Online Journal of Otolaryngology and Rhinology最新文献

{"title":"Occupational Noise-Induced Hearing Loss (ONIHL) and Fishing","authors":"Lucio Maci","doi":"10.33552/ojor.2019.01.000516","DOIUrl":"https://doi.org/10.33552/ojor.2019.01.000516","url":null,"abstract":"Fishing is a working environment, which, due to the presence of engines and noisy equipment, can lead to hearing problems, especially for workers who are more exposed, such as motorists. It is emphasized that prevention, the only weapon available, is more difficult at sea.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130988252","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 Invisible Handicaps of O.R.L. Detroit","authors":"Lucio Maci","doi":"10.33552/ojor.2019.01.000514","DOIUrl":"https://doi.org/10.33552/ojor.2019.01.000514","url":null,"abstract":"In case of disability, we talk about activity limitation. Participation refers to the involvement of a person in a real-life situation; in the case of disability, we talk about restriction of participation. The ICIDH (International Classification of Disabilities), developed at the initiative of the World Health Organization, focuses on the positive side of the individual expressed in terms of functioning, the negative side being referred to as the handicap. Any worker struggling with the consequences of occupational deafness should ideally benefit from adequate assessment, workplace adaptation, and social and professional support and rehabilitation services in order to respond to their needs. health, well-being and safety needs. This care should naturally and necessarily exceed the only principles of the logic of compensation.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"177 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129147350","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":"Grisel Syndrome: A Rare Complication of Pediatric Adenotonsillectomy","authors":"E. Amadei","doi":"10.33552/ojor.2019.01.000513","DOIUrl":"https://doi.org/10.33552/ojor.2019.01.000513","url":null,"abstract":"We report our casuistry of 1231 pediatric adenotonsillectomies. All were performed at our Hospital during the period 2009-2018 by the same surgeon. In adult patients adenoidectomy is rarely indicated. The main indication for tonsillectomy is given by recurring inflammations/infections. From international guidelines the indication is given by 5 or more episodes of tonsillitis per year, for at least 2 consecutive years [1]. In pediatric patients, on the other hand, the main indication for adenoidectomy is given by nasal breathing difficulty and by recurrent acute or chronic otitis. The indication for tonsillectomy is essentially represented by obstruction of the upper airways caused by hypertrophic tonsils, with consequent night snoring and sleep apnea. Adenotonsillectomy is a routine surgery for an otolaryngologist, but never trivial. In fact, there are many transient problems after surgery: these are mainly represented by the difficulty in swallowing, halitosis, fever, earache, post-tonsillectomy hemorrhage. This last complication has an incidence in our casuistry of 3% per year, as in the international case studies. In 4 cases we found a persistent torcicollis.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134495110","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":"Imaging in Simple Nasal Trauma. Is Current Practice Uniform Worldwide? –A Survey of Global Practices","authors":"R. Chawla, M. Perry","doi":"10.33552/ojor.2019.01.000512","DOIUrl":"https://doi.org/10.33552/ojor.2019.01.000512","url":null,"abstract":"Background: Currently in the UK, it is accepted that imaging is no longer routinely undertaken if nasal injuries are suspected clinically. The argument for this is that it does not affect management in a clinically obvious fracture. Occasionally, nasal and septal fractures may be an incidental finding following CT head or facial bones and this can opportunistically help plan treatment. Whilst this rationale for a relatively straight forward clinical problem is generally agreed within the UK, anecdotally it appeared that this is not always the case overseas. We therefore set out to see if there was indeed a significant diversity of opinion in the assessment of what is essentially a ‘simple’ injury. Methodology: A questionnaire was sent to surgeons across the globe. Questions included the role of imaging in the assessment of acute nasal fractures, experience of ORIF and imaging of secondary nasal deformity in their day-to-day clinical practice. Results: 343 responses were received from 95 countries from a range of specialties: A&E, plastic surgery, ENT, OMFS and general surgery. Interestingly, in many countries plain films are still undertaken in the assessment of simple acute nasal trauma. CT imaging is occasionally performed for secondary corrective procedures. Conclusion: Internationally, the practice and need for imaging in the assessment of nasal injuries vary greatly. Even in 2018, there still does not appear to be universally agreed diagnostic pathways for what most clinicians would consider to be a common and simple injury. Historic practice and personal opinion seem to still trump any evidence base.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131410455","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":"Internal Carotid Artery Dissection Causing Lower Cranial Neuropathies","authors":"Clare Perkins, M. Atfeh, M. Medcalf","doi":"10.33552/ojor.2019.01.000511","DOIUrl":"https://doi.org/10.33552/ojor.2019.01.000511","url":null,"abstract":"As a recognised cause of acute stroke, particularly in younger patients, spontaneous carotid artery dissection is an important diagnosis to consider. Although advances in interventional radiology are improving diagnosis, it is still considered an underrecognised phenomenon [1]. It is estimated to account for around 2.5% of all strokes, but this figure is much higher for younger patients [2]. However, the clinical presentation can be varied, subtle and often challenging to make, with multiple different presentations described. Unilateral cranial nerve palsies, particularly of the lower cranial nerves, are a recognised sign in up to 12% of cervical artery dissections [1], and it is therefore vital to be able to recognise them. We present a case of a man referred to a head and neck cancer clinic with unilateral lower cranial neuropathies and neck pain who was subsequently found to have an internal carotid artery dissection.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131396001","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":"Somatic Tinnitus and Manual Therapy: A Systematic Review","authors":"B. Kinne, Linnea Christine Bays, Kara Lynne Fahlen, J. Owens","doi":"10.33552/OJOR.2019.01.000510","DOIUrl":"https://doi.org/10.33552/OJOR.2019.01.000510","url":null,"abstract":"Background: In 2016, a systematic review was conducted to examine the effects of physical therapy interventions on individuals with subjective tinnitus. However, the research study investigated subjective tinnitus that may not have had a somatic origin. In addition, only one of the included studies specifically assessed the effectiveness of manual therapy. Objectives: The purpose of this systematic review was to examine the effects of manual therapy techniques on individuals with somatic tinnitus. Methods: A search was performed using the following databases: CINAHL Complete, ProQuest Medical Library, and PubMed. The search terms were “somatic tinnitus” OR “somatosensory tinnitus” AND “manual therapy”. An evaluation of the evidence level for each included article was conducted using the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence, and an evaluation of the methodological rigor for each included article was conducted using criteria adapted by Medlicott and Harris. Results: A qualitative synthesis was ultimately performed on eight articles. The manual therapy techniques included in this systematic review were cervical mobilizations, myofascial techniques, osteopathic manipulations, soft tissue techniques, and manual therapy as developed by the School of Manual Therapy Utrecht. This systematic review also included complementary treatment approaches such as patient education, therapeutic exercise, transcutaneous electrical neurostimulation, and home exercise programs. Conclusion: Manual therapy appears to be an effective intervention for individuals with somatic tinnitus, especially if they have co-varying tinnitus or tinnitus sensitization. In addition, a multimodal intervention approach may be the ideal way in which to positively impact an individual’s activities of daily living.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131618084","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":"Classification of Nasal Deviation","authors":"D AbdulRsJuratli","doi":"10.33552/ojor.2019.01.000509","DOIUrl":"https://doi.org/10.33552/ojor.2019.01.000509","url":null,"abstract":"Due to its central location, the nose plays a prominent role in addressing the central facial axis which helps at camouflaging a large proportion of facial asymmetry. It gives the standard norm to the facial expressions, any little nasal deviation result in conspicuous facial disharmony and are often attended by nasal airway disfunction. The nasal deviation causes a cosmetic deformity that is often disconcerting for patients. Nasal deviation carries considerable risk at the nasal airflow by increasing the nasal valve resistance at the level of mid vault and/or lower alar structures. The lack of objective measurement of the external nasal deviation puts the professions at risk of standardizing the severity of the deviation. It deprives the nasal plastic surgeons of having a common thought about the most likely convenient and available techniques for correcting the deviation in upper, middle, and lower thirds and nasal root as the grade of deviation is indicated. This work is licensed under Creative Commons Attribution 4.0 License OJOR.MS.ID.000509. Online Journal of Otolaryngology and Rhinology Volume 1-Issue 2 Citation: Abdul RS Juratli. Classification of Nasal Deviation. Online Journal of Otolaryngology and Rhinology. 1(2): 2019. OJOR.MS.ID.000509. DOI: 10.33552/OJOR.2019.01.000509. Page 2 of 5 Nasal Parts and its Aesthetic Lines The external nose is divided into 3 parts; upper, middle and lower thirds [2]. The upper is a bony structure made from the nasal spine of the frontal bone, two nasal bones, and the ascending or frontal process of the maxilla on both sides. The Middle third is a cartilaginous extension of the nasal dorsum consists from a combination of triangular septal cartilage on the middle, the upper alar cartilages on each side and little sesamoid cartilages on the basal connection with the nasal bony pyriform aperture and the lower attachment of the alar base. The lower third is a fibrofatty cartilaginous structure with a condensation of retaining ligaments, it is structured by the lower alar cartilages, caudal part of the nasal septum and the anterior maxillary nasal spine. Alar base stabilization and the anterior nasal spine suture technique are essential for achieving a stable midline anchor for ensuring long-term straight nasal alignment. The dorsal aesthetic line [3] (DAL), provides a thoroughfare between the radix and nasal tip, it is in the middle between the two brow-tip aesthetic lines (BTAL) (Figure 2).","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125208492","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":"Loss of Empathy in Medical Training: A Sad Behavioral Learning","authors":"J. Machado, Dalia Iveth Yocupicio Hernández","doi":"10.33552/OJOR.2019.01.000508","DOIUrl":"https://doi.org/10.33552/OJOR.2019.01.000508","url":null,"abstract":"Empathy is a very important competence in health professionals, when working with human beings who are in a situation of vulnerability. Technological advances have caused a depersonalization of human relationships and with it a significant erosion of empathy [1,2]. We cannot deny the importance of technological progress, but it has also brought a loss and loss of empathy between health professionals and patients [3,4]. It is necessary to understand this phenomenon and work on it to maintain it, promote it and learn.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"64 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132192742","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":"Ossifying Fibroma of Nasal Cavity: A Rare Case Report","authors":"Tulachan Bishow","doi":"10.33552/ojor.2018.01.000507","DOIUrl":"https://doi.org/10.33552/ojor.2018.01.000507","url":null,"abstract":"Ossifying fibroma is a rare benign fibro-osseous lesion more commonly seen in the head and neck regions. Despite a benign lesion, it behaves aggressively locally and possess higher recurrence nature. One may have a diagnostic challenge owing to its rapid progression and osteolytic nature and having the impression of malignant lesion. Here, we are presenting a case of 9 years old girl with complaints of left nasal obstruction and left facial swelling for 6 months.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116430624","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":"Ear, Nose and Throat Approach in Autoimmune Blistering Diseases","authors":"Ismail Temel, Aslı Bilgic-Temel, D. Murrell","doi":"10.33552/ojor.2018.01.000504","DOIUrl":"https://doi.org/10.33552/ojor.2018.01.000504","url":null,"abstract":"genitals. results tissue destruction loss, blindness, etc.) and functional limitations loss of teeth, etc.) because of chronic mucosal scarring Abstract Autoimmune blistering diseases (AIBD) are a group of rare blistering disorders of the skin and mucous membranes due to autoantibodies directed against specific proteins. Involvement of mucosal areas in AIBD significantly increases patient morbidity and mortality. Ear, nose and throat (ENT) examination should be a routine procedure to evaluate mucosal involvement in every AIBD. Patients should be asked whether they had oropharyngeal, ear, nose and throat symptoms and all patients should be evaluated for ENT manifestations by direct and endoscopic examination even in patients without symptoms.","PeriodicalId":365490,"journal":{"name":"Online Journal of Otolaryngology and Rhinology","volume":"6 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116397131","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}