Philippine Journal of Otolaryngology Head and Neck Surgery最新文献

{"title":"Hearing Loss from S. Suis Meningitis In A Middle-Aged Couple","authors":"Norberto Martinez, Michiko Hosojima","doi":"10.32412/pjohns.v37i2.2037","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2037","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000Streptococcus suis is a bacterial pathogen causing a wide range of infections including meningitis, lung infections, arthritis, sepsis and endocarditis.1 Over the years, an increasing number of cases have been reported among humans especially in countries in Southeast Asia specifically in Vietnam and Thailand where pig-rearing is common.2 One of the prominent symptoms of S. suis infection is hearing loss that may be present during the onset or a few days after.1 We report two cases of adult S. suis meningitis presenting with bilateral hearing loss. \u0000 \u0000 \u0000 \u0000 \u0000CASE REPORT \u0000Our first patient was a 57-year-old man who presented with a one day history of generalized weakness initially unaccompanied by any other symptoms. The previous day, he was still able to walk but was generally weak, and preferred to stay in bed. That evening, he developed high grade fever (40oC) that was temporarily relieved by paracetamol. There were two episodes of vomiting previously ingested food but no headache. By late evening, he was noted to have increased sleeping time, opening eyes spontaneously, responding mostly with yes or no, and following commands but drowsing back to sleep. On the day of admission, he could sustain spontaneous eye opening with no regard and groaned in response to questions without following commands. High grade fever persisted and he was rushed to the Emergency Room. On examination, he was febrile at 40.5oC, hypertensive at 160/80mmHg, tachycardic at 109 with a Glasgow Coma Scale (GCS) of 9/15 (E4V1M6), and was given O2 support at 1LPM by nasal cannula. He presented with spontaneous eye opening, no regard and did not follow commands. He had meningeal signs- nuchal rigidity but no Kernig’s sign. Cranial CT scans showed no acute territorial infarct or intracranial hemorrhage, and a stable chronic lacunar infarct versus prominent perivascular space in the left lentiform nucleus. A COVID rt-PCR test was negative. Complete blood count showed leukocyte count of 5,220/mm3 with 72% neutrophils and a platelet count of 57,800/mm3. Bleeding parameters showed prothrombin time of 14.4 seconds, INR of 1.23 and an elevated PTT of 45.3. He was started on Meropenem and Vancomycin and admitted to the Neurological Critical Care Unit while awaiting clearance for lumbar puncture (being on anti-coagulants). \u0000 \u0000 \u0000 \u0000 \u0000Our second patient was his wife, a 51-year-old professional singer with no known co-morbidities who was also admitted due to fever and headache. At the time her husband was admitted, she had febrile episodes as high as 40oC associated with pressure-like headache over both occipital \u0000 \u0000 \u0000 \u0000 \u0000areas (rated PS 7/10) as well as joint pain and nape pain. There were no associated cough, colds, dysuria, otalgia or otorrhea. Paracetamol afforded temporary relief but fever intermittently recurred the next day and she was admitted for further evaluation and management even though her COVID rt-PCR test was negative. On initial examination at the ER, she was still","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":"46813662","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":"Intercalated Duct Adenoma of the Parotid Gland","authors":"J. Aquino, Jose Carnate Jr.","doi":"10.32412/pjohns.v37i2.2029","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2029","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000A 56-year-old man presented with a 10-year history of gradually enlarging left pre-auricular mass. No biopsies were done. He underwent superficial parotidectomy which showed an enlarged parotid gland measuring 6 x 5.5 x 2 cm with a 0.5 x 0.2 x 0.2 cm discrete, cream-brown, ovoid intraparenchymal solid nodule. The latter was the lesion of interest. \u0000 \u0000 \u0000 \u0000 \u0000Microscopic examination of the nodule shows a well-circumscribed, encapsulated proliferation of closely packed tubular ducts surrounded by non-neoplastic, otherwise histologically unremarkable lobules of serous acini with an intact ductal system. (Figure 1) The tubules within the nodule are lined by simple cuboidal cells having bland, uniform, round nuclei and moderate amounts of eosinophilic cytoplasm. (Figure 2) In some of these tubules, serous acinar cells containing coarse basophilic granules partly line the lumina, adjacent to or around the cuboidal cells. (Figure 3) Based on the morphological features, a diagnosis of intercalated duct adenoma (IDA) was rendered, occurring in a background that is suggestive of sialadenosis. \u0000 \u0000 \u0000 \u0000 \u0000Intercalated duct adenomas are mostly asymptomatic, benign neoplasms identified incidentally in salivary glands removed for diverse lesions of either benign or malignant etiology.1-4 They are most often found in the parotid gland of adults ranging from 41 to 73 years (mean 57 years) with a female-to-male ratio of 3:2.1,2 \u0000 \u0000 \u0000 \u0000 \u0000They belong to a group of ductal proliferations known as intercalated duct lesions (IDL) which are composed of compact proliferation of tubular ducts that are lined by cuboidal ductal cells. Scattered tubules have serous acinar cells complexed with the ductal cells, while others have inconspicuous myoepithelial cells that surround them. Intercalated duct lesions are arbitrarily divided into IDA – if encapsulated and discretely separated from adjacent acinar units, and intercalated duct hyperplasia (IDH) - if unencapsulated and blending into the adjacent acinar units.3-5 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000 \u0000The ductal cells of IDA resemble those of non-neoplastic intercalated ducts on immunohistochemistry, staining diffusely with CK7 and S100, and focally for ER and lysozyme while CK14 and Calponin highlight the thin myoepithelial cells surrounding the ductal cells.1,3,4 Immunohistochemical stains for myoepithelial cells were not requested as we felt that the participation of acinar cells in a characteristic manner was sufficiently diagnostic of the entity. \u0000 \u0000 \u0000 \u0000 \u0000Important benign differential diagnoses of IDA include striated duct adenoma, canalicular adenoma and basal cell adenoma.2,3 Striated duct adenoma and canalicular adenoma can both be distinguished from IDA due to lack of myoepithelial and acinar cells; the latter is also more commonly found in the minor salivary glands.2,3 Basal cell adenoma and adenocarcinoma on the other hand are challenging differential diagnoses due to significant overlaps in morphology. They tend to be larger (usual","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":"43225030","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 Sleep Among Shift Work Nurses at the Baguio General Hospital: A Pilot Cross - Sectional Study","authors":"Kathrynne Endenna Andaya","doi":"10.32412/pjohns.v37i2.2023","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2023","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000ABSTRACTObjective: The primary objective of this study was to determine the quality of sleep among 12- hour shift-work nurses at the Baguio General Hospital using the Pittsburg Sleep Quality Index (PSQI). \u0000 \u0000 \u0000 \u0000 \u0000Methods: This was a preliminary cross-sectional study with a primary endpoint of assessing the sleep quality of the participants using the PSQI. The association of sleep quality with individual and work factors was also determined. \u0000 \u0000 \u0000 \u0000 \u0000Design:Cross - Sectional Study \u0000Setting:Tertiary Government Training Hospital  \u0000Patient:154 12-hour shiftwork nurses \u0000 \u0000 \u0000 \u0000 \u0000Results: The majority (88.96%) of the participants self-reported having poor sleep quality. Among the components of the PSQI, current shift was significantly associated with habitual sleep efficiency (Fisher exact test p < .049). No significant associations were found between demographic characteristics and PSQI Global score, with most respondents having poor sleep quality regardless of participant characteristics. \u0000 \u0000 \u0000 \u0000 \u0000Conclusion: Majority of nurses working in 12-hour shifts had poor sleep quality. Night shift nurses had higher habitual sleep efficiency scores compared to day shift nurses indicating that those working in the night shift had poorer habitual sleep efficiency. \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":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49416803","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":"Initial Outcomes of Endoscopic CO2 Laser Posterior Cordectomy and Partial Arytenoidectomy Among Patients with Bilateral Vocal Cord Paralysis: A Case Series","authors":"Karen Joyce S. Velasco, Anna Pamela C Dela Cruz, R. Carrillo, Daryl Anne Madrid","doi":"10.32412/pjohns.v37i2.2019","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2019","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000ABSTRACTObjective: To describe the initial outcomes of endoscopic CO2 laser posterior cordectomy and partial arytenoidectomy among patients with bilateral vocal cord paralysis in our institution. \u0000 \u0000 \u0000 \u0000 \u0000Methods: \u0000Design: Case Series \u0000Setting: Tertiary National University Hospital \u0000Participants: 17 Patients \u0000  \u0000 \u0000 \u0000 \u0000 \u0000Results: Seventeen (17) patients who underwent transoral posterior cordectomy and partial arytenoidectomy using carbon dioxide laser were included in the study consisting of 14 females and 3 males. Iatrogenic injury was the most common cause of bilateral vocal cord paralysis in this subset of patients. Five patients who tolerated decannulation and another six who had no preoperative tracheostomy all reported subjective improvement in breathing. All of them were also observed to have resolution of stridor and increased respiratory comfort compared to their preoperative condition. The most common postoperative complication was granuloma formation at the medial arytenoidectomy site occurring only in 4 patients. None of the patients complained of aspiration episodes or dysphagia during the postoperative period. \u0000 \u0000 \u0000 \u0000 \u0000Conclusion: Our initial experience with transoral endoscopic posterior cordectomy and partial arytenoidectomy using carbon dioxide laser has good postoperative outcomes among patients with bilateral vocal cord paralysis. \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":"48296419","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 Complete and Two-Turn Cochlear Duct Length Among Filipinos","authors":"Raiza Michaella Kasilag, MD, Kathrina Aquino-Diaz","doi":"10.32412/pjohns.v37i2.2027","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2027","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000ABSTRACTObjective: This study aims to measure the complete and two-turn cochlear duct lengths in a Filipino population using archived CT scan images. \u0000 \u0000 \u0000 \u0000 \u0000Methods: \u0000Design: Retrospective Review of Records \u0000Setting:Tertiary Government Training Hospital \u0000Participants: CT Scan Images of 255 patients \u0000 \u0000 \u0000 \u0000 \u0000Cochlear images of patients who underwent cranial, facial, orbital, paranasal sinus and temporal bone CT scans from January 2019 to December 2019 were analyzed. Coronal oblique images from 3D multiplanar reconstructions were obtained and a single linear measurement (‘A’ value) was used as the spiral coefficient to calculate the complete cochlear duct length (CDL) and two- turn length (2TL). \u0000 \u0000 \u0000 \u0000 \u0000Results: A total of 510 cochlear images were obtained from the CT scan images of 255 subjects (143 males, 112 females aged 1 to 81 years; mean age = 47 years). The mean ‘A’ value was 8.81 mm (SD = 0.20). The mean complete cochlear duct length was 32.68 mm (31.01 mm – 35.50 mm; SD = 0.834) while the mean two-turn cochlear duct length was 29.61 mm (28.14 mm – 32.08 mm; SD = 0.732). The complete and two-turn cochlear duct lengths in males were found to be significantly longer than in females (p = .001). No significant difference was found between cochlear measurements for left and right ears. \u0000 \u0000 \u0000 \u0000 \u0000Conclusion: The mean complete cochlear duct length among Filipinos in our study measures 32.68 mm while the mean two-turn cochlear duct length measures 29.61mm. Both complete and two-turn cochlear duct lengths were longer among Filipino males than among females. \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":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46729934","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":"Hearing 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","authors":"Patrick Joseph Pardo, Angeline Niñal-Vilog, J. Acuin, Christopher Malorre Calaquian, Rubiliza Onofre-Telan","doi":"10.32412/pjohns.v37i2.2017","DOIUrl":"https://doi.org/10.32412/pjohns.v37i2.2017","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000ABSTRACTObjective: To determine the prevalence of hearing loss and otologic diseases among Filipinos living in the Southern Tagalog Region IV-A: CALABARZON (Cavite, Laguna, Batangas, Rizal and Quezon), Philippines. \u0000 \u0000 \u0000 \u0000 \u0000Methods: \u0000Design: Retrospective Review of Community Survey Data \u0000Setting: Communities in Region IV-A provinces, Philippines \u0000Participants: 3267 residents of the five provinces aged 0 months and above \u0000 \u0000 \u0000 \u0000 \u0000Results: About 71.29% and 74.60% had at least mild hearing loss, in right and left ears, respectively. For disabling hearing impairment, overall prevalence was 26.33%, distributed into 11.87% among 4 to 18-year-olds; 8.97% for 19 to 64-year-olds; and 3.17% for 65-year-olds and above. Absence of prevalent and hearing loss-associated diseases: serous otitis media [OR 0.362, 95% CI 0.167 to 0.782, p = .010], CSOM [OR 0.407, 95% CI 0.236 to 0.703, p = .001] COM [OR 0.229, 95% CI 0.106 to 0.494, p < .001] can decrease the risk for hearing loss development in the region. Prevention of noise-induced hearing loss or delay in the manifestation of presbycusis can reduce the risk of having hearing loss by as much as 75% [OR 0.253, 95% CI (0.180 to 0.355), p < .001]. All pure tone audiometry measurements were obtained with surrounding median ambient noise of 55dB (IQR 46 to 60dB). \u0000 \u0000 \u0000 \u0000 \u0000Conclusion: The prevalence of hearing loss among surveyed residents of the Southern Tagalog Region IV-A provinces was high compared to the previous nationwide study but low compared to other low- and middle-income countries. The top otologic conditions of this population (ear occlusion with ear wax, chronic suppurative otitis media, chronic otitis media, presbycusis, noise- induced hearing loss) were associated with hearing loss and their absence decreased the risks for hearing impairment. \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":"49028585","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":"Luc’s Abscess: The Zygomatic Route of Infection from Cholesteatoma","authors":"Ramon Alfonso Dominguez, Anne Margaux V. Artates","doi":"10.32412/pjohns.v37i1.1885","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1885","url":null,"abstract":"Luc’s abscess is an uncommon complication of otitis media wherein a subperiosteal abscess develops into the temporalis muscle and follows the route of a pneumatized zygoma.1 In uncomplicated cases, surgical drainage and antibiotics are adequate management with mastoidectomy reserved for severe or complicated cases. We report a case of complicated Luc’s abscess presenting with many complications that required multiple surgical interventions.\u0000\u0000\u0000\u0000\u0000CASE REPORT\u0000\u0000\u0000\u0000\u0000A 23-year-old man had a three-month history of yellowish, mucoid, foul-smelling left ear discharge associated with multiple episodes of non-projectile watery vomiting (< 1 cup each) and left-sided facial paresis. These symptoms were accompanied by ipsilateral hearing loss, tinnitus and dizziness prompting consult and admission to a secondary hospital. A cranial Computed Tomographic (CT) scan showed a cholesteatoma in the left ear. The facial asymmetry improved, vomiting was resolved with intravenous antibiotics, hydration, and an anti-emetic, and he was subsequently discharged. He continued to have recurrent, foul-smelling left ear discharge and left hemifacial paresis persisted.\u0000\u0000\u0000\u0000\u0000Left-sided otorrhagia and ipsilateral hemifacial paresis were subsequently associated with left hemifacial swelling, otalgia (VAS of 7/10, described as sharp), and decreased hearing, prompting an outpatient consult with a private ENT specialist. The symptoms persisted despite 7 days of oral ciprofloxacin, this time associated with drowsiness, neck pain and febrile episodes. The patient consulted in our institution and was advised emergency admission.\u0000\u0000\u0000\u0000\u0000He was admitted drowsy, coherent with GCS 15 (E4V5M6). The left temporal area was edematous and tender, extending to the ipsilateral post-auricular area inferiorly and frontal area superiorly. (Figure 1) Otoscopy revealed yellowish, foul-smelling, copious muco-purulent discharge and near-total perforated left tympanic membrane. The right ear had unremarkable otoscopic findings. Tuning fork tests at 512 Hz were consistent with sensorineural hearing loss in the left ear with House-Brackmann IV facial nerve paresis. Brudzinski and Kernig tests were negative with no signs of dysmetria, dysdiadochokinesia or dysarthria on cerebellar testing.\u0000\u0000\u0000\u0000\u0000Gram stain and KOH smears of the left ear discharge revealed C fruendii and fungal elements. High resolution temporal bone CT scan showed otomastoid disease on the left with automastoidectomy defect, associated subperiosteal and intracerebral abscess formation on the left, with otherwise unremarkable right temporal bone. (Figure 2)\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":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42875600","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":"Jose F. Abaño, MD (1940-2021) A Tribute to the Father of Hearing Care in the Philippines","authors":"Joel Anthony Abaño","doi":"10.32412/pjohns.v37i1.1945","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1945","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000“Please do a good job, let’s continue our mission, and God will take care of us” are some of the words that he has engraved in the hearts of those he has met. He was a mentor to everyone he encountered, known for giving the best words-to-live-by. He was always ready to share his time and his knowledge, some of which were his best qualities. \u0000  \u0000It was a great honor for everyone to be around Dr. Jose Abano, the Father of Hearing Care in the Philippines. Generous, kind, humble, witty, and wise are just some of the descriptions his family and friends shared about him. He was someone that everyone loved to be around at parties, at home, and even at his workplace. With his broad knowledge born out of years of experience, he left everyone in awe of who he is today. His character was founded on his mission for the hearing- impaired, making him extremely memorable to many. \u0000  \u0000 \u0000 \u0000 \u0000 \u0000His reputable knowledge and skills also started from his prestigious experience. He graduated from the University of Santo Tomas College of Medicine and Surgery in 1965. He then took his Otolaryngology Residency Training at the Department of Otolaryngology, Long Island Jewish Medical Center in New York from 1969 to 1973. This is where he saw how advanced the technology was abroad and wanted to bring this to his home country. As a visionary, together with his wife, Mrs. Mabel Abaño, they wanted to serve the hearing-impaired population in the most professional way possible. Soon, this became the reason he was awarded the title of the Father of Hearing Care in the Philippines. \u0000  \u0000 \u0000 \u0000 \u0000 \u0000In 1976, Manila Hearing Aid was established–his pride and joy. The first clinic at Quezon Boulevard was a facility for ear and hearing diagnostics, as well as equipment calibration. Over more than 45 years, the humble clinic has multiplied to different areas nationwide to help more and more hearing-impaired Filipinos. Dr. Jose Abaño’s mission has continuously been passed on not only to his children but also to his employees. He was a mentor from whom one would learn great things in a conversation, as he shared his inexplicable wit that made up his interesting storytelling. Not only was he loved for this trait as a mentor, but it came along with his modesty as an individual, regardless of how accomplished he was. \u0000  \u0000Outside all his career achievements, he was actually a magician. Why a magician? He would joke that if he wasn’t a doctor, he would be one. Jokes like this were very endearing to our family and friends. He said this because it was like magic that he was able to marry someone like Mommy Mabel Abaño, the love of his life. Little did he know, he really was a magician, someone who brings magic to people’s lives. In parties, he was very accommodating where he would share his plate of jamon and select wine sharing his humor around. He made sure everyone was served and would engage himself in conversations to make people feel included. His presence was sometimes quiet but exude","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42006903","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":"Tied to the Top: A Case Report on an Isolated Ankyloglossia Superior","authors":"Mariel Kris Tan, E. J. Agullo","doi":"10.32412/pjohns.v37i1.1623","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1623","url":null,"abstract":"ABSTRACT\u0000Objective: To report a case of isolated ankyloglossia superior in a one-month-old boy.\u0000Methods: \u0000Design: Case Report\u0000Setting: Tertiary Government Training Hospital\u0000Patient: One\u0000Results: A one-month-old boy with failure to thrive, feeding difficulties and a palatoglossal band that limited mouth opening and anterior posturing of the tongue was diagnosed to have non-syndromic ankyloglossia superior and underwent surgical transection of the fibrous ankylosis under intravenous sedation due to difficulty of insinuating an endotracheal tube orally. Direct latch breastfeeding was successfully adapted from the second to tenth postoperative day before they were lost to follow up.\u0000Conclusion: Despite a complicated pediatric airway, coordinated surgical and anesthesia management successfully restored tongue function and mouth opening to allow effective feeding.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45614145","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":"Radiologic Evaluation of the Anterior and Posterior Ethmoidal Foramen and Optic Canal by Paranasal Sinus Computed Tomography Scan among Adult Filipinos","authors":"Maria Katerina Palacios, J. P. Amable, Kea Capio","doi":"10.32412/pjohns.v37i1.1733","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1733","url":null,"abstract":"\u0000\u0000\u0000\u0000ABSTRACT\u0000\u0000\u0000\u0000\u0000Objective: To measure the average distances from anterior lacrimal crest (ALC) to anterior ethmoidal foramen (AEF), anterior ethmoidal foramen to posterior ethmoidal foramen (PEF) and posterior ethmoidal foramen to optic canal (OC) using plain paranasal sinus (PNS) computed tomography (CT) scans of adults in a tertiary private hospital in the Philippines.\u0000Methods:\u0000            Design: Retrospective review of plain PNS CT scans\u0000            Setting: Tertiary Private Teaching Hospital\u0000           Participants: One hundred four (104) plain PNS CT scans from January 2018 to December 2020 were considered for inclusion.\u0000Results: Of the 104 PNS CT scans, 35 were excluded - seven for age less than eighteen, six for undistinguishable PEF and twenty-two for chronic rhinosinusitis. The remaining 69 PNS CT scans demonstrated identifiable structures, with overall average distances from ALC to AEF of 23.71 ± 2.43 mm, AEF to PEF of 10.87 ± 2.39 mm and PEF to OC of 7.39 ± 2.28 mm.\u0000Conclusion: Our study suggests average distances for localization of vital structures such as the anterior ethmoidal artery, posterior ethmoidal artery and optic nerve among Filipinos. Because of considerable variation between and within sexes, individual measurements should still be obtained for each patient in performing endonasal, skull base and orbital surgery.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48926005","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}