Philippine Journal of Otolaryngology Head and Neck Surgery最新文献

{"title":"Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case Report","authors":"Kathleen Kay Yambot, Neil Aldrine Peñaflor","doi":"10.32412/pjohns.v37i2.2035","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2035","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000ABSTRACTObjective: To report a case of multifocal pediatric tuberculosis presenting with mandibular swelling and discuss its etiology, clinical findings, diagnosis, management, and outcome after treatment. \u0000 \u0000 \u0000 \u0000 \u0000Methods: \u0000Design: Case Report \u0000Setting: Tertiary Government Training Hospital \u0000Patient: One \u0000 \u0000 \u0000 \u0000 \u0000Results: A 3-year-old boy presented with progressive non-tender, right mandibular swelling for 11 months. Panoramic X-ray exhibited extensive multiple loculations with lytic changes on the mandible. CT Scans revealed a peripherally enhancing hypodense mass with lytic expansion of the right mandibular angle extending across the left mandibular body with an incidental finding of right lung mass. Other extrapulmonary lesions were also detected involving the scapula, pleura with lysis of the adjacent ribs at the level of T7 and T8. Biopsy of the mandibular and lung mass confirmed the presence of caseating and non-caseating granulomas consistent with Koch’s infection. The patient showed significant improvement by the 7th month of a 12-month course of anti-tuberculous therapy. \u0000 \u0000 \u0000 \u0000 \u0000Conclusion: Multifocal TB can present as simple mandibular swelling, and a thorough workup should look for other involved sites. Early diagnosis in children may prevent debilitating sequelae and improve long-term treatment outcomes. \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43171160","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. 37 No.2 July-December 2022","authors":"Philipp J Otolaryngol Head Neck Surg","doi":"10.32412/pjohns.v37i2.2043","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2043","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000EDITORIAL \u00004 \u0000Truth and Transparency, Compromise and Climate Change \u0000Lapeña JFF \u0000  \u0000 \u0000 \u0000 \u0000 \u0000GUEST EDITORIAL \u00006 \u0000COP27 Climate Change Conference: Urgent Action Needed for Africa and the World \u0000Atwoli L, Erhabor GE, Gbakima AA, Haileamlak, A, Kayembe Ntumba JM, Kigera J, Laybourn-Langton L, Mash R, Muhia J, Mulaudzi FM, Ofori-Adjei D, Okonofua F, Rashidian A, El-Adawy M, Sidibé S, Snouber A, Tumwine J, Yassien MS, Yonga P, Zakhama L, Zielinski C \u0000ORIGINAL ARTICLES \u00008 \u0000Hearing and Clinical Otologic Profile of Filipinos Living in Southern Tagalog Region IV-A (CALABARZON), Philippines: The Southern Tagalog ENT Hearing Specialists (STENTS) Survey 2012-2017 \u0000Pardo PJM, Niñal-Vilog A, Acuin JM, Calaquian CME, Onofre- Telan RDC \u000016 \u0000The Complete and Two-Turn Cochlear Duct Length Among Filipinos \u0000Kasilag RMA, Aquino-Diaz K \u000020 \u0000Quality of Life Among SARS-CoV-2 (COVID-19) Positive Patients with Anosmia Using the Short Version Questionnaire of Olfactory Disorders - Negative Statements Translated in Filipino (sQOD-NS Ph) \u0000Mallari-Bernarte A, Cruz ETS \u000026 \u0000Quality of Sleep Among Shift Work Nurses at the Baguio General Hospital: A Pilot Cross-Sectional Study \u0000Andaya KES \u000030 \u0000Initial Outcomes of Endoscopic CO2 Laser Posterior Cordectomy and Partial Arytenoidectomy Among Patients with Bilateral Vocal Cord Paralysis: A Case Series \u0000Velasco KJS, de la Cruz APC, Carrillo RJD, Madrid DAD \u000034 \u0000A New Extraoral Closed Reduction Technique for Temporomandibular Joint Dislocation: A Preliminary Case Series \u0000Sangalang MB, Gansatao FM, Dizon APJE, Onofre-Telan RDC \u0000  \u0000CASE REPORTS \u000038 Airway Obstruction from Intralaryngeal Extension of Thyroglossal Duct Cyst in an Elderly Man: A Case Report \u0000Contreras GS, Lingan MB \u000042 \u0000Multifocal Tuberculosis Presenting as Mandibular Swelling in a 3-Year-Old Boy: A Case Report \u0000Yambot KKK, Peñaflor NAI \u0000SURGICAL INNOVATIONS AND INSTRUMENTATION \u000046 \u0000A Makeshift Blue Light Filter for Endoscopic Identification of Traumatic Cerebrospinal Fluid Leak Using Fluorescein Edora BDE, Chua RU, \u0000Estolano PJL \u0000FEATURED GRAND ROUNDS \u000050 \u0000Hearing Loss from S. Suis Meningitis in a Middle-Aged Couple \u0000Martinez NV, Hosojima MS \u0000  \u0000FROM THE VIEWBOX \u000053 \u0000Can I Diagnose a Vestibular Schwannoma Using Non-Contrast Imaging? \u0000Yang NW \u0000  \u0000UNDER THE MICROSCOPE \u000055 \u0000Intercalated Duct Adenoma of the Parotid Gland \u0000Aquino JB, Carnate JM \u0000  \u0000LETTERS TO THE EDITOR \u000057 \u0000Otitic Hydrocephalus or Obstructive Hydrocephalus? \u0000Yang NW \u0000  \u000058 \u0000Response from the Authors \u0000Plumo CGT, Cruz ETS \u0000  \u0000CAPTOONS \u000060 \u0000Doknet’s World \u0000Billones WU \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41475939","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":"Philippine Journal of Otolaryngology Head and Neck Surgery","authors":"Frederick Mars Untalan","doi":"10.32412/pjohns.v37i2.2013","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2013","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000The year 2022 created new challenges to our profession and to our lives. We used the unexpected struggles we have endured over the past two years as an encouragement to anticipate for the volatile and uncertain future. This pertains to the personal level, to the PSO-HNS and to the community we serve. To be triumphant, we need to amplify our voices about what matters in otolaryngologic health care, and to continually demonstrate how ORL-HNS research and training translate to the community and to the environment. \u0000 \u0000 \u0000 \u0000 \u0000Early this year, we spoke of this year’s battle cry: “Move Up and Forward.” I challenged all of us to upgrade some aspect of our lives, our profession, our colleagues, and our community. We have to “entrust ourselves to anything greater than ourselves.” \u0000 \u0000 \u0000 \u0000 \u0000The pandemic is certainly still here and we never cease to navigate these unforeseeable times. We still go on and constantly renew our professional aspirations and personal desires. \u0000 \u0000 \u0000 \u0000 \u0000We pray for more lustrous days and catch on from this experience so that we are better rehearsed and better equipped and all set for the next challenge. We keep the faith that we can make a difference and know that we can make longer strides. \u0000 \u0000 \u0000 \u0000 \u0000We have seen and dealt with challenges during this pandemic. We are overworked and worn out, we continue to struggle, and are figuring out how to stay focused and move forward. It is fitting for us to revitalize the energy that drives the PSO-HNS to be the amazing fellows for our country. Moving forward means using that “take the lead and earn the wings” attitude that we all have and applying it to our own profession. \u0000 \u0000 \u0000 \u0000 \u0000With these, I believe we have been made stronger. Our strength is made clear in being complacent with the bothersome and preparing for the unpredictable. This is taxing and demanding. \u0000 \u0000 \u0000 \u0000 \u0000We all need to continue to support one another for the years to come. The ORL-HNS specialty is unique and has trained us to be prepared for the unexpected. We will hold on and see it through, and we will reach out and keep in touch. We forge commitments to ourselves and to each other. A positive attitude is fundamental to be triumphant. We need to stay clear and confident; it will encourage others to be optimistic. \u0000 \u0000 \u0000 \u0000 \u0000This has not been the year that we had envisioned months ago, but it has been a year that has challenged us in ways we could not have foreseen. We acknowledge the challenge and remain energetic. We do not know why things happen the moment they occur, but we believe that there is a reason and that we must have faith, hope, and trust in the journey of life. We cannot live freely and thrive by living in the past. We must move up and forward. \u0000 \u0000 \u0000 \u0000 \u0000With that goal in mind, if we push everyone forward and move up toward our highest hopes and aspirations, the momentum of the PSO-HNS community will build toward positive change. It starts for each of us today. Find your compass and prove to yourself that c","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42306528","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 New Extraoral Closed Reduction Technique for Temporomandibular Joint Dislocation: A Preliminary Case Series","authors":"Marice Sangalang, Fatima Gansatao, A. Dizon, Rubiliza Onofre-Telan","doi":"10.32412/pjohns.v37i2.2031","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2031","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000ABSTRACTObjective: This study aims to describe a new extraoral technique for reducing bilateral temporomandibular joint (TMJ) dislocations. \u0000 \u0000 \u0000 \u0000 \u0000Methods: \u0000Design: Retrospective Preliminary Case Series \u0000Setting: Tertiary Government Training Hospital \u0000Participants: Ten (10) adults with bilateral TMJ dislocation \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000Results: Ten patients, 7 males and 3 females with median age of 35.50 (IQR:21.25 [23.50, 44.75]) years old were included in our series. Seven had more than one previous episode of TMJ dislocation, and the dislocation spontaneously occurred while yawning or eating in six patients. Our new technique resulted in complete bilateral reduction in three patients who had first-episode TMJ dislocations but only in four out of seven with previous dislocation. The three others (two partial, unilateral failure of reduction and one complete failure of reduction) needed conventional extraoral reduction (Hippocratic technique). \u0000 \u0000 \u0000 \u0000 \u0000Conclusion: This new extraoral technique may show promising preliminary results in the management of temporomandibular joint dislocation, but a larger trial in comparison with other techniques is needed. \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69667348","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":"Otitic Hydrocephalus or Obstructive Hydrocephalus?","authors":"N. Yang","doi":"10.32412/pjohns.v37i2.2041","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2041","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000Dear Editor: \u0000 \u0000 \u0000 \u0000 \u0000I came across the article entitled “Fatal Otitic Hydrocephalus Due to Sinus Thrombosis : A Case Report”, and I would like to thank the authors for sharing their experience with this case. \u0000In their discussion, the authors state that otitic hydrocephalus “is characterized by increased intracranial pressure with clear CSF, transient sixth nerve palsy, headache, vomiting, papilledema with no other detectable CNS signs and no actual dilation of ventricles.” They go on to state that “otitic hydrocephalus is a misnomer according to some because it may occur in the absence of otitis and because patients do not show the ventricular dilatation seen in true hydrocephalus.” Lastly, they state that “the diagnosis of OH is made by exclusion and a brain abscess should be ruled out by CT scan.” \u0000However, in the description of their case, the authors state the following:1)“Lumbar tap showed elevated cerebrospinal fluid (CSF) opening pressure of 270 mm H2O, decreased glucose and increased protein content” \u00002) “Repeat CT scan on the second post-op day showed marked dilatation of the third and lateral ventricles due to compression of \u0000the fourth ventricle...”3) “He underwent ventriculostomy and evacuation of abscess on the fourth post-operative day.” \u0000These statements contradict the main diagnostic features of otitic hydrocephalus, and thus call into question the diagnosis of otitic hydrocephalus in this particular case. In fact, the clinical data points to the presence of an obstructive hydrocephalus. There is no doubt that the patient has evidence of lateral sinus thrombophlebitis. However, not all cases of lateral sinus thrombophlebitis are associated with otitic hydrocephalus. \u0000 \u0000 \u0000 \u0000","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46693813","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":"Truth and Transparency, Compromise and Climate Change","authors":"J. F. Lapeña","doi":"10.32412/pjohns.v37i2.2015","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2015","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000The great enemy of communication, we find, is the illusion of it. \u0000  \u0000 \u0000William Hollingsworth Whyte, 19501 \u0000 \u0000On September 6, 2022, a combined investigation by research integrity experts, data and analytics experts, publishing and operational teams, and legal counsels from Hindawi and its parent company Wiley, led to the initial recommendation to retract 511 articles that were compromised based on reviewer activity alone.2 That same month, the physics publisher Institute of Physics (IOP) announced the retraction of 494 papers after investigation indicated they “may have been created, manipulated, and/or sold by a commercial entity” (or paper mill).3 This October, the Elsevier journal Thinking Skills and Creativity retracted 47 papers that appear to have been generated by a paper mill because they were each accepted on the “positive advice of one illegitimate reviewer report.”4 Paper mills and phony peer reviews5 undermine the soundness of science, because it is based on illusion rather than truth. Truth (veritas) is only verifiable if it is transparent. \u0000The Committee on Publication Ethics (COPE), the Directory of Open Access Journals (DOAJ), the Open Access Scholarly Publishing Association (OASPA), and the World Association of Medical Editors (WAME) have been collaborating to identify principles of transparency and best practice for scholarly publications.6 The fourth version of this work in progress was published on September 15, 2022 and is available from: https://publicationethics.org/files/principles-transparency-best-practice-scholarly-publishing.pdf   The Philippine Journal of Otolaryngology Head and Neck Surgery upholds these principles of transparency and continues to strive to implement these best practices. \u0000  \u0000In a related development, the International Association of Scientific, Technical and Medical Publishers (STM) has proposed a standard taxonomy for peer review,7 recognizing a need to identify and standardize definitions and terminology in peer review practices to help align nomenclature as more publishers use open peer review models. This peer review taxonomy will help make the peer review process for articles and journals more transparent and will enable the community to better assess and compare peer review practices between different journals. According to STM, peer review should be described using four components:7 \u0000  \u0000 \u0000identity transparency: \u0000 \u0000 \u0000all identities visible: reviewers, authors, decision-making editor [editor] all visible to each other \u0000single anonymized: reviewer identity is not visible to the author, author and editor identities are visible to everyone (also known as single masked, formerly single blinded, review) \u0000double anonymized: reviewer identity is not visible to the author, author identity is not visible to the reviewer, editor identity is known to both (also known as double masked, formerly double blinded, review) \u0000triple anonymized: reviewer identity is not visible to the author or editor, auth","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41835517","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 Makeshift Blue Light Filter for Endoscopic Identification of Traumatic Cerebrospinal Fluid Leak Using Fluorescein","authors":"Bianca Denise Edora, R. Chua, Patrick Joseph L. Estolano","doi":"10.32412/pjohns.v37i2.2025","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2025","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000ABSTRACTObjective: To describe a makeshift blue light filter for endoscopic visualization of a traumatic cerebrospinal fluid leak repair using intrathecal fluorescein and its application in one patient. \u0000 \u0000 \u0000 \u0000 \u0000Methods:Study Design:Surgical Instrumentation \u0000Setting:Tertiary Government Training Hospital \u0000Patient:One \u0000 \u0000 \u0000 \u0000 \u0000Results: Intra-operative endoscopic identification of fistulae sites was achieved using intrathecal injection of fluorescein that fluoresced using our makeshift blue light filter in a 43-year-old man who presented with a 3-month history of rhinorrhea due to skull base fractures along with multiple facial and upper extremity fractures he sustained after a fall from a standing height of 6 feet. He underwent transnasal endoscopic repair of cerebrospinal fluid fistulae in the planum sphenoidale, clivus and sellar floor. Post-operatively, there was complete resolution of rhinorrhea with no complications noted. \u0000 \u0000 \u0000 \u0000 \u0000Conclusion: Our makeshift blue light filter made from readily available materials may be useful for endoscopic identification of CSF leaks using fluorescein in a low- to middle-income country setting like ours. \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42521625","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":"Quality of Life Among SARS-CoV-2 (COVID-19) Positive Patients with Anosmia Using the Short Version Questionnaire of Olfactory Disorders - Negative Statements Translated in Filipino (sQOD-NS Ph)","authors":"Anjenneth Mallari-Bernarte, Emmanuel Tadeus S. Cruz","doi":"10.32412/pjohns.v37i2.2021","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2021","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000ABSTRACTObjective: To determine the quality of life among SARS-CoV-2 (COVID-19) positive patients with anosmia using the Short Version Questionnaire of Olfactory Disorders - Negative Statements translated in Filipino (sQOD-NS Ph). \u0000 \u0000 \u0000 \u0000 \u0000Methods: \u0000Design: Cross-Sectional Study \u0000Setting: Tertiary Government Training Hospital \u0000Participants: SARS-CoV-2 (COVID-19) RT-PCR positive patients aged 18 years old and above with COVID-19 symptoms and anosmia in a tertiary government hospital who consulted from March 2020 to August 2021 answered the short version of sQOD-NS Ph. \u0000 \u0000 \u0000 \u0000 \u0000Results: Out of 108 participants with positive SARS-CoV-2 (COVID-19) RT-PCR test, 72 (66%) presented with anosmia, and sQOD-NS Ph scores ranged from 1 to 21 with a mean of 14.78. Thirty two (44%) encountered problems in eating while 21 (29%) had feelings of isolation due to loss of smell. There was an inverse correlation of -0.478 between recovery time of olfaction and QoL score, hence the longer the recovery time, the lower the QoL score, while the shorter the recovery time, the higher the QoL score (p < .0001). \u0000 \u0000 \u0000 \u0000 \u0000Conclusion: Majority of COVID-19 patients with anosmia had mild or negligible impairment, while a small percentage had impaired quality of life. The low percentage may be due to high number of patients who may have recovered their sense of smell along the course of the disease. \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44510227","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":"Airway Obstruction from Intralaryngeal Extension of Thyroglossal Duct Cyst in an Elderly Man: A Case Report","authors":"G. Contreras, M. Lingan","doi":"10.32412/pjohns.v37i2.2033","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2033","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000ABSTRACTObjective: To report an unusual presentation of thyroglossal duct cyst causing airway obstruction in an elderly man. \u0000 \u0000 \u0000 \u0000 \u0000Methods: \u0000Design: Case Report \u0000Setting: Tertiary Government Training Hospital \u0000Patient: One \u0000 \u0000 \u0000 \u0000 \u0000Results: A 71-year-old man with an anterior neck mass was brought to the Emergency Room due to progressive difficulty of breathing. A smooth, non-ulcerating right supraglottic mass obstructed the airway. Following an emergency high tracheotomy, contrast computed tomography scan of the neck revealed a hypodense mass with peripheral rim enhancement in the right supraglottis and an extralaryngeal component. Intra-operatively, a dumbbell- shaped cystic mass with a tract connected to the hyoid bone led to a Sistrunk procedure. Final histopathology findings were consistent with thyroglossal duct cyst. \u0000 \u0000 \u0000 \u0000 \u0000Conclusion: It is possible for an elderly patient with impending upper airway obstruction, dysphonia, and neck mass to still have a benign and congenital thyroglossal duct cyst with intralaryngeal extension. \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47151529","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":"Can I Diagnose a Vestibular Schwannoma Using Non-Contrast Imaging?","authors":"N. Yang","doi":"10.32412/pjohns.v37i2.2039","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2039","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000“I have an adult patient with new-onset unilateral sensorineural hearing loss. I would like to rule out a vestibular schwannoma by performing an MRI exam. However, the patient has a kidney problem that prevents him from receiving contrast material. Can I still diagnose a vestibular schwannoma using a non-contrast imaging study?” \u0000 \u0000 \u0000 \u0000 \u0000The answer to this question is ... YES! At the current time, gadolinium-enhanced T1-weighted magnetic resonance imaging (MRI) is considered the gold standard for the diagnosis of vestibular schwannomas.1 However, the use of gadolinium-based contrast material may be contraindicated in patients with impaired renal function, in those who have had an allergic reaction to such contrast material, and in patients who are or may be pregnant. \u0000 \u0000 \u0000 \u0000 \u0000High-resolution T2-weighted MR sequences as a means of visualizing the fluid-filled inner ear and the 7th and 8th cranial nerves in the internal auditory canal and cerebellopontine angle cistern was described in the early 1990’s.2 These steady-state imaging sequences currently include various manufacturer-specific sequences such as CISS (Constructive Interference into Steady State, Siemens), FIESTA-C (Fast Imaging Employing Steady-state Acquisition Cycled Phases, GE), DRIVE (Driven Equilibrium Radiofrequency Reset Pulse, Philips), bFFE (Balanced Fast Field Echo, Philips) and SPACE (Sampling Perfection with Application optimized Contrasts using different flip angle Evolutions, Siemens).3 The submillimeter-resolution images from these sequences can be manipulated on computer-based DICOM imaging software to provide reformatted images in non-orthogonal planes that allow visualization of the entire 8th cranial nerve, from the brainstem to the fundus of the internal auditory canal. In these sequences, cerebrospinal fluid (CSF) displays a high signal intensity that provides an excellent contrasting background to the inherent low signal intensity of the 7th and 8th cranial nerves. (Figure 1) \u0000 \u0000 \u0000 \u0000 \u0000Similar to the nerves, a vestibular schwannoma will appear as a low-intensity (dark) filling defect that may be nodular, oblong, or ice cream cone-shaped, and located in the internal auditory canal and/or the cerebellopontine angle cistern immediately adjacent to it. (Figure 2) \u0000 \u0000 \u0000 \u0000 \u0000In evaluating a patient for the presence of a vestibular schwannoma, the current medical literature indicates that high-resolution T2- weighted imaging sequences have a high sensitivity and specificity compared to gadolinium-enhanced T1-weighted imaging. However, T2-weighted imaging alone may not detect inflammatory, infectious or malignant conditions that may also present with sensorineural hearing loss.1 As such, a gadolinium-enhanced T1-weighted sequence will be needed when such conditions are suspected. \u0000 \u0000 \u0000 \u0000 \u0000Finally, local experience with institutions that perform imaging of the internal auditory canal and cerebellopontine angle shows that not all centers routinely perform the high-resolut","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47890805","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}