Ceylon Journal of Otolaryngology最新文献_第4页

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

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":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139855777","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

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":"289 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139857218","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

Laryngotracheal injuries: case series and review of literature 喉气管损伤:病例系列及文献回顾

Ceylon Journal of Otolaryngology Pub Date : 2023-03-15 DOI: 10.4038/cjo.v12i1.5348

W. H. U. P. Widanage

引用次数: 0

Occipital artery based myocutaneous flap repair for cochlear implant extrusion- How I do it 以枕动脉为基础的肌皮瓣修复人工耳蜗挤压-我怎么做

Ceylon Journal of Otolaryngology Pub Date : 2023-03-15 DOI: 10.4038/cjo.v12i1.5344

S. Kumara, K. Jayasena, R. P. T. Rajapaksha, H. M. S. B. Ethulgama

引用次数: 0

Correction of anteverted conchal bowl deformity 前倾耳盆畸形的矫正

Ceylon Journal of Otolaryngology Pub Date : 2023-03-15 DOI: 10.4038/cjo.v12i1.5346

K. Jayasena, M. H. T. C. Fernando, K. Karunaratna, R. Sureshkumar, S. Kumara

引用次数: 0

An Update on Cognitive Behavioural Therapy (CBT) in the treatment of tinnitus 认知行为疗法(CBT)治疗耳鸣的最新进展

Ceylon Journal of Otolaryngology Pub Date : 2023-03-15 DOI: 10.4038/cjo.v12i1.5354

G. Z. C. Drahaman, A. Drahaman, M. Lakshan, M. B. Perera

引用次数: 0

Percutaneous suture lateralization for bilateral vocal fold paralysis - How we do 双侧声带麻痹的经皮侧边缝合-我们如何做

Ceylon Journal of Otolaryngology Pub Date : 2023-03-15 DOI: 10.4038/cjo.v12i1.5345

A. Balasubramaniam, B. Thirumaran

引用次数: 0

Telemedicine in Otorhinolaryngology – A Covid induced opportunity? 耳鼻喉科远程医疗——新冠病毒引发的机遇?

Ceylon Journal of Otolaryngology Pub Date : 2023-03-15 DOI: 10.4038/cjo.v12i1.5352

M. Lakshan, A. Drahaman, I. A. Weerabahu, N. C. Wijayarathna

引用次数: 0