{"title":"Robie V. Zantua, MD (1951-2021)","authors":"Anna Carmina T. Zantua","doi":"10.32412/pjohns.v36i2.1833","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1833","url":null,"abstract":"It was a challenge to write about my father without going through a mixture of emotions and memories. Our father-daughter relationship was far from perfect; we had our fair share of misunderstandings—him being the disciplinarian of the family, and me being the youngest and rebellious daughter. My father was an introvert— he would rarely say “I love you” or give us hugs growing up. Rather, he would show his affection for my sister and me through his subtle but caring ways. I can still vividly remember one afternoon when we were kids, he came home from the hospital and my sister and I welcomed him home with hugs, only to be rejected by him. After seeing us with sad faces (and prodding from our mother), he had to explain the reason why he didn’t return our hugs was because he didn’t want to pass on the microbes which he may have been exposed to at the clinic. In retrospect, there were a lot of times I would misinterpret his well-meaning paternal actions \u0000 \u0000Youngest in a brood of four, and born of a family of lawyers, Robie Zantua chose to become the first doctor among his Velasco-Zantua roots. While his older siblings would spend secondary school in Manila, he was left in Talisay, Camarines Norte under the care of his maternal aunt for his primary schooling. He would laughingly tell us that because he was a year younger than his classmates, his teacher had to test him before accepting him in school — he was able to read “buto” (seed) without difficulty (buto is ‘penis’ in his native dialect). In hindsight, it was probably because he grew up alone and had to do things independently at a young age that as an adult, he found it hard to ask for favors from others. On one occasion while I was still a medical clerk, he invited me to observe his emergency OR (a case of foreign body impaction of a balut). When we arrived at the ER, we saw that the patient was yet to be prepared for OR— he was not yet even hooked to the I.V. fluid. To my surprise, he asked for I.V. needs from the ER nurse and inserted the I.V. catheter himself, hooked the I.V. fluid; and on to the operating theatre we went. Years later, I realised if that happened in the government hospital where I trained, it was a sure Sunday duty for the ER resident; but Tatay did not make a fuss out of it and went to address the more important matter— performing the emergency procedure. He was ‘tubong Bicol’; his original plan was to return to Camarines Norte after his ENT residency training in PGH—a promise he made to the late Dr. Mariano Caparas. This plan however had to change, to Dr. Caparas’ dismay, in order to grant my mother’s request that they build their medical practice and start a family in her hometown at Santa Rosa, Laguna. \u0000 \u0000My mother and father became a huge part of each other’s lives. My parents were not expressive when it came to their emotions for each other, but it was a marriage filled with love. In fact, up to the last remaining days of my dad in the ICU, the family distantly cel","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":"45377126","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":"Aerosol and Droplet Particles Contained by Inexpensive Barrier Tent During Mastoidectomy: A COVID-19 Innovation","authors":"Andylou Mangubat, P. J. Labra","doi":"10.32412/pjohns.v36i2.1809","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1809","url":null,"abstract":"ABSTRACT \u0000Objective: To investigate the distribution and aerosolized particle counts generated during mastoidectomy, we utilized low-cost and locally available material and developed a plastic tent creating a barrier between the health care workers (HCW) and patient. \u0000Methods: The barrier tent is a clear plastic bag attached to the microscope lens. The tent is draped and tucked underneath the patient’s head and upper torso with surgeon’s arms also passed underneath and secured with clamps. We demonstrated the area of greater contamination by spread of droplet particles and bone dust after drilling using fluorescent dye. Particle counts inside and outside the barrier was determined and then comparison with and without the tent after drilling of cadaveric temporal bone were also done. \u0000Results: The area with highest concentration of contamination (“hot zone”) was noted opposite the surgeon’s hand drill which is dependent on the operator’s handedness. Other hot zones noted were opposite the operator and on the operator’s side. Particle determination of aerosol size 0.3 and 2.5µm inside the barrier tent were at peak levels after bone drilling procedure. Then a significant drop of particle counts was noted at 2 minutes after drilling was stopped with flattening observed at 8 minutes. \u0000Conclusion: Our experimental results suggest that the improvised barrier tent can be effective in mitigating aerosols generated during mastoid surgery and may serve as an added protection for the operating room team.","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":"48430310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Message","authors":"John Rodolfo Suan","doi":"10.32412/pjohns.v36i2.1843","DOIUrl":"https://doi.org/10.32412/pjohns.v36i2.1843","url":null,"abstract":"Greetings of peace and good health! \u0000I would like to sincerely congratulate the indefatigable Editorial Staff of the Philippine Journal of Otolaryngology Head and Neck Surgery for this latest issue of our bi-annual publication under the tutelage of our esteemed Editor-in-Chief, Dr. Jose Florencio F. Lapeña, Jr. The Philippine Society of Otolaryngology-Head and Neck Surgery is indebted to your tireless efforts to continue to come up with a scientific journal with academic research at par with international standards, despite what we know are more difficult circumstances brought about by a continuing global pandemic. \u0000I hope our Fellows will continue to guide our training Residents and Fellows-in-training, in coming up with journal-worthy scientific papers. This journal would not be what it is now without the tireless efforts of our Fellows in the academe and training institutions. \u0000 \u0000It is my wish and hopeful prayer that the next issue will come out under more favorable and happier circumstances. \u0000Let us all continue to be safe. Cheers to a better year ahead. \u0000 ","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":"48436445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Airway Volume Changes after Orthognathic Surgery in Patients with Down Syndrome: A Diagnostic-Therapeutic Algorithm","authors":"Giralt-Hernando M","doi":"10.24966/ohns-010x/100054","DOIUrl":"https://doi.org/10.24966/ohns-010x/100054","url":null,"abstract":"","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73756844","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":"Neglected Torticollis: Is it too Late for Surgical Treatment","authors":"","doi":"10.24966/ohns-010x/100055","DOIUrl":"https://doi.org/10.24966/ohns-010x/100055","url":null,"abstract":"","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79708991","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":"Ruben G. Henson Jr., MD (1935-2020)","authors":"Ruben Henson III","doi":"10.32412/pjohns.v36i1.1677","DOIUrl":"https://doi.org/10.32412/pjohns.v36i1.1677","url":null,"abstract":"My father was a true blue “promdi” from Angeles City, Pampanga. A son of a humble businessman who grew up with 3 siblings. A happy-go-lucky teenager who sometimes got into trouble with the usual traps of growing up and never really cared about his future. With the carefree attitude growing up, he was given an ultimatum by my grandfather. “Son, if you won’t study and don’t get serious with your life, you will be a bum or a beggar on the street.” Having an epiphany, he started getting inspiration from an uncle who was an EENT doctor -- observing in his clinic during summer and that started the fire that built his career of becoming a doctor. \u0000He graduated from the University of Santo Tomas Faculty of Medicine in Manila in 1959 then flew to the United States and had seven years of specialization -- first at the Elmhurst Hospital, New York City where he became Chief Resident in Otolaryngology. Not content with his training in ENT he decided to take a second specialty in Ophthalmology, with a three-year residency in Toronto East General Hospital in Canada. He could have stayed in North America to practice but opted to return to his hometown and serve his fellow Kapampangans, establishing Clinica Henson Eye, Ear, Nose and Throat Center in Angeles City. \u0000He always liked to tell stories about his residency training days in the US. They did a lot of stapedectomy cases during those times and after every procedure the surgeon whispered in the ear of the patient and asked, “Who is the president of the United States” and the patient should answer “John F. Kennedy.” A memorable situation was while he was doing a tonsillectomy, the nurse said out loud that JFK had been just been assassinated. The most memorable memento he brought home after his training was a Zeiss operating microscope. His mentors told him he should buy one and bring it home to better diagnose and manage ENT cases especially otologic procedures. They said it was a good investment since his children could also use it in their future practice. I’m happy and proud to say that we still use this microscope in our clinic OPD in Angeles City. \u0000His thirst for learning and improving his craft continued as he grew his practice. He did further training in Facial Plastic and Cosmetic Surgery in the 70’s at the University of California at Davies Sacramento USA and Shirakabe Clinic Osaka, Japan with the guidance of his mentor Dr. Jose Mathay. He eventually set up a cosmetic surgery clinic along Roxas Blvd in the 80’s and was one of the founding members of the Philippine Society for Cosmetic Surgery. His core competence was Rhinoplasty using silicone implant during those days. My mom, a fine arts graduate and portrait artist, helped in carving and designing the silicone implants. I must say that they were a perfect combination. \u0000Most of his patients were the wives of military officers and personnel from Clark Air Force base during the 70’s and 80’s. He also practiced in St. Luke’s Medical Center, Quezon City","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48739428","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":"Doknet’s World","authors":"William Billones","doi":"10.32412/PJOHNS.V36I1.1665","DOIUrl":"https://doi.org/10.32412/PJOHNS.V36I1.1665","url":null,"abstract":"<jats:p />","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47124214","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":"Oliverio O. Segura, MD (1933-2021) Through A Son’s Eyes – A Tribute to Dad","authors":"P. Segura","doi":"10.32412/PJOHNS.V36I1.1679","DOIUrl":"https://doi.org/10.32412/PJOHNS.V36I1.1679","url":null,"abstract":"I was born and raised in the old mining town of Barrio DAS (Don Andres Soriano), Lutopan, Toledo City where Atlas Consolidated Mining and Development Corp. (ACMDC) is situated. Dad started his practice in the company’s hospital as an EENT specialist in the early 60’s and was the ‘go to’ EENT Doc not only of nearby towns or cities (including Cebu City) but also the surrounding provinces in the early 70’s. In my elementary years, he was Assistant Director of ACMDC Hospital (we lived just behind in company housing, only a 3-minute walk). I grew interested in what my dad did, sometimes staying in his clinic an hour or so after school, amazed at how efficiently he handled his patients who always felt so satisfied seeing him. At the end of the day, there was always ‘buyot’ (basket) of vegetables, live chickens, freshwater crabs, crayfish, catfish or tilapia. I wondered if he went marketing earlier, but knew he was too busy for that (and mom did that) until I noticed endless lines of patients outside and remembered when he would say: “Being a doctor here - you’ll never go hungry!” I later realized they were PFs (professional fees) of his patients. As a company doctor, Dad received a fixed salary, free housing, utilities, gasoline, schooling for kids and a company car. It was the perfect life! The company even sponsored his further training in Johns-Hopkins, Baltimore, USA. \u0000 \u0000A family man, he loved us so much and was a bit of a joker too, especially at mealtimes. Dad’s daily routine was from 8 am – 5 pm and changed into his tennis, pelota, or badminton outfit. He was the athlete, winning trophies and medals in local sports matches. \u0000 \u0000Dad wanted me to go to the University of the Philippines (UP) High School in the city. I thought a change of environment would be interesting, but I would miss my friends. Anyway, I complied and there I started to understand that my dad was not just an EENT practicing in the Mines but was teaching in Cebu Institute of Medicine and Cebu Doctors College of Medicine (CDCM) and was a consultant in most of the hospitals in Cebu City. And still he went back up to the mountains, back to Lutopan, our mining town where our home was. The old ACMDC hospital was replaced with a new state-of-the-art hospital now named ACMDC Medical Center, complete with Burn Unit, Trauma center and an observation deck in the OR for teaching interns from CDCM. Dad enjoyed teaching them. Most of them are consultants today who are so fond of my dad that they always send their regards when they see me. \u0000 \u0000My dad loved making model airplanes, vehicles, etc. and I realized I had that skill when I was 8 years old and I made my first airplane model. He used to build them out of Balsa wood which is so skillful. I can’t be half the man he was but I realized this hobby enhanced his surgical skills. My dad was so diplomatic and just said to get an engineering course before you become a pilot (most of dads brothers are engineers). I actually gave engineering a g","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"36 1","pages":"73"},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42333180","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":"Self-Inflicted Craniofacial Impalement Injury with a Screwdriver During the COVID-19 Pandemic: A Case Report","authors":"JL Jane Gatela","doi":"10.32412/PJOHNS.V36I1.1653","DOIUrl":"https://doi.org/10.32412/PJOHNS.V36I1.1653","url":null,"abstract":"The author declared that this represents original material that is not being considered for publication or has not been published or accepted for publication elsewhere in full or in part, in print or electronic media; that the manuscript has been read and approved by the author, that the requirements for authorship have been met by the author, and that the author believe that the manuscript represents honest work.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"36 1","pages":"41"},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47768216","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":"Inverted Ductal Papilloma of the Salivary Gland","authors":"J. Carnate","doi":"10.32412/PJOHNS.V36I1.1663","DOIUrl":"https://doi.org/10.32412/PJOHNS.V36I1.1663","url":null,"abstract":"The author declared that this represents original material that is not being considered for publication or has not been published or accepted for publication elsewhere, in full or in part, in print or electronic media; that the manuscript has been read and approved by the author, that the requirements for authorship have been met by the author, and that the author believes that the manuscript represents honest work.","PeriodicalId":33358,"journal":{"name":"Philippine Journal of Otolaryngology Head and Neck Surgery","volume":"36 1","pages":"67"},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44579478","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}