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Ceylon Journal of Otolaryngology最新文献

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Innovative surgical approaches in myringoplasty: A comprehensive evaluation of endoscopic technique without elevating the tympanomeatal flap 耳轮成形术的创新手术方法：不抬高鼓膜瓣的内窥镜技术综合评估
Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5369
K. Jayasena, M. H. T. C. Fernando, K. P. M. I. Karunaratne, S. Kumara
{"title":"Innovative surgical approaches in myringoplasty: A comprehensive evaluation of endoscopic technique without elevating the tympanomeatal flap","authors":"K. Jayasena, M. H. T. C. Fernando, K. P. M. I. Karunaratne, S. Kumara","doi":"10.4038/cjo.v13i1.5369","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5369","url":null,"abstract":"Introduction: Chronic otitis media- mucosal type, is a prevalent otological condition. Surgical intervention is often necessary. Various techniques developed over the years. In this study, we investigate the efficacy of endoscopic myringoplasty without tympanomeatal flap elevation,with the use of tragal cartilage.Methodology: A retrospective descriptive study was conducted at General Hospital Ampara, Sri Lanka, from January 2022 to August 2023. The surgical procedures were performed by the same surgeon, Due to the unavailability of pure-tone audiometry (PTA) and Tympanometry facilities, only physical healing outcomes were assessed.Results: The study analyzed 97 cases. Among pediatric patients aged 10 to 14 years, 50% achieved successful outcomes after endoscopic myringoplasty. In the adult group (15 to 60 years), 93.26% experienced successful closure of perforations, with only 6.74% showing residual perforations. Cases above 60 years achieved 100% successful outcomes. The overall success rate for all cases in the study was 92.78%.Conclusion: The study revealed the potential advantages of this surgical technique. Further research and refinement is needed to optimize patient outcomes and enhance the management.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"30 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139854426","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
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":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139857993","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
Innovative surgical approaches in myringoplasty: A comprehensive evaluation of endoscopic technique without elevating the tympanomeatal flap 耳轮成形术的创新手术方法：不抬高鼓膜瓣的内窥镜技术综合评估
Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5369
K. Jayasena, M. H. T. C. Fernando, K. P. M. I. Karunaratne, S. Kumara
{"title":"Innovative surgical approaches in myringoplasty: A comprehensive evaluation of endoscopic technique without elevating the tympanomeatal flap","authors":"K. Jayasena, M. H. T. C. Fernando, K. P. M. I. Karunaratne, S. Kumara","doi":"10.4038/cjo.v13i1.5369","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5369","url":null,"abstract":"Introduction: Chronic otitis media- mucosal type, is a prevalent otological condition. Surgical intervention is often necessary. Various techniques developed over the years. In this study, we investigate the efficacy of endoscopic myringoplasty without tympanomeatal flap elevation,with the use of tragal cartilage.Methodology: A retrospective descriptive study was conducted at General Hospital Ampara, Sri Lanka, from January 2022 to August 2023. The surgical procedures were performed by the same surgeon, Due to the unavailability of pure-tone audiometry (PTA) and Tympanometry facilities, only physical healing outcomes were assessed.Results: The study analyzed 97 cases. Among pediatric patients aged 10 to 14 years, 50% achieved successful outcomes after endoscopic myringoplasty. In the adult group (15 to 60 years), 93.26% experienced successful closure of perforations, with only 6.74% showing residual perforations. Cases above 60 years achieved 100% successful outcomes. The overall success rate for all cases in the study was 92.78%.Conclusion: The study revealed the potential advantages of this surgical technique. Further research and refinement is needed to optimize patient outcomes and enhance the management.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"28 s81","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139794481","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
Teratoma presenting as a nasal polypoidal mass in a newborn: an endoscopic resection 新生儿鼻腔息肉样肿块中的畸胎瘤：内窥镜切除术
Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5364
M. M. Mohamed, A. Yasawardena, K. D. R. A. Kirihena
{"title":"Teratoma presenting as a nasal polypoidal mass in a newborn: an endoscopic resection","authors":"M. M. Mohamed, A. Yasawardena, K. D. R. A. Kirihena","doi":"10.4038/cjo.v13i1.5364","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5364","url":null,"abstract":"Introduction: Extragonadal teratomas are more common in the sacrococcygeal region. Although teratomas arising from the head and neck region are rare, they can give rise upper airway obstruction in the newborn, requiring early excision. A ‘term’ new born delivered with a polypoidal mass protruding through the right nostril, developed respiratory distress due to upper airway obstruction and required intubation. CT and MRI scan of the head showed an irregular shaped mass occupying the right nasal cavity, nasopharynx and protruding into the oral cavity with the possibly of being a teratoma. The tumour was resected endoscopically via transnasal and transoral routes. Histopathology confirmed it as mature teratoma.Conclusion: Although most teratoma are benign and asymptomatic, teratomas arising in the head and neck can give rise to upper airway obstruction and respiratory distress in new born and requires intubation to secure airway and early resection.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"11 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139795980","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
Congenital absent epiglottis causing aspiration in infant 先天性会厌缺失导致婴儿误吸
Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5362
D. D. Eleperuma, U. R. R. Eranga, A. Yasawardena
{"title":"Congenital absent epiglottis causing aspiration in infant","authors":"D. D. Eleperuma, U. R. R. Eranga, A. Yasawardena","doi":"10.4038/cjo.v13i1.5362","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5362","url":null,"abstract":"Congenital absent epiglottis is a rare phenomenon which has variable clinical presentation. Most of the cases are asymptomatic and go unnoticed to the adulthood. Some neonates present with stridor and respiratory distress and sometimes the absence give rise to obstructive sleep apnoea features. Further some infants with absent epiglottis may present with significant aspiration of feeds as well as own secretions which occasionally may give rise to life threatening chest infections and growth retardation.Management of aspirating infant is by swallowing therapy, altering the enteral feeding route (Nasogastric tube or percutaneous endoscopic gastrostomy (PEG)) or in rare occasions may require tracheostomy and supraglottic closure. The case discussed here is of a infant with aspiration detected to have absent epiglottis managed by swallowing therapy and PEG insertion.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"4 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796661","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
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
{"title":"Vocal cord medialization and Sulcus-vocalis surgical management","authors":"H. M. P. U. Herath, A. Drahaman, M. B. Perera, M. Lakshan","doi":"10.4038/cjo.v13i1.5377","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5377","url":null,"abstract":"Complete or partial paralysis of one or both vocal cords can significantly affect a patients phonation ability as well as risk aspiration. Sulcus vocalis is a condition where there is a groove running parallel to the edge of the vocal cord extending from the anterior commissure to the anterior edge of the vocal process of the arytenoid cartilage. Injection laryngoplasty (IL) is a minimally invasive technique which can successfully deal with both of the above-mentioned conditions directly as well as indirectly with only a slight modification in technique using autologous ‘insulinated fat’. Additionally, when treating sulcus vocalis, cold steel dissection of the sulcus through a small parallel incision was preferred without subsequent mucosal suturing. Using 2 surgeons (4 hand technique) improves precision of instrumentation when using a high-definition rigid bronchoscope through a suspension laryngoscopy setup. This is needed especially for precision injection of long-term injectables in injection laryngoplasty.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"47 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139797709","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
Retrospective audit of Ultrasound guided fine needle aspiration cytology and core biopsy in the assessment of head and neck lumps excluding thyroid nodules at South Warwickshire NHS Foundation Trust 对南沃里克郡国家医疗服务系统基金会信托基金在超声引导下对头颈部肿块（不包括甲状腺结节）进行细针穿刺细胞学检查和核心活组织检查的回顾性审核
Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5360
O. K. D. S. T. Rosa Opatha, R. Simon, H. B. Al-Deerawi
{"title":"Retrospective audit of Ultrasound guided fine needle aspiration cytology and core biopsy in the assessment of head and neck lumps excluding thyroid nodules at South Warwickshire NHS Foundation Trust","authors":"O. K. D. S. T. Rosa Opatha, R. Simon, H. B. Al-Deerawi","doi":"10.4038/cjo.v13i1.5360","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5360","url":null,"abstract":"Objectives: Compare rates of diagnostic versus non diagnostic outcomes for fine needle aspiration (FNA) and core biopsy for non-thyroid head and neck lumps.Methods: Audit on biopsy technique used for ultra sound guided biopsies of non-thyroid neck lumps was performed over a 12-month period in South Warwickshire NHS Foundation trust (SWFT) in the year 2022. Data was collected from records in the Histopathology laboratory and electronic patient records.Results: A total of 72 lumps underwent biopsy during this period at SWFT and amongst them were 38 parotid lumps, 3 submandibular lumps, 29 lymph nodes and 2 other head and neck lumps. There were 34 fine needle aspirations were done for parotid lumps and 8 of them were non diagnostic. 4 of them went on to have core biopsies and all of them were diagnostic. There were 21 ultra sound guide core biopsies performed and only 2 of them were non diagnostic and required excision biopsy. There were 8 patients who underwent FNA and only 4 of them were diagnostic. The sensitivity of FNA for lymph nodes and salivary glands was 50% and 77% respectively. Core biopsy showed a 100% sensitivity for salivary gland and a 90.5% sensitivity to lymph nodes.Conclusion: FNAC yields good results with salivary gland lumps. Core needle biopsy has better sensitivity for investigation of enlarged cervical lymph nodes and has added advantage of immunohistochemistry and molecular testing.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"269 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139857805","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
Rare case demonstrating a bifid facial nerve trunk encircling the posterior belly of digastric muscle 罕见病例：环绕地腹肌后腹部的双叉面神经干
Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5372
S. M. Thelikorala, S. P. P. Kumara, W. Narampanawa
{"title":"Rare case demonstrating a bifid facial nerve trunk encircling the posterior belly of digastric muscle","authors":"S. M. Thelikorala, S. P. P. Kumara, W. Narampanawa","doi":"10.4038/cjo.v13i1.5372","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5372","url":null,"abstract":"This case report describes a variation of facial nerve trunk (FNT) to the digastric muscle identified during parotidectomy where the superior temporofacial branch traverses anterior to the posterior belly of digastric muscle (PBD) and the inferior cervicofacial branch traversing through the muscle. The variation has not been described in literature previously.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"4 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796214","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
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
{"title":"Exploring the pros and cons of integrating artificial intelligence and ChatGPT in medical education: A comprehensive analysis","authors":"M. Lakshan, M. Chandratilake, A. Drahaman, M. B. Perera","doi":"10.4038/cjo.v13i1.5380","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5380","url":null,"abstract":"The rise of AI and chatbots in medical education is undoubtedly going to impact the traditional ways of learning. Artificial Intelligence (AI) is rapidly evolving and revolutionizing various fields, and the healthcare industry is no exception. The key to success in this new age of AI technologies is for medical educationists to maintain a deep commitment to their students’ learning, while remaining open to new ideas and approaches that leverage the power of AI to enhance the educational process. The use of AI, specifically ChatGPT, in medical education can provide various benefits, including personalized learning, practice of clinical scenarios, access to medical literature, and a research and study aid for medical students. However, it is important to note that AI should not replace traditional learning methods and that students should actively engage with the material and develop critical thinking skills.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"334 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796550","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
Lymphoma presenting as a parapharyngeal space tumour 表现为咽旁间隙肿瘤的淋巴瘤
Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5370
M. M. Mohamed, K. D. R. A. Kirihena
{"title":"Lymphoma presenting as a parapharyngeal space tumour","authors":"M. M. Mohamed, K. D. R. A. Kirihena","doi":"10.4038/cjo.v13i1.5370","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5370","url":null,"abstract":"Among all head and neck tumours, approximately 0.5% to 0.8% localize in the parapharyngeal space, with Non-Hodgkin’s lymphomas in this region being exceptionally rare. They are documented in the literature either as isolated cases or in small case series. Here, we present a case involving a middle aged man who exhibited 4 month history of dysphagia and hoarse voice. Upon examination, showed a bulged left side of the soft palate and medialization of the pharyngeal wall. CT and MRI revealed a large lesion in the left parapharyngeal region pushing the pharynx anteromedially. Similar intensity enhancing lesion noted in nasopharynx. A transoral excision of parapharyngeal mass was performed, revealing a large B-cell non-Hodgkin’s lymphoma. Typically, parapharyngeal space tumours are benign, and surgery is the preferred treatment. Patient was transferred to tertiary care oncology hospital for further treatment. This case underscores the rarity but potential presence of extranodal non-Hodgkin’s lymphomas in the head and neck. Recognizing this pathology is crucial due to the different treatment approach it necessitates.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"10 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139795987","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
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