Ceylon Journal of Otolaryngology最新文献

{"title":"Parental entries on hearing in Child Health and Development record: How reliable in early detection of paediatric hearing loss?","authors":"A. D. De Alwis, A. Yasawardena, M. S. Rubasinghe, A. D. Wariyapola","doi":"10.4038/cjo.v10i1.5330","DOIUrl":"https://doi.org/10.4038/cjo.v10i1.5330","url":null,"abstract":"","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127914159","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":"Powered inferior turbinoplasty in children","authors":"M. S. Rubasinghe","doi":"10.4038/cjo.v10i1.5315","DOIUrl":"https://doi.org/10.4038/cjo.v10i1.5315","url":null,"abstract":"","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133912363","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":"Endoscopy Assisted Transoral Approach (EATA) of a parapharyngeal tumour – Acosmetically acceptable approach","authors":"A. Drahaman, M. Lakshan","doi":"10.4038/cjo.v10i1.5324","DOIUrl":"https://doi.org/10.4038/cjo.v10i1.5324","url":null,"abstract":"","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127395395","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":"Auditory brainstem response for Sri Lankan children under 5 years of age: Normativedata","authors":"L. D. Ileperuma, V. Weerasinghe, A. Wickremasinghe","doi":"10.4038/cjo.v10i1.5334","DOIUrl":"https://doi.org/10.4038/cjo.v10i1.5334","url":null,"abstract":"","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115168697","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":"Suprahyoid pharyngotomy – a rare, but a simple approach in head and neck surgery","authors":"P. Raghavendra, A. T. Fida Harish, S. R. Manohar","doi":"10.4038/cjo.v10i1.5313","DOIUrl":"https://doi.org/10.4038/cjo.v10i1.5313","url":null,"abstract":"","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"219 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123702093","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":"A rare case of accessory tragi in the nose","authors":"B. Bandaranayake, S. Adikari, B. Bandaranayake, K. V. C. K. Dharmadasa","doi":"10.4038/cjo.v10i1.5329","DOIUrl":"https://doi.org/10.4038/cjo.v10i1.5329","url":null,"abstract":"","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"292 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131433328","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":"Epistaxis following post nasal swabbing – the new COVID related emergency?","authors":"K. Karunathilaka, A. Drahaman, M. Lakshan, M. B. Perera","doi":"10.4038/CJO.V9I1.5299","DOIUrl":"https://doi.org/10.4038/CJO.V9I1.5299","url":null,"abstract":"Case overview A patient who got admitted at term for an elective caesarean section underwent an ‘on admission’ routine nasopharyngeal swabbing for SARS-CoV-2. She developed resistant epistaxis one day after the procedure and was found to have a mucosal injury over the sphenopalatine artery entry point on the left side. She had to undergo an emergency caesarean section followed by endonasal sphenopalatine artery ligation. The epistaxis was successfully dealt with and the mother and baby were discharged 48 hours after surgery. Conclusions Proper training in nasopharyngeal swab technique is required. Departments need to consider having biodegradable nasal packing material for such instances. In such injuries early endonasal sphenopalatine artery ligation (ESPAL) should be considered as traditional methods available to us were not successful.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125129833","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":"Thyroid gland with absent isthmus","authors":"K. Jayasena, S. Dayaratne, S. Kumara","doi":"10.4038/CJO.V9I1.5305","DOIUrl":"https://doi.org/10.4038/CJO.V9I1.5305","url":null,"abstract":"","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114329599","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":"Melioidosis presenting with periorbital cellulitis and rhinosinusitis","authors":"L. A. D. Udayani, D. Dumingoarachci","doi":"10.4038/CJO.V9I1.5302","DOIUrl":"https://doi.org/10.4038/CJO.V9I1.5302","url":null,"abstract":"Melioidosis is an infectious disease caused by the bacteria Burkholderia pseudomallei. It has a variety of clinical manifestations ranging from localized abscess, to severe pneumonia to fatal septicaemia. Sinonasal and orbital manifestations of Melioidosis are rare [1] . This is the first reported case of Melioidosis presenting with orbital cellulitis and rhinosinusitis in Sri Lanka. A 42-year-old patient with diabetes mellitus presented with pyrexia of unknown origin, multiple abscesses in the leg, periorbital cellulitis and rhinosinusitis. Initial investigations did not reveal a diagnosis. Eventually it was diagnosed as Melioidosis with a positive blood culture and successfully managed with long term antibiotics. Early identification and aggressive management is needed to reduce the morbidity and mortality of Melioidosis. Awareness amongst clinicians of different specialties is important as this disease has variety of manifestations. He then underwent an urgent endoscopic sinus surgery, bilateral middle meatal antrostomy, etmoidectomy and sphenoidotomy. The mucosa of sinus cavities was normal. There was a necrotic mucosa in posterior nasal septum. The necrotic mucosa was removed and it was sent for urgent fungal studies and culture, histology and bacterial culture. There were no fungal filaments in the direct smear of this tissues. There were no bacteria or fungal growth in the cultures. Histology only revealed acute inflammatory changes and did not demonstrate any fungal filaments. Invasive fungal sinusitis was excluded.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128361821","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":"Anatomical variations of sphenoid sinus based on computerized tomography (CT)","authors":"L. Ekanayake","doi":"10.4038/CJO.V9I1.5282","DOIUrl":"https://doi.org/10.4038/CJO.V9I1.5282","url":null,"abstract":"Objectives Currently in Sri Lanka otorhinolaryngologists are vastly involved in   functional endoscopic sinus surgery (FESS), while transsphenoidal approach to sellar lesions is becoming popular among neurosurgeons. There is a possibility of endoscopic supra sellar, lateral skull base and clival surgery to take off in near future although no sufficient database is available about the anatomical variations of the sphenoid sinuses of Sri Lankans. This research is aimed at filling this deficit. Design and Methods A cross sectional retrospective study of 200 CT scans of 0.5mm intervals of the ‘nose, paranasal sinus and brain” of Sri Lankans who were seen at district general hospital Trincomalee were analyzed. Details were collected regarding pneumatization, sellar budge, protrusion and dehiscence of the walls of maxillary nerve (MN), optic nerve (ON), vidian nerve (VN) and internal carotid artery (ICA) and the different types and attachment of the sphenoid sinus septum. Results We found no conchal pneumatization but 100% of the study population to have presellar area of the sphenoid body pneumatization, 87% to have sellar and 39.5% to have post sellar area of the sphenoid bone pneumatization. Superior extension of pneumatization into anterior clinoid process (ACP) was found among 13.5% and extension in to posterior clinoid process (PCP) in 4.5%. Lateral extension in to opticocarotid recess was found in 60% and pneumatization in to greater wing of sphenoid (GWS) was found in 42% while 13.5% had pneumatization of lesser wing of sphenoid (LWS). Anterior pneumatization extended in to vomer and ethmoid bones and was 25%and 19% respectively. Posterior extension in to clivus was 34.5% while pneumatization extended inferiorly in to pterygoid process in 54.5 %. The sellar bulge was well defined in 75.5% and not so in 24.5%. The Intersinus septum was absent in 0.5% while single Intersinus septum was present in 86.5% and 8% had a transverse septum. 29.5% had multiple Intrasinus septum while 64.5 % had accessory septa. Occurrence of protrusion and dehiscence in optic nerve, maxillary nerve, vidian nerve and internal carotid artery were, 54%, 8.5%, 24.5% and 79% and, 23%, 7%, 14% and 57.5% respectively. Conclusions The sinus anatomy has a racial difference and regional anatomy varies randomly. Posterior, inferior and lateral extensions of pneumatization could make orientation and relative positioning of vital structures confusing. Septal attachments to   vessels and nerves are much higher than appreciated previously. Individual study with greater attention to detail in CT scans is recommended prior to surgery to minimize complications.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123152162","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}