{"title":"Prevalence of Diabetes Mellitus and Clinicodemographic Profiles of Patients with Head and Neck Infections in a Philippine Tertiary Government Hospital","authors":"Jesús Santos","doi":"10.32412/PJOHNS.V35I2.1507","DOIUrl":"https://doi.org/10.32412/PJOHNS.V35I2.1507","url":null,"abstract":"Objective: To determine the prevalence of diabetes mellitus among patients admitted for head and neck infections and describe their clinicodemographic features. Methods: Design: Retrospective Case Series Setting: Tertiary Government Training Hospital Participants: Forty-two (42) patients Results: Out of 211 adult patients admitted for head and neck infections during the study period, 42 (20%) were diagnosed to have concomitant diabetes mellitus (DM). Only 6 (14%) were known to have DM before admission while 28 (67%) were found to have DM only after admission. The most common site of infection was the neck (11; 26%). More than half of the patients (24; 57.1%) had infections in the head only, 17 (40.5%) had infections in the neck only, and 1 (2.4%) had infections in both the head and neck regions. Among these, 26 (61.9%) had infection in one site only, 15 (35.7%) had infections in two sites and one (2.4%) had infections in three sites. The majority (28; 66.7%) had an unknown etiology of infection with spontaneous appearance of redness and swelling in the involved area. Six (14.3%) were odontogenic, five (11.9%) were due to skin trauma, and three (7.1%) were due to nasal mucosal trauma. Available cultures in 14 patients revealed 12 (86%) with aerobic microorganisms and two (14%) with anaerobic growths. Half of the aerobic cultures grew K. pneumoniae. All patients were started on empiric intravenous antibiotics and over half of them (52.4%) needed surgical management. More than half (27; 64.3%) suffered from diabetic head and neck-associated complications, categorized into orbital (56%), organ/systemic (26%), local (11%), and neural (7%). Despite these complications, the majority (37, 86%) went home improved while five (12%) expired. Conclusion: This study found that 20% of patients admitted for head and neck infections during the study period had concurrent DM. Guided by known clinicodemographic characteristics, patients admitted with suspicious head and neck infections must be promptly screened for concomitant DM and properly managed before substantial morbidity and death ensue. Otolaryngologists head and neck surgeons, endocrinologists, general practitioners and patients alike must be cognizant of diabetic head and neck infections so that they can be prevented or managed early before complications set in.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"35 1","pages":"27"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44572928","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":"Seasons and Times, Reasons and Rhymes: Di Niyo Ba Naririnig?","authors":"J. F. Lapeña","doi":"10.32412/pjohns.v35i2.1467","DOIUrl":"https://doi.org/10.32412/pjohns.v35i2.1467","url":null,"abstract":"Philippine Medical Association President Dr. Jojo Santiago, Missy and my Central Tagalog Region One Day Family; Singapore Association of Medical Journal Editors President Professor Wilfred Peh and my Singapore family- Mom, Bernie, Miranda, Angie and Lilli; Philippine Association of Medical Journal Editors (PAMJE) President Elect Professor Cecile Maramba – Lazarte and Asawa Ramel, Anak Miggy, Pamangkin Zoe, Tatay Dr. Tomas Maramba and Nanay Professor Emeritus Dr. Nelia Cortez Maramba; my dear PAMJE Colleagues Professors Caster Palaganas and Joseph Quebral and Doctors Phel Esmaquel and Mads Tandoc, PAMJE members and our hardworking Secretariat, Philippine Council for Health Research and Development -Department of Science and Technology (PCHRD-DOST) Director Mel Opeña and Belle Intia, World Health Organization - Western Pacific Region Office (WHO-WPRO) Ms. Alma Prosperoso, guests, friends, ladies and gentlemen: \u0000“It was the best of times, it was the worst of times,it was the age of wisdom, it was the age of foolishness,it was the epoch of belief, it was the epoch of incredulity,it was the season of Light, it was the season of Darkness,it was the spring of hope, it was the winter of despair.” \u0000— Charles Dickens, A Tale of Two Cities1 \u0000Who would have thought that our vision of 2020 had been so blurred, so obscured by rose-colored lenses and peripheral blinders of what we once considered normal, that we were oblivious to the insidious turn of events that continues even today to change our lives and our world? This evening is an example (however small) of that change - originally set for March 16 at Ibarra’s Garden, we are celebrating virtually and remotely from separate venues five months hence. What will today be seen as from the perspective of another five months? \u0000Indeed, the past months have seen the worst of times. We remember our fears and frustrations as we battled an unseen enemy that mercilessly claimed our plans and programs as it killed our friends and colleagues. It was an age of foolishness as we witnessed the unrelenting spread of COVIDIOTS in disbelief and bewilderment. An epoch of incredulity as our scientific expertise and social interventions proved inutile while our so-called leaders failed to lead, engaging in petty pathetic distractions as they selfishly pillaged and plundered our nation and people instead. A depressing season of darkness heralding a cold, cruel winter of despair. \u0000But we did not surrender. As medical professionals and researchers, reviewers and editors, we took up stethoscope and scalpel, pen and paper and patiently plodded on. Informing ourselves with the latest and best evidence (or engaging in research to add to that evidence), we sifted through the “infodemic” to cope with the pandemic as we navigated seemingly-endless zoom meetings and webinars, researched, reviewed or edited and published our findings, and attended to patients. The boundaries between night and day, weekday and weekend, office and home disapp","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41548365","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}
J. P. Magno, Josefino G. Hernandez, D. A. Del Mundo
{"title":"A Case Report of Maxillary Calcifying Epithelial Odontogenic Tumor in a Teenage Girl","authors":"J. P. Magno, Josefino G. Hernandez, D. A. Del Mundo","doi":"10.32412/PJOHNS.V35I2.1511","DOIUrl":"https://doi.org/10.32412/PJOHNS.V35I2.1511","url":null,"abstract":"Result: A 15-year-old girl with a 3-year history of a large Calcifying Epithelial Odontogenic Tumor (Pindborg Tumor) atypically occurring in the posterior maxillary alveolar ridge and compressing the maxillary antrum underwent tumor excision via gingivobuccal approach and curettage of the remaining mucosa in the cavity in consideration of her patient’s aesthetic concerns. No recurrence has been observed two years post-op and she remains asymptomatic on regular follow-up.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"35 1","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47103747","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":"Reconstruction of Large Nasal Alar Squamous Cell Carcinoma Defect Using a Superiorly - Based Nasolabial Flap","authors":"John Cordero","doi":"10.32412/PJOHNS.V35I2.1521","DOIUrl":"https://doi.org/10.32412/PJOHNS.V35I2.1521","url":null,"abstract":"The nasal skin is the most common site of malignancy in the face accounting for as much as 25.5 percent by virtue of its location and propensity for direct exposure to ultraviolet radiation from the sun.1-3 Among the various cutaneous malignancies, basal cell carcinoma is the most common, but other types of cancer such as squamous cell carcinoma, cutaneous malignant melanoma, and basosquamous carcinoma are also common.4 Following surgical resection of a malignant lesion, the defect calls for a reconstructive option that will restore aesthetics and function. We present a squamous cell carcinoma of the nasal alar skin which underwent excision and reconstruction of the defect using a superiorly based nasolabial flap.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"35 1","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43137547","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}
Sherwin N. Agustin, Celso V. Ureta, Natividad A. Almazan
{"title":"A Linguistic Validation Study on the Filipino Dizziness Handicap Inventory","authors":"Sherwin N. Agustin, Celso V. Ureta, Natividad A. Almazan","doi":"10.32412/PJOHNS.V35I2.1517","DOIUrl":"https://doi.org/10.32412/PJOHNS.V35I2.1517","url":null,"abstract":"Objective: To determine the validity and reliability of the Filipino Dizziness Handicap Inventory (FDHI) questionnaire among geriatric patients with dizziness. Methods: Design: Linguistic Validation Setting: Tertiary Government Training Hospital Participants: Twenty-five (25) patients Results: The dizziness handicap inventory was translated into Filipino by a Filipino language specialist and an ENT specialist who are experts in their field. The translated version was easily understood by the 25 geriatric patients with Cronbach α scores of .957 overall [M = 2.16; SD = 1.93]. Sub-domain item-total correlation scores (physical M = 2.6, SD = 1.90, Cronbach α = .860; emotional M = 1.66, SD = 1.84, Cronbach α = .901; and functional M = 2.5, SD = 1.97, Cronbach α = .902) demonstrated validity of the respective subdomains. Conclusion: The Filipino Dizziness Handicap Inventory questionnaire is an internally valid tool for assessment of dizziness among geriatric patients. External validity and reliability can be evaluated in future studies employing corroborative measures and repeated testing.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"35 1","pages":"37"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43583187","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":"Message","authors":"Cecilia Gretchen Navarro – Locsin","doi":"10.32412/pjohns.v35i2.1497","DOIUrl":"https://doi.org/10.32412/pjohns.v35i2.1497","url":null,"abstract":"Greetings! \u0000Research develops several virtues: inquisitiveness, attention to detail, patience, critical thinking and a passion for knowledge. Research should also be relevant and timely. During the past few months, much more than at any period in our lifetime, there has been an explosion of studies, reviews, editorials, and other manuscripts released online or published in peer reviewed journals. Some have been released to the media prior to the actual publication of the complete research. The COVID-19 pandemic has spurred bogus, pseudo and ground-breaking research. But more than anything, the pandemic has motivated everyone to ask questions and to pay more attention to Science. \u0000The Philippine Society of Otolaryngology-Head and Neck Surgery is committed to support all activities related to research. It hosts workshops on medical writing and sponsors the annual interesting case, descriptive, analytical and surgical technique-instrument innovation contests. Its journal, thanks to the indefatigable Editor-in-Chief Dr. Lapeña, publishes papers that contribute to the promotion and enhancement of the practice of otolaryngology. The Society is also grateful to all the contributors, board of editors and peer reviewers who contribute to the journal’s success. We look forward to working again with all of you in the upcoming issues. \u0000Good reading to all!","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42496958","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":"The Relationship of Surgeon Handedness and Experience on Operative Duration and Hearing Improvement in Ipsilateral and Contralateral Otologic Surgeries","authors":"Gillian T. Barzaga","doi":"10.32412/PJOHNS.V35I2.1505","DOIUrl":"https://doi.org/10.32412/PJOHNS.V35I2.1505","url":null,"abstract":"Objective: To determine the relationship of the surgeon handedness and operative site laterality on operative duration and hearing improvement in otologic surgery, and to further explore whether this relationship may be related to surgeon experience. Methods: Design: Retrospective Cohort Setting: Tertiary Private Teaching Hospital Participants: Seventy-three (73) patients aged 18 to 65 years old who underwent primary ear surgery under general anesthesia between January 2016 and December 2019 were retrospectively divided into two groups: 39 contralateral and 34 ipsilateral. The operative durations and hearing improvements were compared using independent t-tests, with consideration of surgeon experience in years further stratifying patients. Results: There was no significant difference in operative duration, t(71) = 1.14, p = .26, between the contralateral (M = 281.95 minutes, SD = 71.82) and ipsilateral (M = 261.15, SD = 79.26) groups. This same pattern was more pronounced among surgeons with 10+ years of experience although there was also no significant difference in operative time, t(33) = 1.31, p = .19 for both ipsilateral and contralateral surgeries There was no statistically significant difference, t(36) = -0.72, p = .47, in overall mean hearing gain among patients in the contralateral (M = +2.22 dB, SD = 10.54) and ipsilateral (M = +5.12 dB, SD = 14.26) groups. Although the difference was also not statistically significant, t(16) = -1.94, p = .07 for contralateral (M = 0.00, SD = 5.43) and ipsilateral (M = +7.95 dB, SD = 11.52) procedures performed by surgeons with experience of 10 years or more, a mean hearing gain of +7 dB in the ipsilateral group compared to 0 dB in the contralateral group was notable. Conclusion: This study did not prove that regardless of surgeon experience, right-handed surgeons operating on the right ear and left-handed surgeons operating on the left ear have better ear surgery outcomes of operative duration and hearing improvement compared to righthanded surgeons operating on the left ear and left-handed surgeons operating on the right ear. Future studies on larger samples with more complete data may yet demonstrate this effect.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"35 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46286939","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":"Contents Vol. 35 No.2 July-December 2020","authors":"Philip J Otolaryngol Head Neck Surg","doi":"10.32412/pjohns.v35i2.1529","DOIUrl":"https://doi.org/10.32412/pjohns.v35i2.1529","url":null,"abstract":"EDITORIAL4 \u0000Seasons and Times, Reasons and Rhymes: Di Niyo Ba Naririnig?Lapeña JFF \u0000ORIGINAL ARTICLES6 \u0000Effectiveness of Levodropropizine on Post-Operative Sore Throat After Endotracheal Intubation for Head and Neck Surgery: A Double-Blind Randomized Controlled TrialDucto IM, Cachuela JE \u000011 \u0000Efficacy of Carragelose® Nasal Spray Impregnated Versus Mupirocin Ointment Impregnated Nasal Packs on Mucosal Healing after Endoscopic Sinus Surgery: A Double-Blind, Non-Randomized, Right-Left Side ComparisonLo JBB, Cruz ETS \u000017 \u0000The Relationship of Surgeon Handedness and Experience on Operative Duration and Hearing Improvement in Ipsilateral and Contralateral Otologic SurgeriesBarzaga GT \u000022 \u0000Assessment of Nasal Airflow and Pain, Safety and Cost of an Improvised Nasal Airway (Nasogastric) Tube After Endoscopic Sinus SurgeryRojo JGC, Ramos RZH \u000027 \u0000Prevalence of Diabetes Mellitus and Clinicodemographic Profiles of Patients with Head and Neck Infections in a Philippine Tertiary Government HospitalSantos JM \u000032 \u0000Head and Neck Symptoms as Predictors of Outcome in Tetanus PatientsCarlos-Hiceta AC, Carrillo RJD, Lapeña JFF \u000037 \u0000A Linguistic Validation Study on the Filipino Dizziness Handicap InventoryAgustin SN, Ureta CV, Almazan NA \u0000CASE REPORTS \u000041 \u0000Blindness from Fungal Rhinosinusitis of the Paranasal Sinuses: A Case Reportde Jesus DRT, Estolano PJL \u000044 \u0000Endoscopic Management of a Large Tornwaldt Cyst: A Case ReportEspinosa WZ, David MJC \u000048 \u0000A Case Report of Maxillary Calcifying Epithelial Odontogenic Tumor in a Teenage GirlMagno JPM, Hernandez JG, del Mundo DAA \u0000PRACTICE PEARLS51 \u0000On the Importance of Proper Window and Level Settings in Temporal Bone CT ImagingYang NW \u0000FEATURED GRAND ROUNDS55 \u0000Reconstruction of a Large Nasal Alar Squamous Cell Carcinoma Defect Using a Superiorly-Based Nasolabial FlapCordero JCB \u0000UNDER THE MICROSCOPE59 \u0000Odontogenic KeratocystCarnate JM \u0000LETTER TO THE EDITOR61 \u0000“The Laryngectomee Guide” Philippine EditionBrook I","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48453185","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":"Head and Neck Symptoms as Predictors of Outcome in Tetanus Patients","authors":"Angeli Carlos-Hiceta, R. Carrillo, J. F. Lapeña","doi":"10.32412/PJOHNS.V35I2.1519","DOIUrl":"https://doi.org/10.32412/PJOHNS.V35I2.1519","url":null,"abstract":"Objective: This study aims to investigate which, if any head and neck symptoms (trismus, dysphagia, alterations in speech or facial movements, and dyspnea) might be good predictors of outcomes (mortality, tracheostomy, discharged, decannulated) and prognosis of tetanus patients. Methods: Design: Retrospective Cohort Study Setting: Tertiary National University Hospital Patients: Seventy-three (73) pediatric and adult patients diagnosed with tetanus and admitted at the emergency room of the Philippine General Hospital between January 1, 2013 and December 31, 2017. Demographic characteristics, incubation periods, periods of onset, routes of entry, head and neck symptoms, stage, and outcomes were retrieved from medical records and analyzed. Results: Of the 73 patients included, 53 (73%) were adults, while the remaining 20 (27%) were pediatric. The three most common head and neck symptoms were trismus (48; 66%), neck pain/ rigidity (35; 48%), and dysphagia to solids (31; 42%). Results of multivariate logistic regression analysis showed that only trismus (OR = 3.742, p = .015) and neck pain/ rigidity (OR = 4.135, p = .015) were significant predictors of decannulation. No dependent variable/symptoms had a significant effect in predicting discharge and mortality. Conclusion: Clinically diagnosed tetanus can be easily recognized and immediately treated. Most of the early complaints are head and neck symptoms that can help in early diagnosis and treatment resulting in better prognosis. In particular, trismus and neck pain/rigidity may predict the outcome of decannulation after early tracheotomy, but not of discharge and mortality.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"35 1","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43609804","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":"Assessment of Nasal Airflow and Pain, Safety and Cost of an Improvised Nasal Airway (Nasogastric) Tube After Endoscopic Sinus Surgery","authors":"J. Rojo, Rachel Zita H. Ramos","doi":"10.32412/PJOHNS.V35I2.1509","DOIUrl":"https://doi.org/10.32412/PJOHNS.V35I2.1509","url":null,"abstract":"Objective: To compare subjective nasal airflow and overall pain score (as well as safety and added cost of ) using an improvised nasal airway tube (nasogastric tube) versus nasal packing after endoscopic sinus surgery (ESS) for chronic rhinosinusitis with nasal polyposis (CRSwNP). Methods: Design: Quasi Experimental Prospective Cohort Study Setting: Tertiary Government Training Hospital Participants: Twenty-six (26) consecutive patients aged 18 to 77 years old diagnosed with CRSwNP who underwent ESS were alternately assigned to an experimental group (A) of 13, where an improvised nasal airway (nasogastric) tube was placed in addition to the nasal pack or a control group (B) of 13 with nasal packing alone. Results: There was a significant difference in subjective nasal airflow between experimental (A) and control (B) groups during the immediate postoperative period where the mean subjective airflow was 8.07 and 0.00 over 10.00, respectively. No significant difference was noted between the groups in terms of age, gender, severity of polyposis and overall pain score. No complications such as bleeding, Toxic Shock Syndrome, vestibular or alar injury and septal necrosis were noted immediately post-op and after one week follow-up in both groups. An approximate cost of PhP 25 was added to group A. Conclusion: An improvised nasal airway using a nasogastric tube provides adequate airflow without additional pain in the immediate postoperative period. It is safe to use and an affordable option for patients in need of nasal airway stents residing in areas where a preformed nasal packing with incorporated tube stent is not available.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"35 1","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41479378","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}