V. Sreenivas, J. Chaturvedi, Chetan Pai, Pallavi Singh, Reetika Sachadeva, Balasubramanya Am
{"title":"Childhood Facial Palsy –A Case Report","authors":"V. Sreenivas, J. Chaturvedi, Chetan Pai, Pallavi Singh, Reetika Sachadeva, Balasubramanya Am","doi":"10.5580/2bda","DOIUrl":"https://doi.org/10.5580/2bda","url":null,"abstract":"Bell’s palsy is defined as a neuropathy of the peripheral seventh cranial nerve or the facial nerve. It is usually from an idiopathic cause but it can result from traumatic, compressive, infective, inflammatory or metabolic abnormalities involving the facial nerve (1). Bell’s palsy is more common in adults than in children. The incidence of Bell’s palsy in children is about 6-7% (2). There are very few studies that describe the magnitude and prognostic features of Bells palsy in children. We present a case of Bell’s palsy in an 8-year-old child who completely recovered after treatment with oral antiviral agents and steroids followed by regular facial physiotherapy. The dilemma in management of Bell’s palsy in children along with a review of relevant literature is discussed in this report.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133216913","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}
H. Ismail-Koch, V. Dhar, N. Jonas, M. Malone, W. Chong, C. Jephson, Jephson. Aneurysmal
{"title":"Aneurysmal Bone Cyst Of The Anterior Ethmoid: Management Of This Rare Entity","authors":"H. Ismail-Koch, V. Dhar, N. Jonas, M. Malone, W. Chong, C. Jephson, Jephson. Aneurysmal","doi":"10.5580/2c0c","DOIUrl":"https://doi.org/10.5580/2c0c","url":null,"abstract":"Aneurysmal bone cysts (ABC) of the skull are rare osteolytic expansile lesions. There are few reports in the literature of ABC of the orbits and sinuses. We present computed tomography (CT), magnetic resonance (MRI) imaging and histopathologic findings of an aneurysmal bone cyst of the anterior ethmoids in an 8 year old boy, who presented to the department with a three month history of right epiphora and a right medial canthal mass. CT and MRI demonstrated a multiloculated expansile lesion arising from the right ethmoid air cells, displacing the right globe laterally. On biopsy bloody fluid was aspirated from the lesion. The histology was consistent with an aneurysmal bone cyst. The ABC was excised using a combined endoscopic and open approach. To date there have been 22 cases of ABC of the ethmoids reported in the English literature, the demographics, presenting features and management of these cases are discussed and a methodological approach is suggested.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124777989","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":"Dynamics In The Trend Of Foreign Bodies In ENT Practice In Nigeria: Any Change?","authors":"N. Onyeagwara, Al Okhahku, E. Emokpaire, F. Ogisi","doi":"10.5580/2cb4","DOIUrl":"https://doi.org/10.5580/2cb4","url":null,"abstract":"Background: Foreign bodies in the ear, nose and throat still remains one of the commonest Otorhinolaryngological emergencies especially in children in our environment. The management calls for prompt and precise technique which has improved over time following the advances in technology. Methods: This is a cross sectional carried out from April 2009-March 2010 with the objective of evaluating the nature,and mode of presentations of patients with various types of foreign bodies seen at the Otorhinolaryngology (ENT) practice in Benin City, Nigeria.Results: A total of 132 cases of fb were recorded during the period under review. Comprising 70(53%) females and 62(47%) males with a female: male ratio of 1.1:1 with ages ranging from 3 months to 80years. Sixty-six( 50%)patients presented with foreign bodies in the ears, 40(30.3%) in the nasal cavities , 11(8.3%),10(7.6%) and 4(3.0%)in the oesophagus, pharynx and larynx respectively. The commonest aural foreign body was bead in 25 (18.9%) patients , cotton bud in 22 (16.7%) and seeds in 15 (11.4%)patients.Sixty-six(50%) of the cases presented within 24 hours of insertion, while 54(40.9%)within 2-5 days and10(7.6%) within the first 10 daysThe complications encountered included epistaxis 6 (4.5%) , ear bleed 5 (3.8%), tympanic membrane perforation 2 (1.5%) patients and death in 2 (1.5%) patients.CONCLUSION: Foreign bodies in the orifices remain a major concern in otolaryngological practice. Early detection and presentation to the specialist will reduce complications which are encountered commonly due to delay.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125750469","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":"Prevalence Of ENT Diseases In Children: Hospital Based Study","authors":"R. Nepali, Brihaspati Sigdel","doi":"10.5580/2bd9","DOIUrl":"https://doi.org/10.5580/2bd9","url":null,"abstract":"Background: Nepal is a landlocked and developing country with 34.6% children under 14 years of ageas well a big population under the line of poverty. Socioeconomic status, family type, overcrowding and provision of health care facilities act as risk factors for ENT disorders. There is a lack of data on pediatric ENT disorders from various Nepalese populations. This study was undertaken to determine the hospital prevalence of ENT disorders in pediatric population and their relationship with sociodemographic factors.Objectives:This study was undertaken to determine the hospital prevalence of ENT disorders in pediatric population and their relationship with socio-demographic factors in a tertiary care hospital in Nepal.Methods: This is a prospective analytic study, conducted at Department of ENT, Head & Neck Surgery between January 2010 and December 2010 in the Ear, Nose and Throat (ENT) Department, Gandaki Medical College Charak Hospital, Pokhara, Nepal. All patients aged 16 years or younger presented ear diseases to the ENT clinic of the hospital seen by ENT surgeons were enrolled into the study.Results: Among 1632 children, ENT diseases were found to be more common among male children (60%). The male to female ratio is 1.5:1. Most of the children were living in joint family (64.16%). Diseases of auditory system (57.84%) were the most common group of ENT problems among the pediatric population, followed by pharyngo-esophageal (23.53%) and nasal disorders (18.63%). Most common otologic disorder was ear wax (40.9%). Among problems associated with nose, rhinitis (23.4%) was most common. Pharyngitis was troubling (44.8%) of our study population.Conclusion:Improvement of health education, socioeconomic status and health facilities will be helpful in reducing the prevalence of ENT diseases. A study on the prevalence of the Ear Nose throat and Head and Neck diseases in developing country like Nepal can provide basic data which can be relevant and beneficial to the development of medical ENT curriculum in the regional setup and subsequent medical practice.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115005951","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}
A. Umana, M. Offiong, R. Mgbe, A. Etiuma, A. Adekanye, Atana U. Ewa, V. Ette
{"title":"Disk Battery Foreign Bodies In Children And Major Outcomes In The Southern Part Of South Nigeria","authors":"A. Umana, M. Offiong, R. Mgbe, A. Etiuma, A. Adekanye, Atana U. Ewa, V. Ette","doi":"10.5580/2c0d","DOIUrl":"https://doi.org/10.5580/2c0d","url":null,"abstract":"Consuming disk battery (DB) foreign bodies by children has increased in Southern Part of South Nigeria. This parallels the increasing use of electronic house hold and recreational devices particularly the remote control operated MP3 musical players in homes and cars in our region. In the period between 2009 and August 2011, six children age ranged 13 months to 3 years were diagnosed and managed for DB foreign bodies (3 nasal and 3 esophageal). There were major sequelae in 5 (83.3%) cases. These included: an esophageal-pleural fistulae/ hydropneumothorax, a tracheoesophageal fistulae and 3 nasal septal perforations. The batteries sizes were CR2025 lithium cells in the esophagus and 12 mmLR44 Button cell in the nasal cavity. Whilst recent case reports of DB foreign bodies in the developed world show that ingestions usually are benign, the situation in our region, a rapidly developing economy, is that of major sequelae. There appears to be a general lack of awareness on the dangers of DB foreign bodies, therefore a tendency for delayed presentation to hospital, initial misdiagnosis and delayed referral for endoscopic removal. These are established but preventable risk factors for the development of major sequelae. The appearance of DB on plain chest radiograph is sincerely mistaken for a 50Kobo coin which hitherto was the commonest circular opaque foreign body in our region. Notable in our series is the association of major sequelae whenever the anode (-ve) surface of the DB was facing the nasal septum in the nostrils or the trachea or pleural cavity in the esophagus. This appears to be an added risk factor. DB foreign bodies will continue to present with major sequelae in our region unless urgent public awareness campaign on their dangers is undertaken.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123118701","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}
Sanjeev Bhagat, S. Varshney, S. Bist, S. Mishra, V. Jha, Vinish Aggarwal
{"title":"Effects Of Chronic Exposure To Mobile Phones Electromagnetic Fields On Inner Ear","authors":"Sanjeev Bhagat, S. Varshney, S. Bist, S. Mishra, V. Jha, Vinish Aggarwal","doi":"10.5580/2c0e","DOIUrl":"https://doi.org/10.5580/2c0e","url":null,"abstract":"Introduction: The widespread use of mobile phones in recent years has given rise to concerns about the potential influences of its electromagnetic fields (EMFs) on human health. Anatomically, the ear is in close proximity to mobile phone during use. If there is subtle cochlear involvement, it might be detected by means of changes in otoacoustic emissions (OAEs). The aim of the present study is to investigate the effects of chronic exposure to EMFs emitting from mobile phones on inner ear using distortion product otoacoustic emissions (DPOAEs). Design and Setting: Cohort study and Tertiary care centre. Materials and Methods: Seventy five subjects were included in the study, who were chronic mobile users (using mobile phone for > 4 years), and using mobile phone only from one ear (mobile phone using ear). Subjects were further subdivided according to duration of mobile phone usage into two groups (group 1 usage < 60 minutes and group 2 usage > 60 minutes). All subjects underwent tympanometry and distortion product otoacoustic emissions (DPOAEs). The changes in DPOAEs were studied between mobilephone usingear (MPUE) and non-mobile phone using-ear (NMPUE) and between group 1 and group 2. Results: There is no statistically significant difference of having absent DPOAE in MPUE as compared to NMPUE (p value 0.38), and no statistically significant association was seen between group 1(talk time < 60 min) and group 2, (talk time > 60 min), in MPUE (p value 1.13) and NMPUE (p value 0.74). Conclusion: It was concluded that long-term and frequent exposure to EMFs from mobile phone does not cause damage to cochlea.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128843124","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 Recurrent Thyroglossal Duct Remnants After Sistrunk Procedure: A Clinical Narrative Review Of Surgical Approaches","authors":"P. Hong","doi":"10.5580/2b79","DOIUrl":"https://doi.org/10.5580/2b79","url":null,"abstract":"Background: Sistrunk operation for thyroglossal duct cysts has a high cure rate. There remains the rare patient, however, that will have recurrence despite a competently performed procedure. These patients present a surgical challenge since no standard treatment exists.Objective: To review and discuss the management options of recurrent thyroglossal duct remnants after a failed Sistrunk procedure. Methods: A comprehensive literature review of EMBASE, MEDLINE and Evidence Based Medicine Reviews databases was performed to identify the relevant articles. Following a thematic qualitative analysis, a clinical narrative review is presented.Results: Applied anatomy, embryology and histopathology proffered an extended or wide local surgical dissection to produce a definitive cures. Specific areas that required further excision included the suprahyoid, tongue base, infrahyoid, and posterior hyoid regions. Summary: Several different surgical methods have successfully managed recurrent thyroglossal duct remnants. Understanding the anatomy and pathophysiology is important in treating these challenging cases.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130257196","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}
Offiong M.E, Umana A.N, Umoh Akpan, J. Kuni, I. Bassey
{"title":"Giant Pleomorphic Adenoma of the Parotid gland- A Case Report","authors":"Offiong M.E, Umana A.N, Umoh Akpan, J. Kuni, I. Bassey","doi":"10.5580/2a92","DOIUrl":"https://doi.org/10.5580/2a92","url":null,"abstract":"Pleomorphic adenoma is the commonest salivary gland tumor. It occurs more frequently in the parotid gland where it accounts for 65% of tumors. Although a benign tumor, it can attain an enormous size if untreated. Risk factors to malignant transformation include long duration and history of a rapid growth phase. Most cases of giant Pleomorphic adenoma were seen before1980’s, but some cases have been published recently. We present a case of giant Pleomorphic adenoma weighing 1.25kg within 2 years of onset in a 58 year old female. Treatment was by superficial parotidectomy with facial nerve preservation. Histology revealed an entirely benign mass despite the history of a rapid growth phase in the last 6 months. Preoperative assessment of exact extent of tumor was not possible because of the lack of radiological facilities for CT and MRI Scan.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130901580","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":"Wegener’s Granulomatosis: An Unusual PresentationCase Report and Review of Literature","authors":"N. Verma, A. Gupta","doi":"10.5580/2b54","DOIUrl":"https://doi.org/10.5580/2b54","url":null,"abstract":"Wegener’s granulomatosis is a rare vasculitic disorder affecting multiple systems and typically involves the kidneys, lungs and the nose. Its presentation as an isolated involvement of the ear is very uncommon and only a few cases presenting as an isolated involvement of the ear with unilateral facial palsy and deafness have been reported in world literature. We report a case of isolated otological involvement presenting as facial palsy and bilateral profound deafness. The renal and pulmonary systems and the nose were unaffected.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132126646","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}
J. Gulia, S. Yadav, A. Khaowas, Sukhdeep Kaur Basur, Arpit Agrawal
{"title":"Laryngocele: A Case Report and Review of Literature","authors":"J. Gulia, S. Yadav, A. Khaowas, Sukhdeep Kaur Basur, Arpit Agrawal","doi":"10.5580/2a90","DOIUrl":"https://doi.org/10.5580/2a90","url":null,"abstract":"Laryngocele is a rare, benign dilatation of the laryngeal saccule which may be asymptomatic or they may present with cough, hoarseness, stridor, sore throat and swelling of the neck. The incidence of laryngocele is 1 per 2.5 million people per year. The clinical presentation, investigations and the surgical management is reviewed.","PeriodicalId":359613,"journal":{"name":"The Internet Journal of Otorhinolaryngology","volume":"208 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122431368","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}