Philippine Journal of Otolaryngology Head and Neck Surgery最新文献

{"title":"Secretory Carcinoma of the Salivary Glands","authors":"T. C. Uy, Abdel Hadi Mohammad Isa, Jose Carnarte","doi":"10.32412/pjohns.v37i1.1953","DOIUrl":"https://doi.org/10.32412/pjohns.v37i1.1953","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000     A 29-year-old woman presented with a 3-month history of an enlarging right infra-auricular mass. A fine needle aspiration biopsy revealed a cellular aspirate consistent with a salivary gland neoplasm of uncertain malignant potential (The Milan System for Reporting Salivary Gland Cytopathology Category IV-B). She subsequently underwent superficial parotidectomy, revealing a poorly circumscribed tumor measuring 1.8 x 1.2 x 1.0 cm in the superficial lobe of the parotid gland. \u0000 \u0000 \u0000 \u0000 \u0000     On microscopic examination, the tumor was composed of microcystic, follicular, and tubular structures lined by mildly atypical, hobnailed cells with abundant granular to foamy, pale, eosinophilic cytoplasm, and round to oval, vesicular nuclei containing finely granular chromatin and prominent, centrally located nucleoli. (Figure 1) Intraluminal secretions were present within the microcysts and tubules, staining positive for Periodic Acid Schiff (PAS) that was resistant to diastase digestion. (Figure 2) Immunohistochemistry studies for S100, SOX10, and Mammaglobin showed strong, diffuse positivity in the tumor cells, in contrast to the absence of staining observed for DOG1. (Figure 3) Given the described morphological and immunological findings, a diagnosis of secretory carcinoma was rendered. No foci of high-grade transformation, i.e., areas with a solid growth pattern, nuclear anaplasia, increased mitoses, or necrosis, were noted. \u0000 \u0000 \u0000 \u0000 \u0000     Secretory Carcinoma or Mammary Analogue Secretory Carcinoma (MASC) is a recently described low grade salivary gland malignancy that bears a morphologic resemblance to mammary secretory carcinoma, harboring a similar chromosomal translocation, t(12;15) (p13;q25), that most commonly produces a fusion of the ETV6 and NTRK3 genes.1-5 Occurring in adults (mean patient age of 46.5 years) without a predilection for either sex, these tumors most commonly arise in the parotid gland.1,2 \u0000 \u0000 \u0000 \u0000 \u0000     Historically, secretory carcinomas have been diagnosed as either acinic cell carcinoma – due to the close morphological similarity of having a microcystic or follicular growth pattern or adenocarcinoma that is not otherwise specified. Aside from the characteristic ETV6-NTRK3 gene fusion, secretory carcinomas may be differentiated from acinic cell carcinoma by having no basophilic zymogen cytoplasmic granules in the tumor cells in contrast to the latter, and the diffuse expression of S100 and Mammaglobin as well as the absence of DOG1 expression in secretory carcinoma on immunohistochemistry. 1,2 Low grade mucoepidermoid carcinoma may also present as a possible morphological differential diagnosis. Immunohistochemistry studies for p63 (expressed in epidermoid cells of mucoepidermoid carcinoma), as well as S100 and Mammaglobin (no expression expected in mucoepidermoid carcinoma) may be sufficient to differentiate between the two entities. On a cytogenetic level, most low grade mucoepidermoid carcinomas harbor a chromosomal tra","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":"42126494","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":"Management of Isolated Mandibular Body Fractures in Adults","authors":"J. F. Lapeña, Joselito David, Ann Nuelli Acluba - Pauig, Jehan Grace Maglaya, Enrico Micael Donato, Francis V. Roasa, Philip Fullante, J. Antonio, Ryan Neil Adan, Arsenio L. Pascual, Jennifer De Silva- Leonardo, M. Gomez, Isaac Cesar S. De Guzman, Veronica Jane Yanga, Irlan Altura, D. J. Caro, K. Ty, Elmo Lago, Joy Celyn Ignacio, Antonio Mario De Castro, P. Joves, A. Pineda, Edgardo Jose Tan, Tita Cruz, Eliezer Blanes, M. Esquillo, Emily Rose Dizon, Joman Laxamana, Fernando Aninang, Ma. Carmela Cecilia Lapeña","doi":"10.32412/pjohns.vi.1857","DOIUrl":"https://doi.org/10.32412/pjohns.vi.1857","url":null,"abstract":"Objective \u0000The mandible is the most common fractured craniofacial bone of all craniofacial fractures \u0000in the Philippines, with the mandibular body as the most involved segment of all mandibular \u0000fractures. To the best of our knowledge, there are no existing guidelines for the diagnosis and \u0000management of mandibular body fractures in particular. General guidelines include the American \u0000Academy of Otolaryngology – Head and Neck Surgery Foundation (AAOHNSF) Resident Manual \u0000of Trauma to the Face, Head, and Neck chapter on Mandibular Trauma, the American Association \u0000of Oral and Maxillofacial Surgeons (AAOMS) Clinical Practice Guidelines for Oral and Maxillofacial \u0000Surgery section on the Mandibular Angle, Body, and Ramus, and a 2013 Cochrane Systematic \u0000Review on interventions for the management of mandibular fractures. On the other hand, a \u0000very specific Clinical Practice Guideline on the Management of Unilateral Condylar Fracture \u0000of the Mandible was published by the Ministry of Health Malaysia in 2005. Addressing the \u0000prevalence of mandibular body fractures, and dearth of specific guidelines for its diagnosis and \u0000management, this clinical practice guideline focuses on the management of isolated mandibular \u0000body fractures in adults. \u0000  \u0000Purpose \u0000This guideline is meant for all clinicians (otolaryngologists – head and neck surgeons, as \u0000well as primary care and specialist physicians, nurses and nurse practitioners, midwives and \u0000community health workers, dentists, and emergency first-responders) who may provide care \u0000to adults aged 18 years and above that may present with an acute history and physical and/ \u0000or laboratory examination findings that may lead to a diagnosis of isolated mandibular body \u0000fracture and its subsequent medical and surgical management, including health promotion and \u0000disease prevention. \u0000  \u0000It is applicable in any setting (including urban and rural primary-care, community centers, \u0000treatment units, hospital emergency rooms, operating rooms) in which adults with isolated \u0000mandibular body fractures would be identified, diagnosed, or managed. \u0000  \u0000Outcomes are functional resolution of isolated mandibular body fractures; achieving \u0000premorbid form; avoiding use of context-inappropriate diagnostics and therapeutics; minimizing \u0000use of ineffective interventions; avoiding co-morbid infections, conditions, complications and \u0000adverse events; minimizing cost; maximizing health-related quality of life of individuals with \u0000isolated mandibular body fracture; increasing patient satisfaction; and preventing recurrence in \u0000patients and occurrence in others.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42265322","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":"Eusebio E. Llamas, MD (1926-2021) “Small in Feet but Giant in Feat”","authors":"Norberto Martinez","doi":"10.32412/pjohns.v36i2.1831","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1831","url":null,"abstract":"Dr. Eusebio E. Llamas was the epitome of a great teacher, a devoted father and a prime mover. In 1952, he underwent residency training in Bellevue, New York where he stayed for one year and then proceeded to Los Angeles where he trained at the House Ear Institute. Upon his return to the Philippines, he joined the UST Department of EENT and subsequently became the section chief of ENT. In 1978, he assumed the chairmanship of the Department of EENT until 1983. \u0000  \u0000As prime mover, he was instrumental in the separation of the Dept. of Otolaryngology from the Dept. of Ophthalmology in 1984 and led the department until 1989 earning the distinction of becoming the longest serving chair. \u0000  \u0000He would invite residents (who were in awe of his demeanor in handling patients) to see interesting cases in his private clinic. He demonstrated compassion to all patients regardless of their social status. In the operating room, he exemplified finesse in doing surgeries and made it look so simply seamless. He never showed any mean streak and always appeared calm even amid adversity. Whenever there were issues in the department or among residents, he would talk to them in private and would counsel them like a father to his children. \u0000  \u0000He was deeply religious as he would go to the chapel first thing in the morning before he went to the OPD at 8 am sharp. He taught the residents the virtue of punctuality by being at the OPD ahead of them, and 30 minutes in advance of his scheduled operations. He was impeccable in his choice of apparel, always dressing up with the perfect triangle of the Windsor tie \u0000  \u0000The only reason why I wanted to become an ENT as early as third year medical student was solely because of Dr. Llamas. He would literally deliver his lecture verbatim from Boise’ Textbook of Otolaryngology including pauses for commas. He inspired me a lot and told myself, I wish I could do at least half of what he could memorize and that would be good enough \u0000  \u0000He was very open to inviting graduates from other institutions to join the department as exemplified by the acceptance of Dr. Carlos Reyes for Otology and Dr. Robie Zantua for Head and Neck Surgery. He was never threatened by other consultants practicing at UST and in fact encouraged them to do so. \u0000  \u0000He was a dedicated father to his children Rose, Jun, Beth and Annie and a devoted husband to his wife Lulu. He would always think of his family’s welfare over his own. His extended family would always seek his support whenever the need arose, and he would welcome them with open arms. To the family, thank you for generously sharing Dr. Llamas during his most productive years. \u0000  \u0000The best tribute the PSO-HNS offered to Dr. Llamas was choosing him as the Most Outstanding Teacher in 2020. We would not be where we are today if not for the selfless dedication of our dear Dr. Llamas. As Thornton Wilde said, “The highest tribute to the departed is not grief but gratitude”. \u0000  \u0000Maraming Salamat at Paalam","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41594020","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":"Ibarra R. Crisostomo, MD (1958-2021) A Tribute to our Colleague","authors":"R. Bautista","doi":"10.32412/pjohns.v36i2.1829","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1829","url":null,"abstract":"It is my privilege to write this tribute to Dr. Ibarra Crisostomo, a friend, colleague, Otolaryngologist, devoted husband, and a loving father. We honor him by expressing our loss but also by remembering how he has somehow touched our lives \u0000  \u0000I first met Barry, as we all called him by his nickname, when I was a 1st year resident at the Department of Otolaryngology-Head and Neck Surgery of East Avenue Medical Center. He was my senior then, among the six 2nd year residents that year. That first encounter marked the beginning of our longstanding friendship. As a senior and a mentor, he was very supportive and patient in imparting his knowledge and experience to his juniors. Never did he strike fear, but gained our respect with his simple and pleasant ways in dealing with us and our work. During our duties, he would make a difficult and toxic situation seem lighter due to his composure, humor, and caring attitude. \u0000  \u0000In addition to his devotion to his work, I learned about his love for his family. They were never far from his thoughts. He was always in contact with them even when he was on duty at the hospital. He made certain to bring them a special little something when he went home \u0000  \u0000He was indeed a selfless person. After his residency, he was committed to teaching and became a staff at the Department of ENT- HNS of the Armed Forces Medical Center. He was the Residency Training Officer for six years from 2002-2006. His humility and dedication to work was exemplary. He will be remembered by his residents and colleagues as an affectionate and beloved teacher who gave his best to his students and as a person of integrity, honesty and sincerity \u0000  \u0000He also started his private practice as an Otolaryngologist in Marikina. He was also a successful entrepreneur and managed various businesses. Barry was an expert in multi-tasking by combining his medical practice with business. I admire him because he was indeed a good father and a good provider, always thinking about the welfare of his family. He felt proud and fulfilled that he was able to send his children to schools abroad \u0000  \u0000Barry, a caring and loving family man, a cherished colleague, and an ENT-HNS specialist, a good friend, will be missed by many, but never will he be forgotten by those who were fortunate enough to have known him","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44235580","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":"Nasolabial Flap Reconstruction for Orofacial Defects: A Case Series","authors":"Robert Zaid Diaz, A. C. Cabungcal","doi":"10.32412/pjohns.v36i2.1799","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1799","url":null,"abstract":"ABSTRACT \u0000Objective: To describe our clinical experience with, and functional outcomes of the nasolabial flap for reconstruction of orofacial defects. \u0000Methods: \u0000Design: Retrospective Case Series \u0000Setting: Tertiary National University Hospital \u0000Participants: Records of 11 patients on whom a nasolabial flap was performed for reconstruction of head and neck defects between January 2013 and December 2018 were analyzed. \u0000Results: All patients underwent wide excision with or without frozen section, with or without neck dissection, and nasolabial flap closure was performed by a single surgeon. There were no major complications. In two cases, the nasolabial flap was used as an adjunct for Abbé and deltopectoral flap reconstruction. One had poor oral competence due to the bulk of the deltopectoral flap. Acceptable aesthetics and functional outcomes were achieved. \u0000Conclusion: The nasolabial flap is a viable alternative for reconstruction of orofacial defects following head and neck surgeries. Additional cases can help validate our initial experience","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48305888","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":"Joselito B. Buluran, MD","authors":"Rene Lacanilao","doi":"10.32412/pjohns.v36i2.1827","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1827","url":null,"abstract":"The first time I saw Doctor Joselito Buluran or JB as he was fondly called, was when we were oriented before we began our Pre-Residency. \u0000  \u0000He was shy and most of the time quiet when in the presence of people he was not familiar with. He always had a ready smile and laughed just as easily. Sometimes you felt he was the kid in school who was bullied and made fun of. He was easy to get along with and probably had no enemies. He was very unassuming. \u0000  \u0000Unknown to most of us he was in fact Chinese by blood who grew up locally; he was the youngest in the family (born when his mother was in her 60’s). It was sometimes funny that given that fact and the way he looked, one may think he could be retarded. Now that was funny because he was in fact quite intelligent. Now imagine that and combine that with his study habits you had a powerhouse of a resident who would be prepared for the weekly grand rounds or the subspecialty hour. The night before the grand rounds you would see him pouring over Cummings and you would still see him reading when you woke up the next day. He was always studying. It was therefore no surprise that he readily passed the USMLE when he took it in our 2nd year of residency \u0000  \u0000JB was not athletic. But that did not stop him from participating in the PSO-HNS sportsfests. And even if he did not know how to play and looked like a duck out of water, he gamely joined the tennis tournament between residents thought up by another co-resident. He was easy to get along with and seemed like he never got angry. In fact, of all the residents, he may have been the subject and target of more jokes and practical jokes than anyone else. \u0000  \u0000He made sure he did what was assigned to him. As an intern’s monitor, a position he reveled in, he was constantly teaching the interns. One day I saw him in the ENT chair at the OPD and asked him what he was doing. He answered that he was testing the interns if they know how to actually remove cerumen and he was in the chair because he was the patient. \u0000  \u0000It was also when he was intern’s monitor that he met the love of his life. Suddenly, his world changed. From a happy-go-lucky guy with a ready smile he suddenly became serious. So serious in fact that he approached me one night and confronted me if I was showing interest in the same person he was interested in. I’m kind of smiling because I still remember that night. That was totally not in character for JB. I assured him that he had nothing to fear because I had no interest, and the girl was his. He courted her and in the end they got married. \u0000  \u0000We parted ways when we graduated, and we barely saw each other even during conventions. He moved back to Norzagaray where he established his practice. I always thought he would be using his MLE but he never did. Once when we were somewhere in Bulacan near Norzagaray, my wife needed a phone and I thought since we were in Buluran territory why not try to find him. He was easy to find because the people we asked point","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44927536","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. 36 No.2 July-December 2021","authors":"Philip J Otolaryngol Head Neck Surg","doi":"10.32412/pjohns.v36i2.1841","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1841","url":null,"abstract":"EDITORIAL4\u0000 \u0000COVID-19 and Climate Change: Signing Up for Our Impossible Dream\u0000Lapeña JFF \u0000SPECIAL ANNOUNCEMENT\u00006\u0000 \u0000Global Health Community Calls for Climate Action Ahead of COP26 to Avert “Biggest Health Threat Facing Humanity”\u0000 \u0000ORIGINAL ARTICLES8\u0000 \u0000Pre-Operative Temporal Bone CT Scan Readings and Intraoperative Findings During Mastoidectomy\u0000Toral DB, Laganao CRD\u0000 \u0000 \u000013\u0000 \u0000Endoscopic Type I Tympanoplasty in 70 Patients with Chronic Otitis Media: A Preliminary Report\u0000Singh B, Pal P, Osahan HS, Sood AS\u0000 \u0000 \u000018\u0000 \u0000Determination of Ambient Noise Levels in the Medical and Surgical Intensive Care Units and Adult Ward of the Makati Medical Center\u0000Chan-Zamora JP, Cedeño JRR, Guzman PB, Bigalbal JL\u0000 \u0000 \u000022\u0000 \u0000 Cerebro-Spinal Fluid Leak in Skull Base Reconstruction Using Hadad - Bassagasteguy Flap after Endoscopic Endonasal Transsphenoidal Surgery: A Case Series\u0000Formalejo JP, Amable JP\u0000 \u0000 \u000025\u0000 \u0000Nasolabial Flap Reconstruction for Orofacial Defects: A Case Series\u0000Diaz RZ, Cabungcal AC\u0000 \u0000 \u000030\u0000 \u0000Application of Open-Source 3D Planning Software in Virtual Reconstruction of Complex Maxillofacial Defects\u0000Caro DJ, Pamintuan FG \u0000 \u0000 CASE REPORTS\u000036\u0000 \u0000Approach to a Sewing Needle in the Parapharyngeal Space: A Case Report\u0000Bettadahalli V, Bhargava R, Kumar S\u0000 \u0000 \u000040\u0000 \u0000Single Stage Transoral Cordectomy and Medialization Thyroplasty in Early Glottic Squamous Cell Carcinoma: A Case Report\u0000Regalado -Go JAF, Flores TJ, Santiago AE\u0000 \u0000SURGICAL INNOVATIONS AND INSTRUMENTATION44\u0000 \u0000Aerosol and Droplet Particles Contained by Inexpensive Barrier Tent During Mastoidectomy: A COVID-19 Innovation\u0000Mangubat AD, Labra PJP\u0000 \u0000 \u000049\u0000 \u0000Addressing Difficulty in Communication While Wearing a Respirator Mask During the COVID-19 Pandemic by Using a Laryngophone\u0000Kongsun Ching LVC, Liu PLAA \u0000FEATURED GRAND ROUNDS \u000052\u0000 \u0000Pyoderma Gangrenosum Initially Presenting as an Ulceration of the Ear Lobule\u0000Dulnuan HG, Garcia CV, Tirona-Remulla A\u0000 \u0000FROM THE VIEWBOX \u000055\u0000 \u0000Post-traumatic Malleo-Incudal Complex Dislocation\u0000Yang NW\u0000 \u0000UNDER THE MICROSCOPE\u000057\u0000 \u0000Acantholytic Squamous Cell Carcinoma\u0000Maganito SC, Carnate JM\u0000 \u0000CAPTOONS\u000059\u0000 \u0000Doknet’s World\u0000Billones WU\u0000 \u0000PASSAGES\u000060\u0000 \u0000Joselito B. Buluran, MD\u0000Lacanilao RC\u0000 \u0000 \u000061\u0000 \u0000Ibarra R. Crisostomo, MD\u0000Bautista RA\u0000 \u0000 \u000062\u0000 \u0000Eusebio E. Llamas, MD\u0000Martinez NV\u0000 \u0000 \u000063\u0000 \u0000Robie V. Zantua, MD\u0000Zantua ACT","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45220388","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":"Global Health Community Calls for Climate Action Ahead of COP26 to Avert “Biggest Health Threat Facing Humanity”","authors":"Climate and Health Alliance","doi":"10.32412/pjohns.v36i2.1837","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1837","url":null,"abstract":"WHO Report Calls for Ambitious Climate Commitments as the only Path to Long-Term Recovery from Pandemic \u0000  \u0000Geneva, 11 October 2021 - The Philippine Journal of Otolaryngology Head and Neck Surgery joined more than 300 organizations representing at least 45 million nurses, doctors and health professionals worldwide – about three quarters of the global health workforce – and signed an open letter to the 197 government leaders and national delegations ahead of the UN climate conference (COP26) in Glasgow, UK, warning that the climate crisis is the single biggest health threat facing humanity, and calling on world leaders to deliver on climate action.1 \u0000The letter’s publication coincided with the October 11, 2021 release of a new report by the World Health Organization (WHO), which argues that countries can only ensure a long-term recovery from the pandemic by implementing ambitious climate commitments. The report delivers ten high-level recommendations, backed up by action points, resources and case studies, including the need to place health and social justice at the heart of the UN climate talks.2 \u0000  \u0000The letter states: “Wherever we deliver care, in our hospitals, clinics and communities around the world, we are already responding to the health harms caused by climate change.” It further says “Those people and nations who have benefited most from the activities that caused the climate crisis, especially fossil fuel extraction and use, have a great responsibility to do everything possible to help those who are now most at risk.” \u0000  \u0000José Florencio Lapeña, Editor-in-Chief of the Philippine Journal of Otolaryngology Head and Neck Surgery echoed the statement: \u0000  \u0000“Wildfires, flooding, heatwaves and droughts impacting people’s health have been on the rise around the world, compounding other health challenges such as the pandemic. In the Philippines, we are already seeing heightened El Niño and La Niña phenomena, with flooding and rising sea levels. \u0000  \u0000By integrating health and equity into climate policy, the Philippines has the opportunity to protect peoples’ health, maximize returns on investments, and build public support for the urgently needed responses from governments to the climate crisis.” \u0000  \u0000Both the letter and the report argue that health and equity must be at the center of climate change response; while the letter calls for action, the report provides the blueprint for delivering climate action that will protect the health of people around the world. \u0000  \u0000The letter, which has been signed by diverse medical organizations and high profile individuals, such as WHO Director-General Dr. Tedros Adhanom Ghebreyesus, the World Medical Association, the International Council of Nurses and Doctors forExtinction Rebellion Switzerland, calls on all governments to update their national climate commitments under the Paris Agreement, in line with their fair share of limiting warming to 1.5°C. A recent report by UN Climate Change (UNFCCC) found that count","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49072624","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":"Pyoderma Gangrenosum Initially Presenting as an Ulceration of the Ear Lobule","authors":"Heather Grace Dulnuan, C. V. Garcia, Agnes N. Tirona-remulla","doi":"10.32412/pjohns.v36i2.1813","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1813","url":null,"abstract":"Pyoderma Gangrenosum (PG) was first described in 1916 as “phagedenisme geometrique”, after a French dermatologist observed rapidly progressing, cutaneous necrotic lesions with sharp borders.1 In 1930, Brunsting and his colleagues at the Mayo Clinic coined the term Pyoderma Gangrenosum, because it was initially thought to arise from staphylococcal and streptococcal infections which were observed in 5 of their patients.2 The exact etiology and pathogenesis is still unknown. To date, only a few cases of PG have been shown to affect the ears, all showing no gender or age predilection.3 We report another such case. \u0000  \u0000CASE REPORT \u0000A three-year-old girl presented at the emergency room with a non-healing, erythematous papule over her left ear lobule, allegedly following an ear piercing one month prior. She was initially treated at another institution with oral antibiotics. Despite treatment, her mother noted rapid worsening of the lesion, eventually developing into a painful ulceration and affecting the left eyelid as well. At the time of examination, the patient presented with a painful, necrotic plaque around the left eyelid with serpiginous borders (Figure 1) and ear lobule with erythematous, advancing borders (Figure 2A, B). There were no systemic co-morbidities noted. The working diagnosis then was necrotizing fasciitis and she was immediately started on systemic intravenous antibiotics which she did not respond to. Laboratory tests showed elevated CRP, but procalcitonin, C-ANCA and ANA were all normal. Tissue cultures of both eyelid and earlobe, as well as blood cultures, revealed no growth. Wedge biopsy of the eyelid ulceration revealed neutrophilic dermatitis. Biopsy of the ear lobule revealed suppurative granulomatous dermatitis with secondary leucocytoclastic vasculitis. Further workups for infection and possible systemic diseases were all unremarkable. A pathergy test was negative. A diagnosis of pyoderma gangrenosum was made after excluding systemic and infectious causes. The patient was started on systemic prednisone at a dose of 1mg/kg/day which she slowly responded to. Surgical reconstruction of the earlobe was to be planned once the ulceration completely healed; unfortunately, this patient was lost to follow-up","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41994485","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":"Application of Open-Source 3D Planning Software in Virtual Reconstruction of Complex Maxillofacial Defects","authors":"D. J. Caro, Ferdinand Pamintuan","doi":"10.32412/pjohns.v36i2.1801","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1801","url":null,"abstract":"ABSTRACT \u0000Objective: To present our in-house 3D planning protocol utilizing open-source computer-aided design software and discuss specific applications in reconstruction of various craniomaxillofacial defects, demonstrating a free, accessible, efficient, accurate, and easily learnable alternative to expensive counterparts. \u0000Methods: \u0000Design: Case Series \u0000Setting: Tertiary Private Training Hospital \u0000Participants: Ten (10) patients who underwent CAD assisted reconstructive surgeries from February 2017 – May 2018. \u0000Results: A total of 10 patients were included; 7 mandibular reconstructions were surgically reconstructed using our 3D planning protocol and achieved symmetric mandibular contour, with good functional occlusion after surgery; 1 cranioplasty and 1 orbital trauma case also achieved good symmetry and adequate correction of enophthalmos respectively. However, inadequate soft tissue correction was seen in 1 case of maxillary reconstruction despite achieving symmetric bony contour. \u0000Conclusion: Our 3D planning protocol using open-source CAD applications is a viable alternative to expensive professional counterparts. Additional prospective studies may better demonstrate benefits in terms of accuracy and decreasing intraoperative time in craniomaxillofacial and head and neck reconstruction.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45194356","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}