosis of excessive dynamic airways collapse","authors":"Clemente Chia, Debra Phyland, Daniel P Steinfort, T. Leong, P. Paddle","doi":"10.21037/ajo-20-90","DOIUrl":"https://doi.org/10.21037/ajo-20-90","url":null,"abstract":"Excessive dynamic airway col lapse (EDAC) is an increasingly recognised condition that can present with symptoms of obstructive airway disease. It is defined as the pathological narrowing of the trachea or main bronchi by >50% on expiration as a result of the invagination of a slack posterior tracheobronchial membrane (1). It is classified under the umbrella term of excessive central airway collapse (ECAC), along with tracheobronchomalacia (TBM), a closely related condition that occurs as a result of instability or weakness of the airway cartilage (1). The true prevalence of these disorders is unknown, partly due to variations in definition and presentation, and also due to difficulty in diagnosis. While pathophysiology of the two conditions differs, clinical presentations and management principles are similar (2). EDAC is often diagnosed following investigation of dyspnoea, wheeze, chronic cough, or presumed asthma and COPD which are refractory to bronchodilators and inhaled corticosteroids (3). Typical symptoms include a seal barking cough, shortness of breath on exertion, difficulty clearing secretions, and exertional or coughing syncope (1). This cohort of patients is often referred to the Original Article","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124626958","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

The effect of chlorhexidine mouthwash on bacterial microcolonies in recurrent tonsillitis 氯己定漱口水对复发性扁桃体炎细菌微菌落的影响

Australian Journal of Otolaryngology Pub Date : 2021-07-01 DOI: 10.21037/AJO-19-58

J. Johnston, K. Biswas, S. Waldvogel‐Thurlow, F. Radcliff, M. Mahadevan, R. Douglas

{"title":"The effect of chlorhexidine mouthwash on bacterial microcolonies in recurrent tonsillitis","authors":"J. Johnston, K. Biswas, S. Waldvogel‐Thurlow, F. Radcliff, M. Mahadevan, R. Douglas","doi":"10.21037/AJO-19-58","DOIUrl":"https://doi.org/10.21037/AJO-19-58","url":null,"abstract":"Background: Chlorhexidine mouthwash is used to promote oral health and treat periodontal disease. This study aimed to determine the effects of 0.2% chlorhexidine mouthwash on the bacterial microcolonies in the crypts of palatine tonsils in children with recurrent tonsillitis (RT). Methods: The palatine tonsils were removed by extracapsular dissection from 21 participants with RT, age range two to ten years. The participants tonsils were assigned alternately to the treatment group (0.2% chlorhexidine mouthwash) or control group (0.9% sodium chloride). The left tonsils of eleven participants were submerged in 0.2% chlorhexidine mouthwash and gently oscillated for 30 seconds in a sterile pot. The left tonsils of the ten participants in the control group were subjected to the same process, but in 0.9% sodium chloride. Following exposure, the left tonsil (exposed) and right tonsil (unexposed) from each participant were fixed and evaluated for bacteria by Gram-staining and presence of connective tissue by safranin staining. Results: There were significantly fewer bacterial microcolonies observed in the tonsils that were exposed to chlorhexidine mouthwash when compared to the 0.9% sodium chloride group (P<0.05). There were also fewer bacterial microcolonies present in tonsils exposed to chlorhexidine mouthwash when compared to unexposed tonsils (P<0.05). There was no difference in the number of microcolonies in the unexposed tonsils from participants in the chlorhexidine group when compared with the saline group (P=0.68). Conclusions: Chlorhexidine mouthwash appears to be effective in significantly reducing the number of bacterial microcolonies that exist in the crypts of these participants with RT. 6","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116020766","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