Online Journal of Otolaryngology and Rhinology最新文献_第6页

Local Anesthesia (La) without Preoperative Sedation in Tympanoplasty 局部麻醉(La)在鼓室成形术中的应用

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-08-03 DOI: 10.33552/ojor.2020.03.000552

Islam Ma

{"title":"Local Anesthesia (La) without Preoperative Sedation in Tympanoplasty","authors":"Islam Ma","doi":"10.33552/ojor.2020.03.000552","DOIUrl":"https://doi.org/10.33552/ojor.2020.03.000552","url":null,"abstract":"Background & Objectives: Local Anesthesia (LA) is getting popularity in comparison to general anesthesia (GA) in underdeveloped and developing countries in many otolaryngological operations. The rationale for LA is the lack of trained anesthesia staff, lack of adequate anesthesia machines and monitoring equipment. LA is safe; and ability to perform more cases in a shorter period of time. This study aimed to find out patients compliance in the operative procedures under LA without sedation. Methods: 7905 patents underwent tympanoplsty under LA without sedation from 1999 to 2019 in the different hospital of Bangladesh. Preoperative thorough counselling with psychological motivation, advantages of LA, intraoperative surgeon patient conversation and watching surgical steps on monitor, tests of facial nerve function were explained to the patient. LA with different Adrenaline concentrations (1: 1000 to 1: 200,000) was used either by injection or topically. Patients’ satisfaction, vertigo, drowsiness, hangover, orientation and other parameters ware recorded. Results: Amongst 7905 patients; male 56.2% and 43.8% was female. Maximum numbers (26.3) were found between 26 year to 35 year of age. Patients’ intraoperative compliance showed excellent without sedation. Operative time was short with a bloodless field. The overall safety was good and needed shortest hospital stay (Hour/day); and of course, very less expensive. Conclusion: Patient’s safety is the primary objective considered in all patients. The advantages recorded as day/hour care hospital stay, patients comfort, less bleeding, ability to assess patient’s hearing during surgery and cost effectiveness.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125036205","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

Features of Sensorineural Hearing Loss Caused by Exposure to Aircraft Noise 飞机噪声引起的感音神经性听力损失的特征

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-07-08 DOI: 10.33552/ojor.2020.02.000549

P. Sheshegov

引用次数: 0

Unusual Case of Pharyngeal Foreign Body: Metal Spoon in An Adult (Case Report) 罕见咽部异物:成人金属勺1例(附1例报告)

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-07-08 DOI: 10.33552/ojor.2020.02.000550

Hicham Lyoubi

引用次数: 0

Intraoperative Finding of Cholesteatoma in Central Tympanic Perforation 中鼓室穿孔胆脂瘤的术中发现

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-07-08 DOI: 10.33552/ojor.2020.03.000551

M. L. N. Álvaro

引用次数: 0

Our Study of Comparison of Oticon Digisonic and Cochlear Limited Implants in North India 印度北部地区耳蜗植入与耳蜗植入的比较研究

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-07-06 DOI: 10.33552/ojor.2020.02.000548

R. Mehrotra

{"title":"Our Study of Comparison of Oticon Digisonic and Cochlear Limited Implants in North India","authors":"R. Mehrotra","doi":"10.33552/ojor.2020.02.000548","DOIUrl":"https://doi.org/10.33552/ojor.2020.02.000548","url":null,"abstract":"Introduction: This study is a comparitive study between oticon Digisonic and Cochlear limited implants outcomes in 200 implant surgeries at late Dr S N Mehrotra charitable ENT foundation between 2016 to 2019. Material and methods: 100 children of Digisonic and 100 of Cochlear Ltd who were implanted between 2016-2019 in Mehrotra ENT hospital, were included in the study. Outcomes of all the implanted children in both groups were analyzed. Scoring system for auditory performance, speech rehabilitation and quality of life were also taken into account for every child implanted. Results of both groups were compared. Results: Highest CAP level attained in cochlear group was 10 whereas in Digisonic group 5. 23% in Cochlear group had CAP level of 5 and above compared to only 1% in Digisonic group. 88% of children in Cochlear group had highest SIR of 5 and 6 compared to 75% in Digisonic group. 87% of cochlear group had GCBI index greater than 80(maximum benefit) compared to 41% of Digisonic group. Only 1% belongs to mild benefit in Cochlear group whereas in Digisonic 29% in minimal benefit group. Conclusion: Cochlear LTD group results were better when compared to Digisonic group in terms of hearing, speech and quality of life index. Digisonic implants had easier insertion. Cochlear proved to be better than Digisonic owing to superior hearing, speech and quality of life outcomes.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122298336","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

‘POLIDON’ Approach-A Novel Approach of Mastoidectomy in the COVID-19 Pandemic “POLIDON”入路——新型乳突切除术在COVID-19大流行中的应用

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-07-01 DOI: 10.21203/rs.3.rs-40231/v1

M. K. Arefin, Md. Baha Uddin, Md. Zahidul Islam, Mohammad Shaharior Arafat, Md Noor Alam, Debesh Chandra Talukder, S. N. F. Rumi, Md Nazmul Islam, Brig. General Dr. Akm Nasiruddin, Md. Abu Yusuf Fakir

{"title":"‘POLIDON’ Approach-A Novel Approach of Mastoidectomy in the COVID-19 Pandemic","authors":"M. K. Arefin, Md. Baha Uddin, Md. Zahidul Islam, Mohammad Shaharior Arafat, Md Noor Alam, Debesh Chandra Talukder, S. N. F. Rumi, Md Nazmul Islam, Brig. General Dr. Akm Nasiruddin, Md. Abu Yusuf Fakir","doi":"10.21203/rs.3.rs-40231/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-40231/v1","url":null,"abstract":"\u0000 BackgroundWHO declared COVID-19 outbreak as pandemic in March, 2020, which was started from Wuhan of china. Mastoidectomy is an aerosol generating procedure. If a patient of COVID-19, either confirmed, suspected or asymptomatic career, requires mastoidectomy urgently, it’s a critical issue for the health care professionals for the highly contagious nature of this novel corona virus. Here, some simple, but novel and very effective measures will be discussed for protection of all health care providers (HCPs). Polythene sheet and Povidone Iodine are the change makers in this novel approach of mastoidectomy, mentioned in this article. So, we named the technique as ‘POLIDON approach’ of mastoidectomy.Method/ MaterialPlacement of a transparent, sterile polythene sheet which acts as an interface between patient and surgeons and all other OR staffs is an important issue. Meanwhile, extended use of Povidone Iodine (PVP-I) is recommended in different way. Mouthwash for gargling and nasal application either by spray or nasal irrigation or drop will reduce viral load from nose and mouth of patient. HCPs should use PVP-I prophylactically also. Thus the chance of transmissibility of novel coronavirus is reducedMeanwhile, Povidone Iodine should be mixed with irrigating fluid to help in reduction of contamination by bone dust mixed with fluid, produced during surgery. Conclusion As mastoidectomy is an aerosol generating procedure, and novel coronavirus is highly contagious, so higher level of protection is required. A simple and cheap polythene sheet as barrier drape as well as rational and novel use of Povidone Iodine, i.e. the proposed ‘POLIDON’ approach can significantly reduce the chance of corona virus transmission among the health care professionals working in the operation theatre.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133766986","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

A Study of Outcomes Following Cochlear Implantation in Children under Adip Scheme-an Indian Experience Adip方案下儿童人工耳蜗植入术效果的研究——印度经验

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-06-10 DOI: 10.33552/ojor.2020.02.000547

R. Mehrotra

{"title":"A Study of Outcomes Following Cochlear Implantation in Children under Adip Scheme-an Indian Experience","authors":"R. Mehrotra","doi":"10.33552/ojor.2020.02.000547","DOIUrl":"https://doi.org/10.33552/ojor.2020.02.000547","url":null,"abstract":"study is based on assessment of outcome of cochlear implantation at Late Dr. Shiv Nath Mehrotra Charitable ENT foundation between 2016 to 2019 under ADIP(assistance to disable persons) scheme by taking into account various scoring systems like category of auditory performance (CAP), Speech intelligibility rating (SIR) and Glasgow children benefit inventory (GCBI). Materials and methods: 300 children who were implanted between July 2016-March 2019 at Late. Dr. Shiv Nath Mehrotra Charitable ENT Foundation were included in the study. The results were analyzed using the above scoring system to assess the performance level and quality of life of each implanted children taking into consideration practical issues in Indian set up. Results: 90% of total children implanted showed significant improved hearing, 80% with significant speech benefit and 90% with improved quality of life. Conclusion: Outcome in terms of quality of life, auditory perception and rehabilitation was very good. The ADIP (assistance to disabled persons) scheme of central government has been a blessings for lower socio economic status children. Considerable improvement in hearing, speech and overall quality of life in almost 80% of children.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132456056","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

Adaptation of Moroccan Radiotherapy Services to the Covid-19 Outbreak 摩洛哥放射治疗服务适应Covid-19疫情

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-05-22 DOI: 10.33552/ojor.2020.02.000545

Y. Ahmed, S. Nabila, E. Mohamed, Lachgar Amine

引用次数: 0

Hamartoma Epithelial Respiratory Adenomatoid- Literature Review 呼吸腺瘤样错构瘤-文献综述

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-05-19 DOI: 10.33552/ojor.2020.02.000544

Eduardo Machado Rossi Monteiro, Lívia Bernardi Lopes, C. Silva, Flávia Amarante Cardoso, Marianna Novaes da Costa Avila, B. S. Oliveira

{"title":"Hamartoma Epithelial Respiratory Adenomatoid- Literature Review","authors":"Eduardo Machado Rossi Monteiro, Lívia Bernardi Lopes, C. Silva, Flávia Amarante Cardoso, Marianna Novaes da Costa Avila, B. S. Oliveira","doi":"10.33552/ojor.2020.02.000544","DOIUrl":"https://doi.org/10.33552/ojor.2020.02.000544","url":null,"abstract":"Hamartoma (from the Greek, Hamartia, meaning fault or defect) is used to describe an overgrowth of normal mature cells and tissues indigenous to the area of its occurrence. It may occur in any organ of the body. Wenig and Heffner described a series of 31 cases of Respiratory Epithelial Adenomatoid Hamartoma (REAH) from what they considered a benign neoplasm. Today the most acceptable hypothesis is that REAH is a hyperplasia of the respiratory epithelium induced by a local chronic inflammation. Since its publishing, 394 cases of the disease have been described and REAH was found in 35-48% of patients operated on for nasal polypose. Some authors believe that REAH is the most important differential diagnosis of nasal polypose. REAH can be observed in two forms: isolated REAH (less frequent) or in association with another inflammatory process. The location in the olfactory cleft is concisely described in literature. Patients with REAH exhibit similar symptoms to those with chronic nasal inflammatory diseases. Endoscopy usually reveals a mass with a slight cerebriform aspect, fleshy to firm, pinkish or sometimes yellowish. The mass typically emerges from the cleft between the nasal septum superior-anterior and the middle turbinates, with a lateralization of the middle turbinates. Computed tomography (CT) scan is essential to diagnosis suspicion, which is increased by a CT scan that shows opacified and widened olfactory clefts. The conclusive diagnosis is only made by biopsies. Surgical treatment of the olfactory cleft is reported to be curative for REAH and the literature have also not described any recurrence or malignization. The knowledge of this lesion, mostly underdiagnosed, will allow the correct and necessary treatment that it takes.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127688027","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

A Rare Case of Mixed Tumor of Right Nasal Sill Diagnosed Histopathologically more Frequently than Expected 1例罕见的右鼻梁混合性肿瘤病理诊断高于预期

Online Journal of Otolaryngology and Rhinology Pub Date : 2020-05-11 DOI: 10.33552/ojor.2020.02.000543

T. S. Nee, Rajarajeswari Arunathan, Mohd Shakir Bathusha

引用次数: 0