Ceylon Journal of Otolaryngology最新文献_第3页

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

引用次数: 0

Adrenocorticotropic hormone Secreting Olfactory Neuroblastoma producing Ectopic Cushing’s Syndrome 分泌促肾上腺皮质激素的嗅神经母细胞瘤产生异位库欣综合征

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5361

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

引用次数: 0

Demography, aetiology, and positional test findings of 187 consecutive patients diagnosed as having BPPV at ENT unit, Teaching Hospital Anuradhapura 阿努拉德普勒教学医院耳鼻喉科连续诊断出的 187 名 BPPV 患者的人口统计学、病因学和体位测试结果

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5366

D. A. D. G. Daminda, K. Jayasena, U. B. Abeysundara, S. B. Agampodi, E. C. Muhandiram

{"title":"Demography, aetiology, and positional test findings of 187 consecutive patients diagnosed as having BPPV at ENT unit, Teaching Hospital Anuradhapura","authors":"D. A. D. G. Daminda, K. Jayasena, U. B. Abeysundara, S. B. Agampodi, E. C. Muhandiram","doi":"10.4038/cjo.v13i1.5366","DOIUrl":"https://doi.org/10.4038/cjo.v13i1.5366","url":null,"abstract":"Benign Paroxysmal Positional Vertigo (BPPV) is the most common vestibular disorder encountered in balance clinics. Diagnosis by Dix-Hallpike test is straightforward. However, diagnosis can still be complicated due to the presence of number of different subtypes and negative findings. Objectives of the study are to determine demographic pattern, positional test findings in patients diagnosed as having BPPV and to discuss the reasons for positional vertigo with negative physical examination findings. A subgroup analysis was done from a cross sectional descriptive study that was carried out at ENT clinic at Teaching Hospital Anuradhapura from 1st of March 2016 to 28th February 2017. Hundred and eighty-seven (187) consecutive patients with symptoms suggestive of BPPV were assessed .Posterior semi-circular canal involvement as the commonest variant with 70% diagnosed without video Frenzels. Although symptomatic during positional testing, we could not demonstrate clear nystagmus in 24.6% patients in light. Geotrophic or apogeotrophic horizontal nystagmus on supine roll test and down beating nystagmus on Dix-Hallpike test were found 4.2% and 1% respectively.Our findings on posterior canal and positional test negative BPPV are compatible with previously published data. However, diagnosis of lateral appears to be still inadequate. Early referral, routine use of video Frenzel recording at clinics, routine use of seated pitch test, repeated testing may help in reducing false negative rates and finding a specific diagnosis.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"57 s70","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139797539","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":"17 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139797768","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

Migrated oesophageal foreign body retrieval with trans cervical approach in a district general hospital of Sri Lanka 斯里兰卡一家地区综合医院采用经宫颈方法取出移位食道异物

Ceylon Journal of Otolaryngology Pub Date : 2024-02-07 DOI: 10.4038/cjo.v13i1.5378

D. M. A. H. Dissanayake, K. P. Dissanayake, K. H. C. M. Ramasundara, R. M. G. P. Rajapaksha, M. R. F. Azeeza, E. G. M. G. N. Bandara, P. R. R. W. M. R. D. Abhayasinghe

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

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

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

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":"21 s38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139794878","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

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":"19 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139854336","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