Online Journal of Otolaryngology and Rhinology最新文献_第4页

Slow Progressing Localized Tumor Like Pharyngeal Mass: What Is Your Diagnosis? 进展缓慢的局部肿瘤如咽部肿块:你的诊断是什么?

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-11-03 DOI: 10.33552/ojor.2020.04.000578

S. Touihmi

{"title":"Slow Progressing Localized Tumor Like Pharyngeal Mass: What Is Your Diagnosis?","authors":"S. Touihmi","doi":"10.33552/ojor.2020.04.000578","DOIUrl":"https://doi.org/10.33552/ojor.2020.04.000578","url":null,"abstract":"Introduction: Amyloidosis is an idiopathic disorder characterized by the extracellular deposition of normally soluble proteins in an abnormal fibrillar form. Pharyngeal involvement is rare. Case summary: 24 years old man consulted for chronic bilateral nasal obstruction, associated with upper dysphagia to solids. Nasal endoscopy found multiples masses involving the the pharynx. A cervical computed tomography (CT) scan of the neck had shown tissular heterogeneous process infiltrating the walls of the nasopharynx, oropharynx: soft palate, and the anterior wall of the hypopharynx. A direct laryngoscopy under general anesthesia was realized. The anatomopathological examination of the hypopharyngeal biopsy sample found amorphous acellular interstitial deposits, marked by Congo red, showing yellow-green apple birefringence under polarized light. Immunohistochemistry diagnosed type AL amyloidosis. The amyloidosis assessment to rule out systemic involvement showed no abnormalities. The patient did well over the next several months, but recurrence of the pharyngeal amyloid tumor necessitated additional conservative endoscopic excisions in the 7 months follow up. Discussion: Amyloidosis in the head and neck is a rare and benign condition that usually takes the form of localized amyloidosis, Pharyngeal involvement is rare. Clinical symptomatology and imaging are poorly specific for pharyngeal involvement, macroscopically, the diagnosis is anatomopathological. Given the rarity of this disease, it is essential to rule out systemic involvement. Amyloid tumors in the pharynx are difficult to treat and commonly recur despite surgical excision.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128654455","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}

引用次数: 0

The Incidence of Post-Septoplasty Complications Among Patients with Deviated Nasal Septum in Relation to Gender and Age 鼻中隔偏曲成形术后并发症与性别、年龄的关系

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-11-02 DOI: 10.33552/ojor.2020.04.000576

Abdulwahid S Al Qahtani

{"title":"The Incidence of Post-Septoplasty Complications Among Patients with Deviated Nasal Septum in Relation to Gender and Age","authors":"Abdulwahid S Al Qahtani","doi":"10.33552/ojor.2020.04.000576","DOIUrl":"https://doi.org/10.33552/ojor.2020.04.000576","url":null,"abstract":"Background: A deviated septum can present at birth, becomes curved during growth, or can be traumatic due to nasal and facial injury. A deviated septum is usually asymptomatic, but sometimes may be present with difficulty breathing through the nose, nasal congestion, sinus infections, nosebleeds, sleep problems, headache, or postnasal drip. Many methods and guidelines have been scheduled to treat and manage acute nasal trauma; however, re-establishment of anatomical deformities and function is still a challenge. Septoplasty is the required surgical intervention for patients to relieve their nasal obstruction. Aim: To detect the incidence of post-septoplasty complications and their relationship with patients’ age and gender among cases with nasal septum deviation. Methodology: A retrospective Electronic record-based study was conducted. This study included patients diagnosed clinically with a deviated nasal septum (DNS) and have undergone surgical intervention (Septoplasty) at Khamis Mushait General Hospital. Data extracted included patients’ demographics and postoperative recorded complications. Results: The study included a total sample of 93 patients. Nasal obstruction was the commonest symptom among patients. As for postoperative complications, nasal obstruction represents nearly one-third of the cases followed by external nasal deformity, and smell disturbance. Conclusion: In conclusion, our study revealed that the only significant post-operative complication incidence in relation with both gender and age groups is a nasal deformity. Nasal obstruction is the most common postoperative complications recorded in general and among male and female patients as well as in all age groups although there is no significant relation to both gender and age groups. Large-scale researches should be conducted to give more understanding and further explanation.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"52 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132433223","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}

引用次数: 0

Serious Airway Compromise in Rare Presentation of Posterior Tongue Base Abscess 罕见的后舌根脓肿导致严重气道损害

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-10-21 DOI: 10.33552/ojor.2020.03.000575

Mohamed E El-Amin

引用次数: 0

How We Do It: The Hickey Technique for Removing A Foreign Object from the Nasal Cavity of A Child 我们如何做:从儿童鼻腔中去除异物的吻痕技术

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-10-15 DOI: 10.33552/ojor.2020.03.000574

M. Rashid

引用次数: 0

Laryngeal Dystonia with Frequent Stridorous Attacks in Xeroderma Pigmentosum Type A, Would Early Tracheostomy Change the Outcome Case Report and Literature Review A型色斑性干皮病患者喉张力障碍伴频发性发作，早期气管切开术会改变预后吗

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-10-13 DOI: 10.33552/ojor.2020.03.000573

Hazim Aleid

{"title":"Laryngeal Dystonia with Frequent Stridorous Attacks in Xeroderma Pigmentosum Type A, Would Early Tracheostomy Change the Outcome Case Report and Literature Review","authors":"Hazim Aleid","doi":"10.33552/ojor.2020.03.000573","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000573","url":null,"abstract":"Vocal folds dystonia and total vocal folds paralysis in Xeroderma Pigmentosum Type-A (XPA) are considered rare clinical entities that have been recently described in few case reports from the Japanese literature. We report an 11 years old boy with XPA and seizures and history of frequent emergency room (ER) visits to different local hospitals for recurrent inspiratory stridor which was treated as “croup” since the age of 10. The child was brought into our ER for the first time with recurrent, severe stridor and was admitted as a severe case of “croup”. He was treated for approximately two weeks with only minimal improvement. Laryngoscopy showed normal vocal cord appearance with no signs of inflammation. Shortly after discharge, he was re-admitted with stridor, which was noticed to be episodic, exacerbated by irritation, excitation and post oral feeding. Stridor subsides completely during sleep. Repeated laryngoscopy was performed to investigate other potential causes of stridor. Flexible rhino-laryngoscopy showed paradoxical vocal folds movement with glottic closure during inspiration and limited glottic opening upon expiration which is consistent with laryngeal dystonia. This case report represents the history, physical examination and the follow up findings in this XPA young boy with unusual presentation with stridor and rare association with vocal cord dystonia. Additionally, it raises the question of the validity of considering early tracheostomy in such cases to avoid repeated non-otherwise avoidable life-threatening stridorous attacks.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124219518","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}

引用次数: 0

Endoscopic Septoplasty Versus Conventional Septoplasty: Study of 60 Cases 内镜下鼻中隔成形术与常规鼻中隔成形术60例对比研究

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-10-07 DOI: 10.33552/ojor.2020.03.000571

Islam Ma

{"title":"Endoscopic Septoplasty Versus Conventional Septoplasty: Study of 60 Cases","authors":"Islam Ma","doi":"10.33552/ojor.2020.03.000571","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000571","url":null,"abstract":"Objective: Traditional surgeries of the nasal septum improve the nasal airway but recent development and advancement of the knowledge about endoscope has changed the treatment modality significantly. Endoscopic approach under good Illumination and magnification lessens the chance of injuring the vital structures and hence lessen the chance of complication. This study is done to compare the conventional method with endoscopic method. Method: Total 60 cases of deviated nasal septum, refractory to conservative medical treatment were randomly selected &divided into 2 equal groups. 30 patients underwent endoscopic Septoplasty and 30 patients by conventional method. All of them were followed up for 6 months. Results: The age distribution was ranging from 16 to 60. Out of them 28 patients (93.33%) of endoscopic group and 25 patients (83.33%) on conventional group were relieved from symptom. In endoscopic Septoplasty group, along with Septoplasty functional endoscopic sinus surgery was carried out in 4 patients (13.33%). In conventional group 4 patients (16.67%) had intra and postoperative complications like excessive hemorrhage and septal perforation etc.7 patients (23.3%) of conventional Septoplasty group presented with recurrence or persistence of symptom within 6 months of surgery. Conclusion: Though conventional Septoplasty is widely practiced by most ENT surgeons till now, the endoscopic approach can be considered as a better alternative.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"184 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122351842","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}

引用次数: 2

Hearing Loss Gene Panel Testing: Considerations for Clinical Practice 听力损失基因面板测试:临床实践的考虑

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-09-24 DOI: 10.33552/ojor.2020.03.000569

Alpana Kulkarni

引用次数: 0

Maxillary Alveolar Carcinoma: Risk of Recurrence and its Relation with Prognostic Indicators 上颌牙槽癌:复发风险及其与预后指标的关系

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-09-17 DOI: 10.33552/ojor.2020.03.000567

Zubair Durrani

{"title":"Maxillary Alveolar Carcinoma: Risk of Recurrence and its Relation with Prognostic Indicators","authors":"Zubair Durrani","doi":"10.33552/ojor.2020.03.000567","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000567","url":null,"abstract":"Background: Maxillary Alveolar carcinoma is a relatively uncommon entity with occurrence reported between 3.5 to 10% of all oral cancers. Recurrence when occurs locally are particularly difficult to treat due to the close proximity of this region to the infratemporal fossa and the base of skull. There is also a debate when to perform elective neck dissection in these patients. Objectives: The aim of this study was to identify cases with recurrence and correlate its association with various prognostic factors and disease free survival in these patients. Methodology: Overall, 15 cases were identified with maxillary alveolar carcinomas that were treated between 2011 to 2015. Eight of these cases were Squamous cell carcinomas, 5 Adeno carcinomas and 2 Adenocystic carcinomas. T stages, N stage, grade of tumor, surgical margin involvement by the tumor, presence of perineural and lymphovascular invasion were identified as prognostic indicators. The chi-square and Pearson correlation tests were applied to analyze the association between recurrence and these prognostic factors. Results: Recurrence developed in 3 SCC (37.5%) and 1 ADC (20%) patient during the three years period following the treatment. Among the SCC patients, 2 recurrences were local and 1 regional. Recurrence was found to have a strong positive correlation with T stage (r=0.330, p=0.271), surgical margin involvement (r=0.575, p=0.566) and three years disease free survival (r=0.959, p=0.000). A weak positive correlation was also established with tumor grade (r=0.155, p=0.0613) and perineural invasion (r=0.149, p =0.725).","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122625782","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}

引用次数: 0

Evaluation of Saccular Function with cVEMP In Patients with Systemic Lupus Erythematosus cemp评价系统性红斑狼疮患者的囊功能

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-09-14 DOI: 10.33552/ojor.2020.03.000565

Tuba Turkman

{"title":"Evaluation of Saccular Function with cVEMP In Patients with Systemic Lupus Erythematosus","authors":"Tuba Turkman","doi":"10.33552/ojor.2020.03.000565","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000565","url":null,"abstract":"Introduction: Systemic lupus erythematosus (SLE) is a disease characterized by sensorineural hearing loss, tinnitus and vestibular disorders. Studies have shown that vestibular symptoms are quite common in patients with SLE. The aim of this study was to evaluate the relationship between cervical vestibular evoked myogenic potential (cVEMP) test and saccular dysfunction and the possible relationship between SLE and vertigo in patients with SLE. Materials and methods: Forty-six SLE patients (aged 18-40 years) and forty healthy volunteers (aged 20-40 years) were included in the study. Patients with SLE were questioned about their duration of the disease, hearing status and balance. Pure-tone audiometry, tympanometry and cVEMP tests were performed to all patients in SLE and control groups. Results: When P1 and N1 latencies were compared by the cVEMP in SLE and control groups, P1 and N1 latencies of the left and right ears of the SLE group were found to be significantly longer than the control group (p <0.05). In twenty-six SLE patients with vertigo, P1 and N1 latencies were significantly longer than patients with SLE without vertigo. There was also a significant relationship between vertigo and duration of the disease (p <0.05). It was found that the rates of saccular dysfunction were higher in patients with SLE. Conclusion: This study showed a strong association between the balance disorders and SLE which is an autoimmune disease. Patients with SLE had a higher rate of saccular dysfunction, and there was a significant relationship between duration of the disease and vertigo.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126552868","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}

引用次数: 0

Carcinoma Lower Lip: Shaving and Reconstruction under Local Anesthesia 下唇癌:局部麻醉下的刮除与重建

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-09-07 DOI: 10.33552/ojor.2020.03.000564

A. Islam

引用次数: 0