{"title":"Pain Control in Head and Neck Cancer","authors":"M. Alroosan, Afaf Alroosan","doi":"10.5005/JP-JOURNALS-10003-1059","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1059","url":null,"abstract":"Objective: To describe the treatment of head and neck cancer pain in KHMC and to evaluate the predictive factors for inadequatemanagement between April 2007 and March 2010.Subjects: Twenty-five patients with head and neck cancer.Main measures: Patients rated prevalence and severity of pain and functional impairment related to pain. Doctors reported patients'cancer characteristic, performance status, pain severity, and analgesic drugs ordered.Results: 57% (14/25) of patients with cancer reported pain due to their disease, and, of those with pain, 69% (9/13) rated their worst painat a level that impaired their ability to function. 30% (5/12) were reported as receiving no drugs for their pain. Of the 18 patients in painfor whom information on treatment was available 51% (41/18) were not receiving adequate pain reliefs, according to an index based onthe World Health Organization's guidelines. Doctors were found to underestimate the severity of their patients' pain. Younger patients,patients without metastasis disease, patients with a better performance status, and patients who rated their pain as more severe thantheir doctors did were at greater risk for under treatment of their pain.Conclusion: In the light of the high prevalence and the severity of pain among patients with head and neck cancer, the assessment andtreatment of cancer pain was inadequate, emphasizing the need for changes in patient care.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128999813","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}
{"title":"Epidermoid Cyst of Tongue","authors":"S. Lakshmi, K. Somashekara, N. Priya","doi":"10.5005/JP-JOURNALS-10003-1069","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1069","url":null,"abstract":"Introduction: Epidermoid cyst is a rare cyst in head and neck region. We report a case of epidermoid cyst of tongue presented in a girlchild.Case report: A female child presented with a swelling in her tongue. The swelling was excised completely. A diagnosis of epidermoid cystof tongue was made. The diagnosis was confirmed by histopathology. There was no recurrence after 6 months follow-up.Conclusion: Epidermoid cyst of tongue is a rare tumor of tongue. Complete excision does not cause recurrence.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130465145","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}
H. Singh, S. Kumar, Dharmendra Kumar, Arti Agrawal
{"title":"Otogenic Anterior Chest Wall Abscess: A Rare and Unique Presentation ofBezolds Abscess","authors":"H. Singh, S. Kumar, Dharmendra Kumar, Arti Agrawal","doi":"10.5005/JP-JOURNALS-10003-1061","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1061","url":null,"abstract":"In the era of antibiotics, deep neck abscess is a rare complication of acute mastoiditis. Bezold�s abscess, the most common cause of theotogenic deep neck abscess in preantibiotic era, is a rare complication of mastoiditis nowadays and it should be considered in thedifferential diagnosis of neck abscesses as well as unexplained intracranial/extracranial or upper thoracic abscesses. We report a caseof 20-year old female with an abscess over anterior chest wall as a sequele of bezold�s abscess which was a complication of cholesteatomawith mastoiditis.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116820239","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}
Jyoti Singh, Haritosh K. Velankar, Y. Dabholkar, S. Bhalekar
{"title":"Frontoethmoidal Mucocele with Unilateral Proptosis","authors":"Jyoti Singh, Haritosh K. Velankar, Y. Dabholkar, S. Bhalekar","doi":"10.5005/JP-JOURNALS-10003-1070","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1070","url":null,"abstract":"Frontoethmoidal mucocele can present with a multitude of different symptoms including ophthalmic disturbances. Though benign, theyhave a tendency to expand by thinning the bony walls. They displace and invade surrounding structures by pressure and bony resorption.If it invades the orbit and continues to expand, the mass may mimic the behavior of many benign growths arising primarily in the orbit. Wereport a case of a frontoethmoidal mucocele extending into the orbit. Clinically, the patient had an insidious onset of clinical presentationwith no intracranial symptoms.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115261685","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}
Sujata A Gawai, K. R. Kumar, Vaishali S Sangole, Suman P Rao, D. Tiwari, Bhagirath Kandhare
{"title":"Complete Congenital Third Branchial Fistula: A Rare Case Report","authors":"Sujata A Gawai, K. R. Kumar, Vaishali S Sangole, Suman P Rao, D. Tiwari, Bhagirath Kandhare","doi":"10.5005/JP-JOURNALS-10003-1065","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1065","url":null,"abstract":"Fistulae arising from the second branchial apparatus are the most common anomalies than those arising from the third and fourthbranchial apparatus. Third branchial fistula is extremely rare in occurrence.1 Complete fistulae are uncommon as in the majority of casesthe tracts end blindly. Here, we report a case of complete congenital third branchial fistula on left side of the neck with an internal openingnear left pyriform fossa in a 12-year-old male patient.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121457127","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}
{"title":"Seven Unique Cases of Chondroid Syringomas Reported in KVG Medical College and Hospital","authors":"Sudhir M. Naik, S. Naik","doi":"10.5005/JP-JOURNALS-10003-1064","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1064","url":null,"abstract":"Chondroid syringoma is a rare, benign, skin appendageal tumor. Because of the unremarkable clinical presentation of this rare tumor,the diagnosis is made on microscopic examination. The usual presentation is of an asymptomatic, slowly growing mass, typically locatedin the head and neck region.We present seven cases of chondroid syringomas located over the head and neck region of seven patients in the age group between 32and 56 years.In the evaluation of a small cutaneous nodule in the head and neck region, chondroid syringoma should also be considered in thedifferential diagnosis. For such a lesion, excisional biopsy without destroying the esthetic and functional structures is the preferreddiagnostic as well as therapeutic approach.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"328 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116543925","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}
{"title":"An Unusual Presentation of Nasal Polyp Arising from Floor of Nasal Cavity","authors":"Mahendra S. Naik, Sulabha M. Naik","doi":"10.5005/JP-JOURNALS-10003-1071","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1071","url":null,"abstract":"Introduction: Nasal polyps are pedunculated, edematous, prolapsed mucosa of the paranasal sinuses. These polyps commonly arisearound the ostia of the paranasal sinuses in the middle meatus.Discussion: The commonest sites of polyp formation are the ethmoid sinuses and maxillary sinus. Rarely polyps may also arise from theother paranasal sinuses. Sites in the nasal mucosa other than the paranasal sinuses are very rare, though polyps arising from theseptum have also been reported.The etiology of nasal polyposis is believed to be due to an inflammatory reaction of the nasal and paranasal sinus mucosa.Conclusion: In addition to the theory of altered airway dynamics in the middle meatus, there also appears to be a link between polypformation and preceding chronic inflammation. This is the most likely explanation for the origin of polyps in unusual sites.We present here a case of a nasal polyp arising from the floor of the nasal cavity. There are no previous records or reports in literatureof this unusual site of origin of a nasal polyp.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121030110","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}
R. Tiwari, Vaishali S Sangole, Suman P Rao, Kalpana R KumarSujata A Gawai, D. George
{"title":"Unilateral Maxillary Sinus Aplasia with Ipsilateral Rhinolith: A Rare Anomaly with a Rare Association","authors":"R. Tiwari, Vaishali S Sangole, Suman P Rao, Kalpana R KumarSujata A Gawai, D. George","doi":"10.5005/JP-JOURNALS-10003-1067","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1067","url":null,"abstract":"Unilateral maxillary sinus aplasia is one of the rare anomalies of maxillary sinus. Few cases have been reported. Ipsilateral rhinolithwith unilateral maxillary sinus aplasia is also a very rare association and no case has been documented till date. We report a case of a21-year-old female with left maxillary sinus aplasia and ipsilateral rhinolith. Rest of the sinuses being normal.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123060154","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}
{"title":"Orofacial Impactions: A Common Rarity","authors":"F. Karjodkar, S. Khanna, Darshana J. Patil","doi":"10.5005/JP-JOURNALS-10003-1063","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1063","url":null,"abstract":"Impactions of the orofacial region are rare but impactions of the mobile tongue are unique. Hence, very limited literature is available.Foreign bodies embedded in the maxillofacial region frequently result from trauma and dental treatment. This is a compilation of casesof tongue impaction, tooth in maxillary sinus and watch battery impacted in tooth. A brief insight into the incidence of orofacial impactions,radiographic investigations and management is also provided.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116071083","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}
P. Haraldsson, P. Attner, L. Fredelius, B. Strander
{"title":"Intrapersonal Randomized Controlled Trial Comparing Bipolar Scissors and Conventional Cold Tonsillectomy","authors":"P. Haraldsson, P. Attner, L. Fredelius, B. Strander","doi":"10.5005/JP-JOURNALS-10003-1058","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1058","url":null,"abstract":"Objective: To evaluate bipolar scissors tonsillectomy by comparing it with traditional cold dissection tonsillectomy in the same patients, utilizing one technique on either side. Study design: Randomized controlled trial. Settings: The ENT day care unit of the Karolinska University Hospital at Danderyd Hospital, Stockholm. Patients: A total of 50 patients of which 49 were eligible (M/F 20/29), mean age 14.3 (4-41) years and included in the study. Thirty-one patients were operated due to upper airway obstruction and 18 for chronic tonsillitis.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116979995","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}