International Journal of Otolaryngology最新文献

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Corrigendum to "Schwann Cell Metabolic Activity in Various Short-Term Holding Conditions: Implications for Improved Nerve Graft Viability". “雪旺细胞在各种短期持有条件下的代谢活性:改善神经移植物活力的意义”的勘误表。
International Journal of Otolaryngology Pub Date : 2024-12-26 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9870507
Insa Janssen, Kerstin Reimers, Christina Allmeling, Stella Matthes, Peter M Vogt, Christine Radtke
{"title":"Corrigendum to \"Schwann Cell Metabolic Activity in Various Short-Term Holding Conditions: Implications for Improved Nerve Graft Viability\".","authors":"Insa Janssen, Kerstin Reimers, Christina Allmeling, Stella Matthes, Peter M Vogt, Christine Radtke","doi":"10.1155/2024/9870507","DOIUrl":"10.1155/2024/9870507","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/2012/742183.].</p>","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2024 ","pages":"9870507"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adenoid Cystic Carcinoma of Salivary Glands: A Ten-Year Review and an Assessment of the Current Management, Surgery, Radiotherapy, and Chemotherapy. 涎腺腺样囊性癌:十年回顾及当前治疗、手术、放疗和化疗的评估。
International Journal of Otolaryngology Pub Date : 2023-01-01 DOI: 10.1155/2023/7401458
Eyad Saleh, Abdouldaim Ukwas
{"title":"Adenoid Cystic Carcinoma of Salivary Glands: A Ten-Year Review and an Assessment of the Current Management, Surgery, Radiotherapy, and Chemotherapy.","authors":"Eyad Saleh,&nbsp;Abdouldaim Ukwas","doi":"10.1155/2023/7401458","DOIUrl":"https://doi.org/10.1155/2023/7401458","url":null,"abstract":"<p><p>Adenoid cystic carcinoma (ACC) is a rare cancer that arises from the salivary glands and other sites in the body, such as the lung and breast. Although the tumor accounts for 10% of all salivary gland malignancies, it only accounts for 1% of head and neck malignancies. It can affect both major and minor salivary glands; here, it is called salivary gland adenoid cystic carcinoma or SACC, with a slight predilection to the latter, and commonly manifests between the 6<sub>th</sub> and 7<sub>th</sub> decades of life. The disease also shows a slight female predilection, with a reported female to male ratio of 3 : 2. Lesions of SACC are often insidious and slow-growing, and symptoms such as pain and altered sensation are frequently associated with advanced stages of the disease. Salivary adenoid cystic carcinoma is characterized by perineural invasion (PNI), a distinctive feature that potentially plays a significant role in the tumor's relapse and recurrence, which is approximately 50%. The disease is not prevalent, and its etiopathogenesis is poorly understood, although several genetic patterns and biomarkers have been linked to its initiation and/or progression. The discovery of these mutations and biomarkers has encouraged several clinical studies to use therapeutic agents to target the specific receptors on the cancer cells to potentially prevent further proliferation of the tumor cells and metastasis of the disease. Diagnosis of SACC is often challenging and frequently requires a combination of clinical examination, imaging, and histopathology. Management of SACC is primarily surgical excision, while radiotherapy has shown to be effective in improving local control in cases with microscopic residual disease. However, treatment of recurrent or metastatic tumors by radiotherapy with or without chemotherapy has so far shown limited success. The aim of this thesis is to provide an update of literature on SACC with a particular focus on the latest management approaches and future trends.</p>","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2023 ","pages":"7401458"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9436401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Pediatric Benign Fibro-Osseous Lesions of the Nose and Paranasal Sinuses: A Tertiary Hospital Experience. 小儿鼻和鼻窦良性纤维骨性病变:三级医院经验。
International Journal of Otolaryngology Pub Date : 2022-08-25 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1608015
Dalia Al Arfaj, Haifa Lafi Alenzi, Ali Almomen, Musab Bakri
{"title":"Pediatric Benign Fibro-Osseous Lesions of the Nose and Paranasal Sinuses: A Tertiary Hospital Experience.","authors":"Dalia Al Arfaj,&nbsp;Haifa Lafi Alenzi,&nbsp;Ali Almomen,&nbsp;Musab Bakri","doi":"10.1155/2022/1608015","DOIUrl":"https://doi.org/10.1155/2022/1608015","url":null,"abstract":"<p><strong>Background: </strong>Pediatric benign fibro-osseous lesions of the nose and paranasal sinuses are considered rare neoplastic entities. These fibro-osseous lesions are difficult to accomplish owing to the multifaceted anatomy of the skull base in addition to the closeness to neurovascular configurations.</p><p><strong>Objective: </strong>The study aimed to study different clinical presentations, radiological manifestations, surgical management, and consequences of different benign fibro-osseous lesions in the pediatric age groups. <i>Methods and Settings</i>. This is a case series study of a single-center experience.</p><p><strong>Results: </strong>Four different cases were presented and discussed (osteoma, fibrous dysplasia, and ossifying fibroma.</p><p><strong>Conclusion: </strong>We reported four different cases of osteoma, ossifying fibroma, and fibrous dysplasia. All of these cases were managed endoscopically with no postoperative complications. Endoscopic management is considered highly effective with reduced morbidity. Preoperative radiographic studies are highly essential for diagnosis and operative planning.</p>","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":" ","pages":"1608015"},"PeriodicalIF":0.0,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40348263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CBCT Assessment of Ethmoid Roof Variations through Keros, Gera, and TMS Classifications. 通过Keros, Gera和TMS分类的CBCT评估筛顶变异。
International Journal of Otolaryngology Pub Date : 2022-08-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3708851
Mina Mahdian, Mitra Karbasi Kheir
{"title":"CBCT Assessment of Ethmoid Roof Variations through Keros, Gera, and TMS Classifications.","authors":"Mina Mahdian,&nbsp;Mitra Karbasi Kheir","doi":"10.1155/2022/3708851","DOIUrl":"https://doi.org/10.1155/2022/3708851","url":null,"abstract":"<p><strong>Background: </strong>This study is designed to assess the variations of the ethmoid roof through the Keros, Gera, and Thailand-Malaysia-Singapore (TMS) classifications by means of Cone-Beam Computed Tomography (CBCT).</p><p><strong>Materials and methods: </strong>372 CBCT scans were reviewed. The depth of the olfactory fossa (OF) was defined by the height of the lateral lamella (LL). The degree of the angle formed by the LL and the continuation of the horizontal plane passing through the cribriform plate was calculated. The risk of injury to the skull base was assessed by TMS classification.</p><p><strong>Results: </strong>The distribution of Keros types 1, 2, and 3 was 20.43%, 66.26%, and 13.31%, respectively. No significant difference was seen in the Keros classification among males and females, and asymmetry in the depth of the cribriform plate was seen in 33.3% of patients. 29.57% of the cases had type I, 61.42% had type II, and 9.01% had type III of Gera classification. 33.9% of the patients had asymmetry in the Gera classification. There was not significant difference in the Gera classification among males and females. 95.43%, 4.17%, and 0.40% of patients were of types 1, 2, and 3 of TMS classification, respectively.</p><p><strong>Conclusion: </strong>The most prevalent variations of the ethmoid roof were Keros type II, Gera type II, and TMS type 1. Although the prevalence of the dangerous types (Keros type 3, Gera type III, and TMS type 3) was low, preoperative assessment is essential in reducing surgical complications. CBCT is beneficial in evaluating these variations due to its low radiation dose.</p>","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":" ","pages":"3708851"},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Magnitude and Factors Associated with Refer Results of Newborn Hearing Screening at Academic Tertiary Level Hospital, Addis Ababa, Ethiopia. 埃塞俄比亚亚的斯亚贝巴三级医院新生儿听力筛查转诊结果的大小和相关因素
International Journal of Otolaryngology Pub Date : 2022-07-07 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1977184
Haben Birhane Werkineh, Uta Fröschl, Wale Limeneh Gellaw, Fantu Lombamo Untiso, Lense Gelaneh Negash
{"title":"Magnitude and Factors Associated with Refer Results of Newborn Hearing Screening at Academic Tertiary Level Hospital, Addis Ababa, Ethiopia.","authors":"Haben Birhane Werkineh,&nbsp;Uta Fröschl,&nbsp;Wale Limeneh Gellaw,&nbsp;Fantu Lombamo Untiso,&nbsp;Lense Gelaneh Negash","doi":"10.1155/2022/1977184","DOIUrl":"https://doi.org/10.1155/2022/1977184","url":null,"abstract":"<p><strong>Background: </strong>Hearing impairment is a leading cause of disability worldwide. Early identification and early intervention of hearing loss can prevent further disability in the development of speech, language, cognition, and other developmental domains. This study aimed to determine the magnitude and factors associated with the refer results of newborn hearing screening at an academic tertiary hospital.</p><p><strong>Methods: </strong>An institution-based time series cross-sectional study was conducted with a calculated sample size of 368 newborns selected by systemic random sampling from a total of 2087 newborns born in SPHMMC during the study period. Two stage screening protocol was conducted using Transient Evoked Otoacoustic Emission (TEOAE) on the first, followed by TEOAE and Auditory Brainstem Reflex (ABR) as a second stage for newborns with refer results. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 26.0. Bivariate and multivariate analyses between dependent and independent variables were performed using binary logistic regression with a significance level of <i>P</i> value <0.05.</p><p><strong>Result: </strong>Of the total sample size of 368 newborns, 62% (228) passed the first TEOAE and 38% (140) yielded refer results. From 121 who came for follow-up screening (6-28 days), 49.5% (60) passed the second TEOAE and 50.5% (61) had refer results. AABR screening of 61 newborns yielded pass in 11.5% (7) and refer result in 88.5% (54) newborns. Noise (AOR= 4.746, 95% CI 2.505-8.992, <i>P</i> < 0.001), vernix caseosa (AOR= 19.745, 95% CI 9.057-43.043, <i>P</i> < 0.001), and very low birth weight (AOR= 4.338, 95% CI 1.338-14.067, <i>P</i>=0.015) were found to be significantly associated with the refer rate of the first TEOAE test. Noise (AOR 39.445, 95% CI 5.974-260.467, <i>P</i> < 0.001) and neonatal jaundice (AOR 21.633, 95% CI 1.540-303.994, <i>P</i>=0.023) were significantly associated with the follow-up screening refer result of TEOAE. Repeat TEOAE has decreased the refer rate from 38.0% (140/368) to 17.5% (61/349), 19 of which were lost to follow-up. AABR has decreased the overall refer rate from 17.5% to 15.5% (54/349).</p><p><strong>Conclusion: </strong>This study shows a significant number of newborns (15.5%) who need diagnostic audiologic work-up and may need intervention. Vernix caseosa and noise are avoidable factors, but newborns with jaundice and very low birth weight should be sent to ENT for screening.</p>","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":" ","pages":"1977184"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9596266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40454118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Unilateral Sensorineural Hearing Loss on Quality of Life of Sub-Himalayan Population 单侧感觉神经性听力损失对亚喜马拉雅地区人群生活质量的影响
International Journal of Otolaryngology Pub Date : 2022-05-31 DOI: 10.1155/2022/8304639
Rachit Sood, S. Varshney, K. Gupta, Nongthombam Surjalata Devi, Narendra Kumar, A. Tyagi, Amit Kumar
{"title":"The Impact of Unilateral Sensorineural Hearing Loss on Quality of Life of Sub-Himalayan Population","authors":"Rachit Sood, S. Varshney, K. Gupta, Nongthombam Surjalata Devi, Narendra Kumar, A. Tyagi, Amit Kumar","doi":"10.1155/2022/8304639","DOIUrl":"https://doi.org/10.1155/2022/8304639","url":null,"abstract":"Introduction Unilateral Sensorineural Hearing Loss (USNHL) is an age-old known entity. Patients with USNHL lack the merits of binaural hearing, i.e., temporal summation, sound localization, and speech recognition in a noisy environment. The lack of binaural hearing affects such individuals' quality of life (QOL). The present study is the most extensive Indian series related to QOL in USNHL patients. Objectives This study aims to assess the impact of USNHL on the QOL of patients in the state of Uttarakhand. Methods A cross-sectional study was carried out at a tertiary care center in Uttarakhand over a period of 18 months, from January 2018 to July 2019. A total of 115 patients with pure USNHL were evaluated using a validated questionnaire—Hearing Handicap Inventory for Adults-Hindi (HHIA-H). Results In our study, patients with higher HHIA-H scores were male, young adults (age group 18–30 years), students, and laborers. Most of our patients (64%) had significant handicaps, followed by moderate handicaps in 25%. However, no significant correlation of degree of handicap was seen with age, duration, and degree of hearing loss. Conclusion USNHL can lead to a significant handicap that can severely affect the emotional and social aspects of life. Thus, early diagnosis and rehabilitation are essential to prevent handicap and uplift QOL in patients with USNHL. This trial is registered with Clinical Trials Registry of India (CTRI reg. no. CTRI/2018/06/014396).","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49544262","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
Sex-Related Differences in Outcomes for Oropharyngeal Squamous Cell Carcinoma by HPV Status HPV状态对口咽鳞状细胞癌预后的性别差异
International Journal of Otolaryngology Pub Date : 2022-05-02 DOI: 10.1155/2022/4220434
Derek D. Kao, R. Ferrandino, D. Marshall, T. Mutetwa, B. Miles, J. Bauml, K. Sigel
{"title":"Sex-Related Differences in Outcomes for Oropharyngeal Squamous Cell Carcinoma by HPV Status","authors":"Derek D. Kao, R. Ferrandino, D. Marshall, T. Mutetwa, B. Miles, J. Bauml, K. Sigel","doi":"10.1155/2022/4220434","DOIUrl":"https://doi.org/10.1155/2022/4220434","url":null,"abstract":"Background Overall survival for HPV-associated oropharyngeal squamous cell carcinoma (OPSCC) has differed by sex, but little is known regarding cancer-specific outcomes. We assessed the independent association of sex with cancer-specific survival in patients with HPV-associated oropharyngeal squamous cell carcinoma (OPSCC). Methods We identified 14,183 patients from the Surveillance, Epidemiology, and End Results (SEER) program with OPSCC and tumor HPV status. We used Kaplan–Meier methods to compare overall survival (OS) and OPSCC-specific survival (HNCSS) by patient sex and by tumor HPV status. We then separately fit multivariable survival and competing risk models evaluating the association of sex on these outcomes by tumor HPV status and stratified by the use of guideline-concordant OPSCC treatment. Results A total of 10,210 persons with HPV-positive tumors (72.0%) and 3,973 with HPV-negative tumors (28.0%) were identified. A larger proportion of women had HPV-negative tumors (24.0%) versus HPV-positive tumors (13.2%; p < 0.001). Women with HPV-positive tumors were less likely to receive guideline-concordant treatment compared to men. In unadjusted survival analyses, women did not differ in OS or HNCSS compared to men for HPV-positive tumors but had worse OS and HNCSS for HPV-negative tumors. After adjustment, men and women with HPV-positive OPSCC did not differ in OS or HNCSS. However, women with HPV-negative tumors faced worse overall survival (hazard ratio (HR) 1.15, 95% CI 1.02–1.29) that persisted even after stratifying for stage-appropriate treatment (HR 1.28, 95% CI 1.11–1.47). Conclusions Women with HPV-positive OPSCC had similar survival outcomes compared to men, but those with HPV-negative tumors have worse overall and cancer-specific survival.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46381554","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
The Endonasal Endoscopic Approach to Different Sinonasal Fungal Balls 不同鼻窦真菌球的鼻内内镜入路
International Journal of Otolaryngology Pub Date : 2022-03-22 DOI: 10.1155/2022/6721896
Ali Almomen, H. Albaharna, A. AlGhuneem, Batool Z AlZahir
{"title":"The Endonasal Endoscopic Approach to Different Sinonasal Fungal Balls","authors":"Ali Almomen, H. Albaharna, A. AlGhuneem, Batool Z AlZahir","doi":"10.1155/2022/6721896","DOIUrl":"https://doi.org/10.1155/2022/6721896","url":null,"abstract":"Background Fungal ball sinusitis is a sinonasal fungus ball that usually affects immunocompetent adults with female predominance. The most affected sinus is the maxillary sinus. Aspergillus species is the most typically found fungus. Computed tomography (CT) scan is the gold standard tool in order to diagnose fungal ball sinusitis. The ultimate method for a fungal ball is functional endoscopic sinus surgery (FESS), which has a high success rate and a low morbidity rate. Objective This study aims to demonstrate the various clinical presentations of fungal ball sinusitis including isolated maxillary sinus, sphenoid sinus, simultaneous occurrence of maxillary and sphenoid fungal ball, and post endonasal endoscopic pituitary surgery fungal ball with various age groups. Also, this study aims to emphasize the importance of early diagnosis and treatment in such cases. Patients and Methods. A retrospective study that was carried in the otorhinolaryngology department of two hospitals: King Fahad Specialist Hospital and Qatif Central Hospital, Eastern Region, Saudi Arabia. The study was conducted on a total of 16 patients who were diagnosed with paranasal sinuses fungal ball in an 11-year period from January 2008 and November 2019. Results Out of 16 patients with paranasal sinuses fungal ball, 11 cases were female and 5 males, with age ranging between 16 and 46 years. Results showed eight isolated sphenoid (50%), six isolated maxillary fungal ball (38%), one simultaneous occurrence of the sphenoid and maxillary fungal ball (6%), and one post endonasal endoscopic pituitary surgery for pituitary adenoma (6%). CT scan was performed for all 16 cases which is the standard tool for the diagnosis of the fungal ball. Conclusion Fungal ball may present with variety of symptoms but most commonly with postnasal discharge (PND), headache, and facial pain. CT sinuses is the diagnostic radiological modality to confirm the diagnosis. The FESS functional endoscopic sinus surgery is the gold safe approach for patients with fungal ball to manage their symptoms, confirm the diagnosis, and removal of disease with no morbidities.","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2022 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42316102","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: 1
The Effect of Subcutaneous Dexamethasone to Reduce Edema and Ecchymosis in Rhinoplasty Patients. 地塞米松对鼻整形患者减少水肿和瘀斑的作用。
International Journal of Otolaryngology Pub Date : 2022-02-14 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3054767
Mahboubeh Jafari, Mojtaba Maleki Delarestaghi, Hesam Jahandideh, Shahin Rajaeih, Sara Ghashghaei, David A Wood
{"title":"The Effect of Subcutaneous Dexamethasone to Reduce Edema and Ecchymosis in Rhinoplasty Patients.","authors":"Mahboubeh Jafari,&nbsp;Mojtaba Maleki Delarestaghi,&nbsp;Hesam Jahandideh,&nbsp;Shahin Rajaeih,&nbsp;Sara Ghashghaei,&nbsp;David A Wood","doi":"10.1155/2022/3054767","DOIUrl":"https://doi.org/10.1155/2022/3054767","url":null,"abstract":"<p><strong>Background: </strong>Rhinoplasty is one of the most common types of cosmetic surgery undertaken. In most rhinoplasty patients, an osteotomy is used to reshape the nasal pyramid. The most common complications following osteotomy are edema and ecchymosis. Edema and ecchymosis have a significant effect on a patients' satisfaction with surgery and their return to social activities. For this purpose, various methods have been used to reduce edema and ecchymosis, including intravenous injection of corticosteroids, cold compresses, and tranexamic acid.</p><p><strong>Objective: </strong>To reduce edema and ecchymosis in rhinoplasty patients by administering a subcutaneous injection of dexamethasone and thereby prevent unwanted systemic side effects of corticosteroid treatments.</p><p><strong>Method: </strong>We conduct a hospital-based nonrandomised study of rhinoplasty patients, with their informed consent treated over the course of one year. Dexamethasone was injected on one side of consenting patient's face immediately before surgery and the results were compared with the opposite side that was not injected. The face images of patients were taken on the front view on the first, third, seventh, and fourteenth days following the treatment. The grade of edema and ecchymosis encountered in each patient was determined by three ENT specialists. The degree of edema and ecchymosis was compared on the injected and noninjected sides and the findings were statistically analysed. The nonrandomised study considered 42 rhinoplasty patients. The mean age of patients was 27.9 years and their age ranged between 17 and 52 years. For 20 patients (47.6%), injection was performed on the right side, and for 22 patients (52.3%), injection was performed on the left side. <i>Findings</i>. The statistical analysis of patient outcomes reveals that a supraperiosteal injection of dexamethasone was not effective in reducing edema and ecchymosis after rhinoplasty.</p>","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2022 ","pages":"3054767"},"PeriodicalIF":0.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8860562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39823378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Endoscopic Management of Different Pediatric Frontal Sinus Pathologies. 不同小儿额窦病变的内窥镜治疗。
International Journal of Otolaryngology Pub Date : 2022-02-10 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1078178
Ali Almomen, Zainab Alshuhayb, Hussain Alsheef, Salma Alhammad, Balsam Alawami, Amirah Aldhurais, Hussain Almulla, Zahra Almoumen, Sarah Alkishi
{"title":"The Endoscopic Management of Different Pediatric Frontal Sinus Pathologies.","authors":"Ali Almomen, Zainab Alshuhayb, Hussain Alsheef, Salma Alhammad, Balsam Alawami, Amirah Aldhurais, Hussain Almulla, Zahra Almoumen, Sarah Alkishi","doi":"10.1155/2022/1078178","DOIUrl":"10.1155/2022/1078178","url":null,"abstract":"<p><strong>Background: </strong>The paranasal sinuses in pediatrics can harbor a wide variety of pathologies. With the present literature being composed of case studies only, this entity is quite understudied.</p><p><strong>Objectives: </strong>This article aims to study the clinical presentation, diagnosis, and endoscopic management of six different rare frontal sinus pathologies in pediatrics, which include extensive allergic fungal sinusitis, mucoceles, osteoma, superior sagittal sinus thrombosis, CSF leak, and subdural empyema.</p><p><strong>Methods: </strong>We retrospectively studied all pediatric patients with frontal sinus pathologies presenting to our center, King Fahad Specialist Hospital, Dammam, Saudi Arabia, from the period of 2006 to 2020.</p><p><strong>Results: </strong>A total of 8 patients presented to our hospital with different frontal sinus pathologies. 5 of them were males, and 3 were females with an age of presentation ranging from 7 to 17 years. The diagnosis and localization were performed through computerized tomography without contrast and magnetic resonance imaging, when indicated. All cases were primarily managed with endonasal endoscopic approaches successfully without complications and with no recurrence evident upon follow-up.</p><p><strong>Conclusion: </strong>In this case series, six different frontal sinus pathologies were managed by an endoscopic approach, with excellent recovery and no recurrence upon follow-up demonstrated. This approach enabled excellent visualization of the pathologies, accurate localization, adequate drainage, and repair or grafting when needed.</p>","PeriodicalId":32361,"journal":{"name":"International Journal of Otolaryngology","volume":"2022 ","pages":"1078178"},"PeriodicalIF":0.0,"publicationDate":"2022-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8853819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39938781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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