Ceylon Journal of Otolaryngology最新文献_第8页

Juvenile nasal angiofibroma (JNA) - review of management with a special focus on surgical approach and resection 青少年鼻血管纤维瘤(JNA) -特别关注手术入路和切除的治疗回顾

Ceylon Journal of Otolaryngology Pub Date : 2020-12-31 DOI: 10.4038/CJO.V9I1.5300

A. Drahaman, S. Sharma, M. Lakshan

引用次数: 0

Maxillary swing approach - Sri Lankan experience 上颌挥拍入路-斯里兰卡经验

Ceylon Journal of Otolaryngology Pub Date : 2020-12-31 DOI: 10.4038/CJO.V9I1.5306

R. Dayasena, W. S. S. Wickramanayaka

{"title":"Maxillary swing approach - Sri Lankan experience","authors":"R. Dayasena, W. S. S. Wickramanayaka","doi":"10.4038/CJO.V9I1.5306","DOIUrl":"https://doi.org/10.4038/CJO.V9I1.5306","url":null,"abstract":"Introduction: The maxillary swing approach is one of the trans maxillary surgical approach techniques used in otorhinolaryngology. It gives wide exposure to the nasopharynx, orbital apex, sphenoid sinus pterygopalatine fossa, infra temporal fossa and middle cranial base. This enables en bloc resections of tumour and proper visualization. Objectives: To study patients who underwent this procedure during the last five years with regard to indication, technique, and complications. To compare our patient outcomes with the published literature. To identify the factors leading to complications with recommendations to reduce them in the future. Methods: Retrospective analytical study was done on patients operated from 2015 to 2020 at the ENT Unit C of the National Hospital of Sri Lanka (NHSL). Results: A total of 14 patients underwent maxillary swing approach during the study period. The most common indication was angiofibroma. About 28% had an unacceptable scar following the surgery, which was the most occurring complication while 2 patients had recurrences during this period. Conclusion: Maxillary swing is a useful surgical approach with no major complications in our series. Commonest complication was an unacceptable scar (28%). Other complications were palatal fistula and nasal speech. It is postulated that further refinement of the technique will reduce these complications.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"5 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":"122072105","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

An evaluation of paranasal sinusitis related vertigo and nape Pain 鼻窦炎相关眩晕和颈背疼痛的评价

Ceylon Journal of Otolaryngology Pub Date : 2020-12-31 DOI: 10.4038/CJO.V9I1.5298

K. Seevaratnam

引用次数: 0

Endoscopic Ear Surgery - A Single Unit Sri Lankan Experience 内窥镜耳部手术-斯里兰卡的单一单元体验

Ceylon Journal of Otolaryngology Pub Date : 2019-12-28 DOI: 10.4038/cjo.v8i1.5287

M. Lakshan

{"title":"Endoscopic Ear Surgery - A Single Unit Sri Lankan Experience","authors":"M. Lakshan","doi":"10.4038/cjo.v8i1.5287","DOIUrl":"https://doi.org/10.4038/cjo.v8i1.5287","url":null,"abstract":"Introduction: Endoscopic Ear Surgery was introduced in the 1980s and has gained popularity worldwide. Superior view, better access to difficult corners of the middle ear, and better ergonomics have been cited as the reasons for its success. It's a very well-established approach for managing ear cases. We are presenting our experience herewith. Objectives: To assess efficacy of endoscopic ear surgery in local setting Methods Otologic surgical patients attending Nawaloka ENT unit were selected for endoscopic approach with the sole exclusion criteria of extensive cholesteatoma. Data collected using a digital portfolio system. Patients were followed up at 1 week, 2 weeks 1 month and 2 months. Period of study was from March 2017 to December 2019. Results Total number of cases 92 (Myringoplasty 59, Mastoid exploration 17, Excision of Glomus Tympanicum 2, Stapedectomy 2, Excision of osteoma 2, Myringotomy and grommet insertion 10) In suppurative ear cases a success rate (as defined by dry ear without residual perforation) of 72/76 (94.7%) was achieved. Grommet insertions were done without difficulty and all cases had in situ grommets at follow up. A Stapedectomy patient had a closed air bone gap. One glomus tumour excision had a residual perforation, the other no complications. Conclusions Endoscopic ear surgery is an excellent method of attending to ear pathologies. With time and future developments, it might become the mainstay method of ear surgery.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128445825","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

Transsphenoidal hypophysectomy surgery 经蝶窦垂体切除术

Ceylon Journal of Otolaryngology Pub Date : 2019-12-28 DOI: 10.4038/cjo.v8i1.5286

R. Dayasena, H. Kularathne, J. Jayalath

{"title":"Transsphenoidal hypophysectomy surgery","authors":"R. Dayasena, H. Kularathne, J. Jayalath","doi":"10.4038/cjo.v8i1.5286","DOIUrl":"https://doi.org/10.4038/cjo.v8i1.5286","url":null,"abstract":"Objective The aim of this study was to systematically collect data of patients undergoing transsphenoidal hypophysectomy and analyse with regard to clinical presentation, short and long term complications and demographic details. Methods This is a prospective study of transsphenoidal pituitary surgery at National Hospital Sri Lanka from May 2013 to August 2019. 108 patients who underwent transsphenoidal hypophysectomy for pituitary tumours were included. All the patients who underwent the procedure for the first time and for revision surgery were included in the study. Results Out of 108 patients, there were 87 primary cases and 21 revision cases. The average age at presentation was 45.39 years. The youngest patient was 2 years and 6 months old while the oldest was 76 years. 55 patients were male and 53 patients were female. The most common complaint at presentation was headache which affected 36 patients (33.3%). The visual disturbance was the second most common presentation, occurring in 32 individuals (29.6%). 103 patients out of 108 have been operated using trans-nasal transseptal approach and rest (5) by trans labial transseptal method. The mean postoperative hospital stay was 9.8 days (range 3-17 days). The mean follow-up period was 35.7 months (range 3-75). 6 patients had died during the follow up period and 23 patients had defaulted follow up. Postoperative CSF leak occurred in 8 patients (7.4%) and anosmia was noted in 6 patients (5.5%). Conclusion Microscopic transsphenoidal pituitary is a safe and effective treatment for pituitary tumours, and the commonest complication is CSF leak. Anosmia is one of the complications of this procedure.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126847887","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

Role of fine-needle aspiration cytology & ultrasound in the management of solitary thyroid nodule 细针穿刺细胞学和超声在孤立性甲状腺结节治疗中的作用

Ceylon Journal of Otolaryngology Pub Date : 2019-12-28 DOI: 10.4038/cjo.v8i1.5289

D. U. Dantanarayana, M. Sheriff, G. R. Gallage, S. Jayawardana, E. Wickramanayake, W. M. Wijeyananda

{"title":"Role of fine-needle aspiration cytology & ultrasound in the management of solitary thyroid nodule","authors":"D. U. Dantanarayana, M. Sheriff, G. R. Gallage, S. Jayawardana, E. Wickramanayake, W. M. Wijeyananda","doi":"10.4038/cjo.v8i1.5289","DOIUrl":"https://doi.org/10.4038/cjo.v8i1.5289","url":null,"abstract":"Objectives To evaluate the effectiveness of fine-needle aspiration cytology (FNAC) & ultrasound scanning (US) in the diagnosis and management of solitary thyroid nodules. Materials & Methods A retrospective study was carried out on 63 patients who were euthyroid and had a clinically palpable solitary thyroid nodule, who underwent either total or hemi-thyroidectomy, during a period of two years (January 2018 to December 2019) in the ENT unit of a tertiary care hospital in Sri Lanka. All patients with FNAC of Bethesda ≥5 underwent total thyroidectomy. Diagnostic hemi-thyroidectomy was performed only in patients with a FNAC of Bethesda ≤4, irrespective of US suspicious features. Results Mean age was 46.9 years (±13.2). 53(84.1%) patients were females and 10 (15.9%) of them were male. 28(44.4%) patients had histologically proven malignancy while the other 35(55.6%) had benign histology. Sensitivity, specificity, positive predictive values and negative predictive values for FNAC and ultrasound were calculated. Out of 34 patients who underwent diagnostic hemi-thyroidectomy, 12(35%) had to undergo completion surgery due to malignant histology. 58% who underwent completion surgery had suspicious features of malignancy in their pre-op US. Conclusion Both ultrasonography and FNAC are cost-effective, minimally invasive investigations in the diagnosis of malignancy in patients with solitary thyroid nodules. However, there is a notable false negative rate in FNAC; hence it is best to incorporate US findings with FNAC in the decision making process in management of solitary thyroid nodules.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126970015","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: 2

An unusual case of tuberculous otitis media (TB otitis) 结核性中耳炎1例

Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/CJO.V7I1.5264

W. Warnasuriya, S. Rosa, K. D. R. A. Kirihene

引用次数: 0

ENT master class Sri Lanka 斯里兰卡耳鼻喉科大师班

Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/cjo.v7i1.5273

Column Editor

引用次数: 0

Efficacy of voice therapy in patients with puberphonia- a 15-year experience 声音疗法在青春期恐惧症患者中的疗效——一个15年的经验

Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/CJO.V7I1.5267

A. D. Alwis, R. Rupasinghe, I. Kumarasinghe, A. Weerasinghe, R. Perera, C. Jayasuriya

{"title":"Efficacy of voice therapy in patients with puberphonia- a 15-year experience","authors":"A. D. Alwis, R. Rupasinghe, I. Kumarasinghe, A. Weerasinghe, R. Perera, C. Jayasuriya","doi":"10.4038/CJO.V7I1.5267","DOIUrl":"https://doi.org/10.4038/CJO.V7I1.5267","url":null,"abstract":"Background Puberphonia is the perseverance of high pitched voice after the pubertal age in males which causes a huge psychosocial impact. Voice therapy is one modality of management of Puberphonia. Aim The Objective of our study was to evaluate the efficacy of voice therapy in patients as the sole treatment to improve the pitch and quality of voice, the psychosocial impact and patient's satisfaction. Methods A retrospective study was carried out on 71 patients who were presented to ENT unit at the National hospital of Sri Lanka for fifteen years from 2002. Pre and post voice therapy subjective assessment was done by the speech therapist for pitch and quality and patient’s perceptual assessment using an analog scale (0-extremely poor to 10-normal voice) and a psychosocial impact assessment was also done. Results The time duration of voice therapy ranged from 1 to 10 months (average-3.6 months). Pitch and quality of the voice became normal in 78.9% and 35.2% of patients respectively. Pre-therapy perceptual score range(PSR) was 0 to 6 (mean-3.0). Post-therapy PSR was 5 to 10 (mean-7.7). 95.8% patients had improved psychosocial impact and patient satisfaction after voice therapy. Remaining opted for surgical management. Conclusion Voice therapy significantly improves the pitch, patient's satisfaction and psychosocial impact and can be used as an effective modality of treatment for Puberphonia.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129122511","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: 3

Branchial cyst: a diagnosis of exclusion 鳃裂囊肿:排除性诊断

Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/CJO.V7I1.5266

Z. Wazeer, A. Tewary

引用次数: 0