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Ceylon Journal of Otolaryngology最新文献

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Orbital complications of acute rhinosinusitis: a study on clinical profile, surgical management and outcome 急性鼻窦炎的眼眶并发症:临床特征、手术处理和结果的研究
Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/CJO.V7I1.5268
O. Rosa, N. Warnasuriya, R. Kirihene
{"title":"Orbital complications of acute rhinosinusitis: a study on clinical profile, surgical management and outcome","authors":"O. Rosa, N. Warnasuriya, R. Kirihene","doi":"10.4038/CJO.V7I1.5268","DOIUrl":"https://doi.org/10.4038/CJO.V7I1.5268","url":null,"abstract":"Objectives 1. Evaluate the clinical signs and their correlation to Computed Tomography(CT) findings 2. Assess the correlation between CT and intra-operative findings. 3. To identify implicated micro-organisms. 4. Evaluate the current practice in surgical management. Methodology A descriptive retrospective study conducted at Lady Ridgeway Hospital (LRH) on 19 patients who underwent endoscopic sinus surgery, drainage of pus and orbital decompression for radiologically suspected orbital complications of acute rhinosinusitis from 01/01/2015 to 31/12/2018. Results Clinical features were fever (73.7%), peri-orbital swelling (100%), chemosis(68.4%), proptosis(57.9%) and ophthalmoplegia(42.1%). Chemosis and ophthalmoplegia were found in 62% and 37% of the patients with intra-orbital abscesses, with only chemosis showing a statistically significant association. CT was suggestive of subperiosteal abscess or inflammation in all. Intra-operatively abscesses were found in 16 (84.2%). Of these 6 had both subperiosteal and intra-orbital abscesses. Eight had subperiosteal abscesses. Two had only intra-orbital abscesses. The CT scan failed to predict the presence of abscess within the orbital fat in 3 out of 8. The positive predictive value was 89.4% for CT to detect orbital abscesses. An Intra-operative bony defect was noted in 15.8%. The mean surgery duration was 2.04 hours. Cultures revealed MRSA(21.1%), MSSA(15.8%), Pseudomonas(10.5%), mixed growth(10.6%) and Streptococcus viridans (5.3%). Conclusion The commonest presentations were peri-orbital swelling, fever, chemosis. MRSA and pseudomonas being the commonest organism, the appropriate empirical therapy needs further discussion. Endoscopic surgery is safe, reliable and cosmetic. As patients with intra-orbital abscesses may not be detected clinically or radiologically, we recommend routine incision of the orbital periosteum for suspected orbital complications of acute rhinosinusitis when undergoing endoscopic surgery.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"98 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":"124894338","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
Infected branchial cyst excision – the importance of timing and technique 感染性鳃裂囊肿切除术-时机和技术的重要性
Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/CJO.V7I1.5261
A. Paramanayakam, A. Drahaman
{"title":"Infected branchial cyst excision – the importance of timing and technique","authors":"A. Paramanayakam, A. Drahaman","doi":"10.4038/CJO.V7I1.5261","DOIUrl":"https://doi.org/10.4038/CJO.V7I1.5261","url":null,"abstract":"Branchial cysts are the most frequent congenital lesions in the lateral neck. We present a surgical case of a 38-year-old man who visited our clinic with a one-month history of left sided level II neck swelling associated with neck discomfort and left sided otalgia.  Clinical examination revealed a firm yet mobile mass. Both ultrasound scan and CT scan showed a cystic lesion of 5cm x 4cm x 3cm in dimension lying lateral to the carotids without vascular invasion. Planned surgical excision had to be delayed due to cyst infection at the time of surgery for four weeks. Usage of the tonsillar dissector for difficult dissection enabled removal of the cyst without rupture.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"8 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":"130226956","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
Acute epiglottitis in a fully immunized child 完全免疫儿童的急性会厌炎
Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/CJO.V7I1.5263
D. Marasinghe, K. Panditha, J. Jayaweera
{"title":"Acute epiglottitis in a fully immunized child","authors":"D. Marasinghe, K. Panditha, J. Jayaweera","doi":"10.4038/CJO.V7I1.5263","DOIUrl":"https://doi.org/10.4038/CJO.V7I1.5263","url":null,"abstract":"Acute epiglottitis in children became a rare entity after introduction of the conjugate Haemophilus influenzae type b(Hib) vaccine 1 .However, physicians must be aware that epiglottitis may result from vaccine failures or from infection with other pathogenic organisms. Vaccinated children with epiglottitis present in a similar fashion to those who are not vaccinated 2 . The following is a case of a previously healthy and immunized child who presented to paediatric ward and ultimately diagnosed as epiglottitis.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"19 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":"126639548","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
Assessment of head and neck cancer care in District General Hospital Trincomalee 亭可马里区总医院头颈癌护理评估
Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/cjo.v7i1.5269
L. Ekanayake, G. Vasantharajah, P. Alex, K. Priyadarshani, M. K. S. Dharshi, M. Dilrukshi
{"title":"Assessment of head and neck cancer care in District General Hospital Trincomalee","authors":"L. Ekanayake, G. Vasantharajah, P. Alex, K. Priyadarshani, M. K. S. Dharshi, M. Dilrukshi","doi":"10.4038/cjo.v7i1.5269","DOIUrl":"https://doi.org/10.4038/cjo.v7i1.5269","url":null,"abstract":"Objective To compare whether head and neck cancer treatment provided at the district general hospital in Trincomalee is within the international temporal guidelines and if not the necessary measurements needed for improvement. Methodology A Retrospective clinical audit of head and neck cancer care provided in 2016 and a re-audit in 2017 after application of remedial measures identified in the initial audit. Result Patient delay, referral delay, initiationdelay, procedural delay, biopsy delay and treatment delay were minimized to the delays accepted by European guidelines. Conclusion Following the audit, the delays were identified involving all the stakeholders and implementation of an improvement plan done leading to near ideal head & neck cancer care provision.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"21 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":"126549770","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
Dealing with the jugular foramen; a case of dumbbellschwannoma 与颈静脉孔有关;哑铃神经鞘瘤1例
Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/CJO.V7I1.5272
A. Balasubramanium, D. A. D. G. Daminda, R. Rupasinghe, R. Zakeer
{"title":"Dealing with the jugular foramen; a case of dumbbellschwannoma","authors":"A. Balasubramanium, D. A. D. G. Daminda, R. Rupasinghe, R. Zakeer","doi":"10.4038/CJO.V7I1.5272","DOIUrl":"https://doi.org/10.4038/CJO.V7I1.5272","url":null,"abstract":"A 57-year-oldpatient diagnosed witha right glomus jugularae was referred to the ENT unit TH/Anuradhapura for further management. Multi-disciplinary discussion and multi-modality imaging confirmed the diagnosis to be a jugular schwannoma. The Patient underwenttumour excision via a combined petro-occipital trans-sigmoidal approach withclose perioperative monitoring and post-operative rehabilitation.This article discusses the importance of a detailed history, examination and multimodality imaging for correct diagnosis of jugular foramen lesions which governs the selection of the surgical approach.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"19 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":"133035470","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 unusual presentation of a “foreign body in oesophagus” for over 6 months in a child 一个不寻常的“食道异物”的表现超过6个月的儿童
Ceylon Journal of Otolaryngology Pub Date : 2018-12-31 DOI: 10.4038/CJO.V7I1.5271
K. Jayasena, A. D. K. S. N. Yasawardhane, K. D. R. A. Kirihene
{"title":"An unusual presentation of a “foreign body in oesophagus” for over 6 months in a child","authors":"K. Jayasena, A. D. K. S. N. Yasawardhane, K. D. R. A. Kirihene","doi":"10.4038/CJO.V7I1.5271","DOIUrl":"https://doi.org/10.4038/CJO.V7I1.5271","url":null,"abstract":"A 4-year-old male child with a history of chronic cough over 6 months was admitted to ENT unit. He was diagnosed to have a foreign body oesophagus on X-ray chest, which he ingested 6 months ago. He had been treated for cough many times and the diagnosis was made after he under wentoesophagoscopy and bronchoscopy. CT showed an oesophageal foreign body eroding in to the trachea with tracheoesophageal fistula formation. The foreign body was removed via thoracotomy, a 6-hour surgery involving a thoracic surgeon, a paediatric surgeon and an ENT surgeon. The child had an uneventful recovery after 6 days in ICU.","PeriodicalId":311408,"journal":{"name":"Ceylon Journal of Otolaryngology","volume":"8 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":"133556807","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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