Journal of ENT and Healthcare最新文献

{"title":"Anatomical variations of Sphenoid sinus among the population of the Eastern province of Saudi Arabia","authors":"Badria Alkhudair","doi":"10.58489/2837-3367/009","DOIUrl":"https://doi.org/10.58489/2837-3367/009","url":null,"abstract":"Objective The sphenoid sinus is a key anatomical structure in skull base surgery due to its close relationship with the neighboring neurovascular structures. This study focuses on investigating the variability of the intersinus septum in the Eastern Province of Saudi Arabia through high-resolution CT imaging. By exploring these anatomical features, the research aims to enhance surgical techniques, improve patient safety, and contribute to the development of region-specific guidelines and educational resources for skull base surgeries. Design and Methods A retrospective cross-sectional study conducted on 100 patients who underwent CT scan of paranasal sinuses from January 2023 to December 2023. Various parameters from axial, sagittal, and coronal views were used to calculate the dimensions and variations of the sphenoid sinuses. Results The study revealed that the most common pneumatization type was sellar (53%), followed by postsellar (30%) and presellar (17%), with the conchal type being extremely rare (1%). The mean presellar width and depth were nearly identical at 1.47 cm and 1.46 cm, respectively. Suprasellar depth variability was slightly higher than other dimensions. The most frequent intersinus septa configurations were single (81%), with midline septa being the predominant posterior termination (52.9%). Pneumatization of the anterior clinoid process was observed in 22%, and the pterygoid process was pneumatized in 50% of cases. The rate of Onodi cells was 36%, and optic nerve protrusion was found in 26% of cases. Statistical analyses revealed significant associations between postsellar pneumatization and both pterygoid process pneumatization (p<0.001) and the presence of Onodi cells (p=0.045). Conclusion The study highlighted significant anatomical variations of the sphenoid sinus in the Eastern Province of Saudi Arabia, which have important implications for surgical planning and risk management in skull base surgeries. A detailed preoperative CT scan is essential for navigating these variations to ensure safer and more effective surgical interventions. These findings contribute valuable insights into the regional anatomical features of the sphenoid sinus and support the development of targeted surgical guidelines and educational resources.","PeriodicalId":338895,"journal":{"name":"Journal of ENT and Healthcare","volume":"15 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141801246","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":"Sinus Symptoms in Cystic Fibrosis Patients and the Role of Interdisciplinary Care","authors":"L. Acree, N. Ramaswamy, C. Reyes, S. Kountakis, S. Halder, V. Taskar","doi":"10.58489/2837-3367/008","DOIUrl":"https://doi.org/10.58489/2837-3367/008","url":null,"abstract":"Chronic rhinosinusitis (CRS) is known to occur in most cystic fibrosis (CF) patients. This phenomenon occurs because the genetic mutations in CF cause impaired chloride ion transport, which affects water transport and thus leads to thick mucus that cannot be cleared easily in both the lower and upper airways. While improvements continue to be made in treatment modalities for CF patients in terms of modulator therapies, the effect on sinus disease symptoms and the role of the otolaryngologist (ENT) continues to evolve. This study investigates the sinus symptoms of CF patients with comparison to ENT involvement in their care, the histories of polyps and sinus surgeries of these CF patients, and how their initiation to modulator treatment has affected ENT involvement in their care. A retrospective health records review was conducted including patients from Augusta University Adult Cystic Fibrosis Center with stratification based on demographics, mutations, modulators, ENT clinic visits, history of polyps or nasal surgery, and reported symptoms of headaches, olfactory dysfunction, and sleep problems. 98 patients of the Augusta University Adult Cystic Fibrosis Center met the inclusion criteria of this study. Most of the patients with reported ENT visits in the past 10 years were white and between the ages of 20-29. The most common modulator therapy of the CF patients was elexacaftor-tezacaftor-ivacaftor at 72.22%. More than half of the patients had a history of sinonasal surgery, and almost half had a history of polyps. In comparing ENT visits to the initiation of modulator therapy, 24% of the patients with reported ENT visits saw an ENT after starting modulator therapy. CRS can contribute to morbidity in CF patients with most patients requiring surgical intervention in their lifetime. Additionally, persistent sinonasal symptoms can reduce the quality of life in CF patients. Despite treatment with modulator therapies, otolaryngologists continue to have a role in interdisciplinary CF management.CF- Cystic Fibrosis; CFTR- Cystic Fibrosis Transmembrane Regulator; CRS- Chronic Rhinosinusitis; EMR- Electronic Medical Record; ENT- Otolaryngologist","PeriodicalId":338895,"journal":{"name":"Journal of ENT and Healthcare","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139350240","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":"Post-Morther Changes in Rat Paretial Cortic and Hippocampus Neurons. Morphological Characteristics","authors":"Maksimovich N.E.,, Zimatkin S.M.,, Kokhan N.V.","doi":"10.58489/2837-3367/007","DOIUrl":"https://doi.org/10.58489/2837-3367/007","url":null,"abstract":"Target. Analysis of changes in the morphological characteristics of neurons in such phylogenetically different parts of the rat cerebral cortex in different periods after total cerebral ischemia. Methodology. Experiments were performed on 42 male outbred white rats with an initial weight of 240±20 g. Total cerebral ischemia in outbred white rats was modeled by decapitation. The material was taken at the 1st, 5th, 15th, 30th, and 60th minutes, as well as 5 and 24 hours after decapitation. Results. With total cerebral ischemia, a significant decrease in the size of neurons and deformation of the perikarya were observed. Normochromic neurons completely disappeared at the 60th minute. The number of hyperchromic neurons increased and then progressively decreased. Shriveled neurons accounted for the majority of cells in the studied areas of the cortex at 30-60 minutes, and then, after 5 and 24 hours, cells with pericellular edema predominated in the neuron population. Conclusion. The obtained data on histological changes in neurons of phylogenetically different parts of the cerebral cortex in the dynamics of total cerebral ischemia provide the basis for further detailed study of post-mortem changes in the brain, determining the time of death, creating a fundamental basis for studying the properties of neurons, including their transition from one functional state to other.","PeriodicalId":338895,"journal":{"name":"Journal of ENT and Healthcare","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122073029","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 Topographic Location of The Nasolacrimal Duct as An Anatomical Reference Point for Surgical Procedures in Maxillofacial Surgery","authors":"","doi":"10.58489/2837-3367/006","DOIUrl":"https://doi.org/10.58489/2837-3367/006","url":null,"abstract":"The study aimed to measure the distance of the nasolacrimal duct to adjacent anatomical structures in a sample of 150 CT scans from the San Ignacio University Hospital in Bogotá, Colombia, in 2021. The data was collected in a retrospective observational study based on non-probabilistic sampling. The results showed that the length of the nasolacrimal duct is greater in men than in women and decreases as age increases. The study highlights the need for studies that consider the specific characteristics of the Latin American population to establish reference points for surgical procedures in maxillofacial surgery.","PeriodicalId":338895,"journal":{"name":"Journal of ENT and Healthcare","volume":"361 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131376431","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":"Decreased Thyroid Function in Nasopharyngeal Carcinoma Patients Who Received Chemoradiotherapy in DR Sardjito Public Hospital, Yogyakarta, Indonesia","authors":"Solikin ., S. R. Indrasari, A. Surono, Afifah Listiati","doi":"10.58489/2837-3367/005","DOIUrl":"https://doi.org/10.58489/2837-3367/005","url":null,"abstract":"Background: Radiotherapy has long been recognized as the mainstay for the treatment of nasopharyngeal carcinoma with or without chemotherapy. Chemoradiotherapy can induce a transformation of thyroid gland causing thyroid disorder. Objective: This study has evaluated a decrease in thyroid function in patients with nasopharyngeal carcinoma who received chemoradiotherapy. Methods: This is a pre-post study design. The subject includes patients with nasopharyngeal carcinoma that underwent chemoradiotherapy. Patient's thyroid functions were measured twice; before and 3 months after chemoradiotherapy. Results: We observed the result of 30 patients that underwent chemoradiotherapy. The results of pre and post treatment for FT3, FT4 and TSH show p-value of 0,001, 0,0043 and 0,015 respectively showing statistically significant difference between two measurement period. Conclusion: We found an alteration in thyroid function in patients with nasopharyngeal carcinoma who received chemoradiotherapy.","PeriodicalId":338895,"journal":{"name":"Journal of ENT and Healthcare","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132344501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel technique of ear and nose piercing by intravenous cannula","authors":"Saikat Bhattacharjee, Sudhangshu Kumar Ballav, Prianka Chakrabortty, Monwar Mahmud Bhuiya","doi":"10.58489/2837-3367/003","DOIUrl":"https://doi.org/10.58489/2837-3367/003","url":null,"abstract":"Ear and nose piercing has been a common practice in almost all societies around the globe since beginning of human civilization. It is done to wear ornaments for beautification. Beauticians are practicing the procedure by sewing needle and piercing gun that causes various complications. Newer techniques are emerging to minimise complications. We have described a new technique of ear and nose piercing which minimized complications. Objective: Our aim is to describe the new technique and to study the outcome of the procedure. Method: A total 32 cases who have undergone ear and or nose piercing were included in this study. All cases were selected from ENT outpatient department of a medical college hospital and private consultation clinic during July 2021 to June 2022. Results: In all cases ear and or nose piercing were done by our new technique by using intravenous cannula. Cases were followed up to 6 months periodically and found no immediate or late complications. Conclusion: Ear and nose piercing by intravenous cannula is simple, cost effective and well accepted by the patients.","PeriodicalId":338895,"journal":{"name":"Journal of ENT and Healthcare","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116559109","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":"Detection of Thrombocytopenia, Anemia and Leukocytosis by Using Ensemble Learning","authors":"Pınar Karadayı Ataş","doi":"10.58489/2837-3367/002","DOIUrl":"https://doi.org/10.58489/2837-3367/002","url":null,"abstract":"Blood disorders are conditions that impact the blood’s ability to function correctly. There is a range of different symptoms depending on the type. There are several different types of blood disorders such as Leukemia, chronic myelocytic leukemia, lymphoma, myelofibrosis, polycythemia, Thrombocytopenia, anemia and Leukocytosis. Some resolve completely with therapy, or do not cause symptoms and do not affect overall lifespan Some are chronic and lifelong but do not affect how long you live. Other blood disorders, like sickle cell disease and blood cancers, can be fatal. Thereneeds to capture of hidden information in the medical data for detecting diseases in the early stage. In this study, we apply the Ensemble Learning technique for classification. We compared our result with other classification methods. The results show that Ensemble Learning methods can predict the Tumor of blood disease better than the other classifiers.","PeriodicalId":338895,"journal":{"name":"Journal of ENT and Healthcare","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127687371","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":"Razor Blade Foreign Body in Esophagus - A Case Report","authors":"Saikat Bhattacharya, Kazi Nurjahan, A. Sarker, Susmita Ballav","doi":"10.58489/2837-3367/001","DOIUrl":"https://doi.org/10.58489/2837-3367/001","url":null,"abstract":"We are presenting a case of impacted razor blade in esophagus of a 17 year's teenage girl. Sharp cutting edge of razor blade may impose a challenge to remove the foreign body. We are sharing our experience of successful removal of razor blade from mid esophagus without any complications.","PeriodicalId":338895,"journal":{"name":"Journal of ENT and Healthcare","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122779520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Neonate with Amniotic Band Syndrome and Osteomyelitis","authors":"Nazanin Zafaranloo, Fereshteh Moshfegh, P. Mohagheghi, B. Beigi, Elahe Nourozi","doi":"10.21203/rs.3.rs-80180/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-80180/v1","url":null,"abstract":"\u0000 Background: Amniotic band syndrome (ABS) comprises of a spectrum of congenital malformations involving the limbs more often, but any other anatomic region of fetus could be involved (1). Its prevalence has been reported to range from 0.19 to 8.1 per 10000 live births (2). There are different theories for explaining the etiology of amniotic bands, but it has been considered to have a multifactorial etiology. (2) Fetoscopic release of amniotic bands affecting one or more extremities can prevent limb loss or preserve limb function when distal fellow is still identifiable on preoperative ultrasound scans (3)(4). ABS occurs in 77% of fetuses with multiple anomalies (5). Both males and females are equally affected (6). Osteomyelitis in neonates is relatively uncommon, but burdened with an increased hospital stay and possible long‐term sequela if not diagnosed on time (18). The long bones are the most frequently affected sites (18).Case presentation: Here we are introducing a neonate with left upper extremity necrosis due to ABS which needed amputation and it was associated with severe chronic osteomyelitis.Conclusion: Amniotic band syndrome mostly involves the limbs. It is important to diagnose it as soon as possible, because with the interprofessional teamwork approach, an optimal patient result with fetoscopic or surgery procedures could be achieved.","PeriodicalId":338895,"journal":{"name":"Journal of ENT and Healthcare","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123404174","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}