Ceylon Journal of Otolaryngology最新文献

The College of Otorhinolaryngologists and Head & Neck Surgeons of Sri Lanka: 19th Annual Academic Sessions 10th & 11th of February 2024, Programme and Abtract Book 斯里兰卡耳鼻咽喉头颈外科医生学院：2024 年 2 月 10 日和 11 日举行的第 19 届学术年会，会议日程和论文集

Ceylon Journal of Otolaryngology Pub Date : 2024-02-15 DOI: 10.4038/cjo.v13i5.5387

Co-Editors

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The College of Otorhinolaryngologists and Head & Neck Surgeons of Sri Lanka: 19th Annual Academic Sessions 10th & 11th of February 2024, Programme and Abtract Book 斯里兰卡耳鼻咽喉头颈外科医生学院：2024 年 2 月 10 日和 11 日举行的第 19 届学术年会，会议日程和论文集

Ceylon Journal of Otolaryngology Pub Date : 2024-02-15 DOI: 10.4038/cjo.v13i5.5387

Co-Editors

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Audit on the safety and effectiveness of the use of KTP laser in stapedotomy: One year experience in an Otorhinolaryngology Center at a Tertiary Care Hospital in Sri Lanka 对在镫骨切开术中使用 KTP 激光的安全性和有效性进行审计：斯里兰卡一家三级医院耳鼻喉科中心的一年经验

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5379

S. M. Thelikorala, D. Damsen, D. A. D. G. Daminda

{"title":"Audit on the safety and effectiveness of the use of KTP laser in stapedotomy: One year experience in an Otorhinolaryngology Center at a Tertiary Care Hospital in Sri Lanka","authors":"S. M. Thelikorala, D. Damsen, D. A. D. G. Daminda","doi":"10.4038/cjo.v13i1.5379","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5379","url":null,"abstract":"Introduction: This retrospective descriptive study was conducted to assess the effectiveness and safety of using KTP laser in surgically diagnosed patients with otosclerosis who underwent Endoscopic Laser Stapedotomy at the Teaching Hospital Anuradhapura from October 2020 to September 2021. Endoscopic Laser Stapedotomy is used as a minimally invasive technique and it is considered superior to conventional stapedectomy.Methods: Nine patients who underwent laser stapedotomy were incorporated in the study. Data was collected via a pre-formed paper-based operator filled questionnaire. The results of pre-operative pure tone audiogram (PTA) were compared with a three-month post-operative audiogram in addition to demographic and clinical variables and post-operative complications.Results: Mean post-operative air bone gap closure within 10dB was achieved in 55.5% patients. Mean four frequency air bone gap improvement was 25.3dB. Statistically significant post-operative impairment in bone conduction was not demonstrated.Conclusion: Use of KTP laser in endoscopic stapedotomy has produced improvement in air bone gap closure resulting in improvement of hearing with less side effects as a minimally invasive surgical modality in patients with otosclerosis.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"54 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139798038","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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Preserving vocal cord function: Continuous intraoperative vagus nerve monitoring in total thyroidectomy 保留声带功能甲状腺全切除术中的术中迷走神经连续监测

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5365

V. S. Thuduvage, D. A. D. G. Daminda, Y. Jayasooriya

{"title":"Preserving vocal cord function: Continuous intraoperative vagus nerve monitoring in total thyroidectomy","authors":"V. S. Thuduvage, D. A. D. G. Daminda, Y. Jayasooriya","doi":"10.4038/cjo.v13i1.5365","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5365","url":null,"abstract":"A 42-year-old female patient who underwent left hemithyroidectomy for a benign thyroid nodule, was referred for further management, as histology revealed a minimally invasive follicular carcinoma requiring completion thyroidectomy as recommended by Oncologists. She had developed unilateral vocal card palsy following the initial hemithyroidectomy. Pre operatively vocal cord function was evaluated by fibre optic laryngoscopy, which confirmed a left vocal cord palsy. During the completion thyroidectomy, continuous intraoperative nerve monitoring was done using an electrode attached to endotracheal tube. A delta electrode was attached to the Vagus nerve and continuous monitoring of the Vagus nerve was done while performing intermittent monitoring of the Recurrent Laryngeal nerve. Stimulation was performed using a current of 1–2 mA. According to the International Nerve monitoring Study Group (INMSG) guidelines initial amplitude value of at least 500 μV was considered as the normal value.According to INMSG guide lines, change of EMG signal curve amplitude below 100 μV was considered as loss of signal during the operation. Post-operative period of the patient was uneventful and the right vocal cord function was confirmed as normal by fibre optic endoscopic examination. Even though intraoperative nerve monitoring is a useful procedure for all the thyroidectomy surgeries it is documented to be more beneficial during revision surgeries, thyroid malignancies and pre-operative unilateral nerve palsy patients.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139794722","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

Invasive fungal sinusitis in an ENT subunit of a tertiary care facility in Sri lanka 斯里兰卡一家三级医疗机构耳鼻喉科分科的侵袭性真菌性鼻窦炎

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5375

R. P. G. M. D. Samaranayake, W. A. T. T. Jayawardana, S. M. Thelikorala, A. M. M. Sheriff

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Exploring the pros and cons of integrating artificial intelligence and ChatGPT in medical education: A comprehensive analysis 探讨人工智能与 ChatGPT 在医学教育中结合的利弊：综合分析

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5380

M. Lakshan, M. Chandratilake, A. Drahaman, M. B. Perera

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Invasive fungal sinusitis in an ENT subunit of a tertiary care facility in Sri lanka 斯里兰卡一家三级医疗机构耳鼻喉科分科的侵袭性真菌性鼻窦炎

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5375

R. P. G. M. D. Samaranayake, W. A. T. T. Jayawardana, S. M. Thelikorala, A. M. M. Sheriff

引用次数: 0

Extramedullary plasmacytoma involving nasal cavity and orbit 累及鼻腔和眼眶的髓外浆细胞瘤

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5358

U. R. R. Eranga, D. D. Eleperuma, K. D. R. A. Kirihene

{"title":"Extramedullary plasmacytoma involving nasal cavity and orbit","authors":"U. R. R. Eranga, D. D. Eleperuma, K. D. R. A. Kirihene","doi":"10.4038/cjo.v13i1.5358","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5358","url":null,"abstract":"Introduction: Extramedullary plasmacytoma (EMP) is a disorder involving plasma cells, leading to the development of neoplastic masses outside the bone marrow. While EMP can occur in different body regions, its predominant manifestation is observed in the head and neck area. A 44-year-old female presented with nasal obstruction, left-sided proptosis, and infraorbital swelling. Rigid nasal endoscopy revealed a polypoidal mass filling both nasal cavities, and imaging showed a uniform density mass lesion involving bilateral sinuses extending into the left orbit. The lesion was resected endoscopically, with subsequent histopathological examination confirming the diagnosis of EMP. Ancillary studies ruled out multiple myeloma (MM). The intraorbital component of the tumour was successfully treated using primary radiotherapy, leveraging the tumours’ inherent radiosensitivity to minimize surgical morbidity.Conclusions: This case underscores the importance of including EMP in the differential diagnosis of sinonasal and other head and neck tumours. The favourable outcome achieved through a combination of surgery and radiotherapy highlights the significance of adopting a multidisciplinary approach in navigating challenging clinical scenarios, ensuring improved patient outcomes.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"24 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139854326","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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Vocal cord medialization and Sulcus-vocalis surgical management 声带内侧化和声带沟手术管理

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5377

H. M. P. U. Herath, A. Drahaman, M. B. Perera, M. Lakshan

引用次数: 0

A typical presentation of a laryngeal foreign body in an infant 婴儿喉部异物的典型表现

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5368

G. A. H. Sewwandi, D. P. A. Dhanawardhana, S. B. Etulgama

{"title":"A typical presentation of a laryngeal foreign body in an infant","authors":"G. A. H. Sewwandi, D. P. A. Dhanawardhana, S. B. Etulgama","doi":"10.4038/cjo.v13i1.5368","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5368","url":null,"abstract":"Background: A 1-year-old boy presented with a one-day history of fever and cough, potentially linked to an episode of aspiration during homemade rice feeding. Following the incident, he refused to feed, displaying irritability. The detection of neutrophil leucocytosis and dehydration prompted IV antibiotics and fluid. Persistent symptoms led to a lateral neck x-ray, revealing a radiopaque material near the epiglottis. Fibre optic laryngoscopy identified a metallic wire lodged in the right arytenoid cartilage and posterior pharyngeal wall, possibly a fragment from a rice polishing machine. Extraction under general anaesthesia resulted in minimal mucosal injury, and the child quickly recovered postoperatively.Conclusion: This report serves as a reminder to consider foreign body ingestion in the differential diagnosis, particularly in cases with subtle or unrelated symptoms in the paediatric age group. The multidisciplinary approach emphasises prompt intervention to prevent life-threatening complications in paediatric patients. Furthermore, employing awake fibre-optic laryngoscopy in the context of a suspected respiratory tract infection to confirm the presence of a foreign body is considered a clinically safer approach than immediately resorting to examination under anaesthesia.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"6 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796202","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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