Philippine Journal of Otolaryngology Head and Neck Surgery最新文献

{"title":"Effect of Proton Pump Inhibitors on Reflux Symptom Index (RSI) and Reflux Finding Score (RFS) in Patients with Laryngopharyngeal Reflux: A Systematic Review and Meta-Analysis","authors":"P. A. Soriano, E. G. Llanes, Anna Pamela C Dela Cruz, Kevin Michael D. Mendoza","doi":"10.32412/pjohns.v37i1.1697","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1697","url":null,"abstract":"\u0000\u0000\u0000\u0000ABSTRACT\u0000\u0000\u0000\u0000\u0000Objectives: The purpose of this study was to determine the efficacy of proton pump inhibitor (PPI) therapy in treating the symptoms and laryngeal findings of laryngopharyngeal reflux (LPR).\u0000Methods: Placebo-controlled, randomized clinical trials published after June 2001 to January 2021 which used PPI as the sole intervention and the RSI or RFS as outcome measures were eligible for inclusion. Studies that were published prior to June 2001, those which only made use of questionnaires other than the RSI or RFS, those which used PPI in combination with other treatments, or those with unavailable full-text manuscripts were excluded. These studies were identified from MEDLINE, Scopus, Cochrane Library, Embase, and HERDIN Plus databases which were searched from May 21 to 26, 2020. The primary outcome was the mean difference between baseline/pre-treatment and post-treatment RSI scores for both PPI and placebo groups. The secondary outcome was the mean difference between pre-treatment and post-treatment RFS scores for PPI and placebo groups. Aggregate results of these outcomes were analyzed using forest plots. Heterogeneity was determined through prediction intervals. Risk of bias of individual studies was assessed using the Cochrane Collaboration’s Tool in Assessing Risk of Bias.\u0000\u0000\u0000\u0000\u0000 \u0000\u0000\u0000\u0000\u0000Results: Nine randomized control trials were included with a total of 737 patients randomized and 595 patients analyzed – 294 from the PPI group and 301 from the placebo group. There were notable variations among the studies in terms of choice of PPI, dosage and frequency. Out of nine studies, four used both RSI and RFS in their analysis. Two studies used RSI alone and three used the RFS in combination with symptom questionnaires other than the RSI. There was a significant decrease in the RSI of the PPI group versus the placebo group with a mean difference of -2.83 (95% CI, -5.13 to -0.53, p = .02). However, there was no significant decrease in the RFS between PPI and placebo groups with a mean difference of -0.84 (95% CI, -2.66 to 0.98, p = .37). For two clinical trials which only reported post-treatment RFS, there was also no significant difference between the two treatment groups with a mean difference of 1.27 (95% CI, -0.22 to 2.76, p = .10).\u0000Conclusion: This meta-analysis found that, although a statistically significant benefit in RSI was noted with PPI therapy, this difference may not translate to a clinically significant change in symptoms; therefore, there is insufficient evidence to recommend for or against the treatment of LPR with PPIs.","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":"44491535","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":"Epidermal Growth Factor Application versus Observation on Healing of Acute Tympanic Membrane Perforations: A Randomized Open Label Clinical Trial","authors":"Arlex Michael Atanacio, Emily Grace Teodoro-Estaris","doi":"10.32412/pjohns.v37i1.1369","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1369","url":null,"abstract":"ABSTRACT\u0000Objective: To compare the effect of topical epidermal growth factor (EGF) instillation versus observation alone on healing of acute tympanic membrane perforations in terms of closure and hearing test results.\u0000Methods: \u0000\u0000\u0000\u0000\u0000Design: Randomized, Open label, Clinical Trial\u0000Setting: Tertiary Government Training Hospital\u0000Participants: Seventeen (17) ENT-HNS OPD patients aged between 18 to 65 years old diagnosed with acute tympanic membrane perforation were included in the study. Group A underwent observation while group B was treated with recombinant human EGF solution. Follow- up was on a weekly basis (7th, 14th, 21st and 28th days) where video otoscopy for documentation and measurement of perforation using ImageJTM software was done. Pure tone audiometry was used to compare hearing improvement pre and post study in both observation and treatment groups.\u0000\u0000\u0000\u0000\u0000Results: At baseline, there was no significant difference in the sizes of perforations: 24.20 ± 9.95 (treatment) vs. 32.64 ± 11.62 (observation) with a p-value of .131. Following treatment, mean changes in perforation size were significantly greater in the treatment group compared to the observation group from baseline to day 7 (M = -9.08, n = 15.11 vs. M = -1.06, n = 31.58); p = .009; day 7 to 14 (M = -6.37, n = 13.78 vs. M = -0.79, n = 30.79); p = .003; and from day 14 to 21 (M = -5.65, n = 10.89 vs. M = -0.72, n = 30.07); p = .004 but not from day 21 to 28 (M = -4.16, n = 13.99 vs. M = -0.36, n = 29.71; p = .021. From baseline pure tone averages, four participants with mild hearing loss and two with moderate hearing loss achieved normal hearing in the treatment group (while one each with moderate and severe hearing loss did not improve). None of the observation group participants had improved hearing.\u0000Conclusion: Based on our limited experience, topical EGF can be used for traumatic tympanic membrane perforation and otitis media with dry ear perforation during the acute phase or within 3 months of perforation.","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":"47600413","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":"Inner Ear Hemorrhage : A Cause of Sensorineural Hearing Loss in Leukemia","authors":"N. Yang","doi":"10.32412/pjohns.v37i1.1955","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1955","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000A 25-year-old male who was recently diagnosed with chronic myelogenous leukemia developed bilateral tinnitus and hearing loss. The hearing loss progressed rapidly but asymmetrically, with the right ear being subjectively worse than the left. Pneumatoscopy revealed bilaterally intact and mobile tympanic membranes and no visual evidence of middle ear pathology. Audiometry confirmed the presence of a profound hearing loss in the right ear and a moderate sensorineural hearing loss in the left ear. In relation to evaluating the cause of hearing loss, the radiologic interpretation of a contrast-enhanced cranial MRI performed to evaluate other neurological symptoms that predated the hearing loss only stated that the cerebellopontine angle cisterns were unremarkable. No mention was made about the status of the inner ears. When asked to comment on the inner ears in the MR study, the radiologist opined that the cranial MRI did not have the proper fine-cut imaging sequences necessary to evaluate this region adequately, and indicated the need for a dedicated MR study of the temporal bones. An independent review of the DICOM imaging data of the patient’s cranial MRI revealed the presence of three imaging sequences with information pertinent to the evaluation of the inner ears. These sequences are shown below, with a sequential narration of the descriptive imaging findings and their clinical significance that helps to arrive at a conclusive diagnosis. \u0000 \u0000 \u0000 \u0000 \u00001. FIESTA (Fast imaging employing steady-state acquisition) – a thin-slice heavily T2- weighted imaging sequence specific to GE MRI machines. \u0000 \u0000 \u0000 \u0000 \u0000Beginning the MR evaluation of the inner ear by viewing a T2-weighted sequence allows one to immediately visualize the fluid-filled compartments of the cochlea, vestibule and semicircular canals in a depiction most similar to that of computerized tomographic imaging of the temporal bones. In a T2-weighted imaging sequence, the normal inner ear contains fluid that gives it a bright, intrinsically high signal intensity similar to that of cerebrospinal fluid.1 In this particular case, it can be visually discerned in the axial image (Figure 1A) that the right cochlea (white diagonal farrow) has a lower signal intensity compared to the left cochlea (white diagonalgarrow). The signal intensity in the left cochlea is similar in brightness to the CSF in the cerebellopontine angle cistern (white *). This difference in signal intensity can also be visually discerned in the coronal image (Figure 1B). \u0000 \u0000 \u0000 \u0000 \u0000A lower T2-weighted signal intensity within the cochlea indicates a change in its normal fluid content. Several conditions can lead to this change, including intralabyrinthine hemorrhage, labyrinthitis, labyrinthine fibrosis and intralabyrinthine mass lesions like a schwannoma or a lipoma.2,3 As such, this T2-weighted imaging abnormality needs to be correlated with the clinical setting and the imaging characteristics in the other MR sequences in order to ","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":"49036708","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":"Dysphonia in Smokers of Combustible Cigarettes and E-cigarettes Measured Using the Filipino Voice Handicap Index","authors":"Maria Angela Dealino, Anna Pamela C Dela Cruz","doi":"10.32412/pjohns.v37i1.1721","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1721","url":null,"abstract":"\u0000\u0000\u0000\u0000ABSTRACT\u0000\u0000\u0000\u0000\u0000Objectives: To determine the prevalence of dysphonia, defined as any perceived voice pathology, in conventional cigarette smokers and e-cigarette users and to quantify and compare the Filipino Voice Handicap Index (VHI) scores of the two groups based on the mean scores for each of the three domains of this tool, as well as the mean total score for each group.\u0000Methods: \u0000\u0000\u0000\u0000\u0000Design: Cross-sectional study\u0000Setting: Tertiary National University Hospital\u0000Participants: 52 adults between the ages 18-65 with no previously known laryngeal illness or condition were divided into 26 conventional smokers and 26 e-cigarette users and completed the self-administered Filipino Voice Handicap Index.\u0000\u0000\u0000\u0000\u0000 \u0000Results: The prevalence of impairment in the sample using a total VHI score cut-off of 18 was 17.31% (9 out of 52, CI 8.23-30.32%) and the prevalence of dysphonic symptoms in the sample was 86.54% (45 out of 52, CI 74.21-94.41%). There were no significant differences between smokers and e-cigarette users for impairment using this cut-off (z: -1.36, p: .07) and dysphonic symptoms (z: 0.4063, p: .68). The prevalence of moderate impairment was 3.85% (1 out of 26, CI: 0.10-19.64%) among those using e-cigarettes; and 1.92% (1 out of 52, CI: 0.04-10.26%) among the entire sample population.\u0000Conclusion: There appears to be no statistically significant difference between the Filipino VHI scores of conventional smokers and e-cigarette users. Further inquiry into the subject would benefit from a larger sample size, comparison with a control group, inclusion of other factors relevant to the development of dysphonia, and correlation with objective means for voice analysis.","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":"47542030","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":"Translation and Validation of the Filipino Version of the University of Washington Quality of Life Questionnaire (UW-QOL) for Patients with Head and Neck Cancer","authors":"Josalline Dominguez, Elpidio Jesus Dominguez","doi":"10.32412/pjohns.v37i1.1695","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1695","url":null,"abstract":"\u0000\u0000\u0000\u0000ABSTRACT\u0000\u0000\u0000\u0000\u0000Objective: To translate the University of Washington Quality of Life (UW-QOL) questionnaire into Filipino and to validate it among a sample of patients with head and neck cancer.\u0000\u0000\u0000\u0000\u0000Methods: \u0000Design: Cross-sectional study\u0000Setting: Tertiary Government Training Hospital\u0000Participants: 33 patients\u0000 \u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000\u0000Results: A total of 33 patients were recruited in this study. Eighteen (54.5%) were male, and 15 (45.5%) were female aged 24-79 years old (mean age 52.85 ± 11.81 years old) completed the study. All items in the Filipino translation of the UW-QOL had a content validity index. The raters in face validation had 100% agreement in almost all items except for the appropriateness of font size and space of the questionnaire. The Cronbach’s alpha of the Filipino version of the questionnaire was 0.8596. The alpha score when each of the items was deleted remained within the range of 0.83 – 0.86. The intraclass correlation coefficients of all items were greater than 0.9. For all items, there were no significant difference observed between the test and retest scores.\u0000Conclusion: This study showed that the Filipino translation of the UW-QOL is culturally adapted, internally consistent and stable. It is as reliable as the original English version in assessing health related QOL, and valid for assessing HR-QOL among patients with head and neck cancers.","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":"45270900","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":"Endoscopic Management of Sinonasal Vascular Tumors Without Embolization: Our Experience with Vessel Ligation","authors":"V. P. Segovia, Peter Simon Jarin, Gianele Ricca Sucgang","doi":"10.32412/pjohns.v37i1.1719","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1719","url":null,"abstract":"\u0000\u0000\u0000\u0000ABSTRACT\u0000\u0000\u0000\u0000\u0000Objective: To present our surgical experience and technique in performing endoscopic sinus surgery for vascular sinonasal tumors without pre-operative embolization using intraoperative ligation of the external carotid artery or its distal branches.\u0000\u0000\u0000\u0000\u0000Methods:\u0000\u0000\u0000\u0000\u0000Design: Retrospective Series\u0000Setting: Tertiary Private Teaching Hospital\u0000Participants: Seven Patients\u0000\u0000\u0000\u0000\u0000Results: Out of 7 patients (5 males, 2 females, aged 12 to 64 years old) with non-embolized vascular sinonasal tumors, 2 had juvenile angiofibroma, 3 had a benign vascular tumor (hemangiopericytoma, hemangioma and a vasoformative solitary fibrous tumor), and 2 had a malignancy (rhabdomyosarcoma, squamous cell carcinoma). Four (57.1%) had external carotid artery ligation, two (28.6%) had internal maxillary artery ligation and one (14.2%) had sphenopalatine artery ligation. The mean intraoperative blood loss was 2447.1 mL (range 900mL to 5,000mL) and average operation duration was 7.6 hours (range 2.9 hours to 14.5 hours). The average amount of transfused blood products was 1785.7mL (zero to 3,000mL). The average hospital stay was 7 days (range 2 to 13 days) with one post-operative complication (ICU admission for hypotension from intraoperative blood loss).\u0000\u0000\u0000\u0000\u0000Conclusion: Intraoperative ligation of the ECA or its distal branches to disrupt the vascular supply of sinonasal tumors may provide a viable means of preventing excessive intraoperative blood loss in patients with non-embolized vascular sinonasal tumors.\u0000\u0000\u0000\u0000\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":"41911937","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":"Orbital Roof and Lateral Wall Reconstruction Using Split-Thickness Calvarial Bone Graft with Titanium Mesh Complex for a Spheno-Orbital Meningioma","authors":"Cathrine Miura, J. P. Amable","doi":"10.32412/pjohns.v37i1.1437","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1437","url":null,"abstract":"ABSTRACT\u0000Objective: To describe our reconstruction of an orbital roof and lateral wall defect using a split- thickness calvarial bone graft with titanium mesh complex after resection of a meningioma of the left greater wing of the sphenoid with extension to the left frontotemporal bone and left orbital roof and lateral wall.\u0000Methods:\u0000            Study Design: Surgical Innovation\u0000            Setting: Tertiary Private University Hospital\u0000            Patient: One\u0000Results: A 44-year-old woman with a left frontotemporal mass associated with left eye proptosis and epiphora underwent reconstruction of the left orbital roof and lateral wall defect using split-thickness calvarial bone graft with titanium mesh and screws after a left frontotemporal craniectomy, superior and lateral orbital wall resection of a mass of the sphenoid wing with orbital and frontotemporal extension. Final histopathology was consistent with meningioma. Surveillance of the mass and orbital reconstruction showed evidence of bone growth and osteointegration of the titanium mesh into the bone grafts.\u0000Conclusion: The initial good outcome of orbital roof and lateral wall reconstruction using split-thickness calvarial bone graft with titanium mesh is evidenced by osteointegration of the titanium mesh and revascularization leading to new bone growth. This autogenous-alloplastic complex may provide a more stable option for orbital reconstruction, but long term follow-up is needed for surveillance of recurrence and monitoring the status of orbital reconstruction.","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":"47536080","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":"Fatal Otitic Hydrocephalus Due to Sinus Thrombosis: A Case Report","authors":"Claudette Gloria Plumo, Emmanuel Tadeus S. Cruz","doi":"10.32412/pjohns.v37i1.1611","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1611","url":null,"abstract":"Objective: To report a case of chronic suppurative otitis media with complications of lateral sinus thrombosis and otitic hydrocephalus and to discuss its clinical manifestations, clinical course, ancillary procedures and management.\u0000Methods:\u0000Study Design: Case Report\u0000Setting: Tertiary Government Training Hospital\u0000Patient: One\u0000Results: A 35-year-old man was admitted due to intermittent right otorrhea for 20 years and headache for a month. The Glasgow Coma Scale (GCS) score was 12, and mastoidectomy performed on the second hospital day showed cholesteatoma with erosion of the bony covering of the sigmoid sinus with scanty purulent discharge. The GCS improved to 15 few hours post- operatively, however, 24 hours post-operatively, GCS decreased from 15 to 10 and a CT scan showed dilatation of cerebral ventricles and lateral sinus thrombosis which persisted on subsequent imaging studies. His condition deteriorated irreversibly despite a ventriculostomy, and he eventually expired after 3 weeks in the ward.\u0000Conclusion: Otitic hydrocephalus due to lateral sinus thrombosis is a serious complication of chronic suppurative otitis media seldom encountered nowadays. In this case, otitic hydrocephalus developed and progressed despite broad spectrum antibiotics, mastoidectomy and a ventricular shunt. This case report underscores the importance of early recognition of warning signs of intracranial complications to institute prompt management.","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":"45822639","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":"Liwanag sa Dilim: Days of Darkness, Night of Light!","authors":"J. F. Lapeña","doi":"10.32412/pjohns.v37i1.1937","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1937","url":null,"abstract":"Light one candle for the strength that we need To never become our own foe\u2028 And light one candle for those who are suffering Pain we learned so long ago \u2028Light one candle for all we believe in\u2028 That anger not tear us apart\u2028 And light one candle to find us together With peace as the song in our hearts   Don’t let the light go out!\u2028 It’s lasted for so many years! \u2028Don’t let the light go out! \u2028Let it shine through our hope and our tears.   — Peter Yarrow (Peter, Paul and Mary) 19821","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":"43017308","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":"Jacob S. Matubis, MD (1950-2022) “Bye, Jake!”","authors":"Josefino G. Hernandez","doi":"10.32412/pjohns.v37i1.1943","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1943","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000Those words reverberate in our minds as we remember how Dr. Nati Almazan, president of the Philippine Board of Otolaryngology- Head and Neck Surgery, bid Jake goodbye on many occasions, also being a member of the board. \u0000 \u0000 \u0000 \u0000 \u0000  \u0000Dr. Jacob Sadang Matubis, a colleague, a brother in the Mu Sigma Phi fraternity, and a batchmate during our residency in Otolaryngology-Head and Neck Surgery at the University of the Philippines-Philippine General Hospital from 1981 to 1984, was a friend to many of us. Jake, as we fondly called him, was a member of the UP Medicine Class of 1977, 2 years ahead of my batch, the Class of 1979. \u0000  \u0000During our days at the UP College of Medicine, we joined the UP Medicine football team and competed with the other teams from the different colleges of the University of the Philippines. I played the left-out forward position, now called a striker and Jake was a half-back, now called a midfielder. During our time, we were champions on two occasions, boasting of players who played the game during high school in La Salle Greenhills and Ateneo, as well as having one burly American studying Medicine in UP at that time, playing the defender position. Being champions will always remain happy memories. \u0000  \u0000 \u0000 \u0000 \u0000 \u0000Jake joined the Mu Sigma Phi fraternity in the summer of 1973. His baritone voice was his ticket to become a member of the Mu Sounds, a singing group of fraternity brothers, together with Dr. Alfee Pontejos, another brother and colleague. They performed in many venues and occasions especially during our fraternity anniversaries and college activities. \u0000  \u0000 \u0000 \u0000 \u0000 \u0000I would say that Jake was one of the most determined to be an Otorhinolaryngologist-Head and Neck Surgeon, having applied to our department for 3 consecutive years. It didn’t mean that he was not good. It was just unfortunate that when our secretary at that time, Raquel, called their house regarding his application, his mom told her that Jake was going to try to make it in the United States. Upon learning this, Dr. Mariano Caparas, the chair of the department at the time --who was also a pillar of our society and a staunch nationalist— immediately removed Jake from the list of applicants. It took Jake three attempts to convince Dr. Caparas that he was not leaving for the US and that it was his intention to stay in the Philippines and continue to serve the Filipino people--his commitment ever since his UP Diliman days. It was January of 1981 when he started his residency. \u0000  \u0000 \u0000 \u0000 \u0000 \u0000How Jake ended up as my batchmate during residency was like destiny. Being batchmates, we practically lived together day-in and day-out for 4 years learning surgeries, discussing our patients, spending long days, and sleeping in the call room even during off-duty days, effectively sealing our friendship forever. Back then, we were carefree and we talked a lot about our future. We were fond of playing poker during our downtime. Jake’s favorite game was called “Indian”. Each player w","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":"46237114","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}