Journal of Otolaryngology Research & Reports最新文献

{"title":"Clinical Evaluation of Acute Rhinogenic Visual Disturbances","authors":"Makoto Akutsu, Yasuhiro Tsunemi","doi":"10.47363/jolrr/2023(2)113","DOIUrl":"https://doi.org/10.47363/jolrr/2023(2)113","url":null,"abstract":"Objective: To Analyze the time to treatment and visual prognosis of patients who presented with visual disturbance caused by sinus disease. Methods: We retrospectively analyzed the post-surgery clinical course and visual acuity of 23 patients (24 sides) with rhinogenic visual disturbances from Dokkyo Medical University, Tochigi, Japan. Sinus diseases were classified into three groups: infection/inflammation (7 patients), mucocele (8 patients [9 sides]), and tumor (8 patients). Results: Most patients (68%) were first admitted to the ophthalmology department and then referred to us. Patients with eye pain and ocular swelling were examined before those without symptoms (p < 0.05). In particular, the infection/inflammation group was more likely to present with symptoms other than vision loss and thus visit the rhinologists earlier. The infection/inflammation and mucocele groups showed improvement in visual acuity after surgery (p < 0.05). Conclusions: Early consultation and surgical treatment were shown to be effective in the infection/inflammation and mucocele groups. For early rhinologist consultation, imaging studies should be performed for accurate diagnosis. Patients should be educated about the disease and encouraged to seek correct medical attention as early as possible.","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121493639","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":"Effectiveness of Kinetic Oscillation Stimulation Treatment in Persistent Moderate-severe Allergic Rhinitis Compared to Medical Therapy","authors":"L. R. Rienzo Businco, M. Radici, Pasquale Longo","doi":"10.47363/jolrr/2023(2)112","DOIUrl":"https://doi.org/10.47363/jolrr/2023(2)112","url":null,"abstract":"Introduction: KOS represent an innovative non-surgical solution developed at the Karolinska University Hospital in Stockholm (Sweden) which consists of a intranasal stimulation via an air inflated catheter indicated to treat non allergic rhinitis and migraine. The KOS method for rhinitis has proved to be so effective as it simultaneously stimulates the nasal mucosa and the local autonomic nervous system, which represents the predisposing ultrastructural factor and is able to maintain the neurogenic inflammation responsible for the nasal symptoms of chronic rhinitis, very disabling for the quality of life of rhinitic patients. We wanted to verify whether the positive results obtained in the treatment of non-allergic rhinitis that we observed in our previous study could also be obtained in patients with allergic rhinitis, who similarly share many of the nasal symptoms. Materials and Methods: A total of 110 patients (63 males), aged >18 years, consecutively enrolled, all undergoing complete ENT evaluation with physical clinical examination, endoscopy, nasal symptoms VAS and SNOT-22 questionnaire, affected by allergic rhinitis (AR) persistent moderate-to-severe grade. All patients were alternately assigned to 2 homogeneous groups (Group A: Control Subjects, Group B: KOS Treated Patients), each group included 55 individuals. Simple randomization was achieved with a sequence of random numbers from a computer-generated sequence. During the study, both groups received standard medications (Ebastine tablet 10 mg and Mometasone furoate nasal spray 50 mcg/actuation per nostril per day) for 90 days. At the beginning of medical treatment, group B patients underwent first KOS treatment (repeated after 20 days). Both groups were asked to report any side effects during the study. Results: The treated patients already benefited immediately after the extraction of the balloon reporting a sensation of a more patent nose and reduction of nasal secretions which progressively improves in the following days. For the subjective complaints (nasal obstruction, sneezing, rhinorrhea, and itching), the improvement was significant within each group, with the most significant improvements in treatment group B. When the KOS treatment group was compared with medical treatment alone (Group A), greater efficacy was observed in Group B with regards to the reduction of nasal symptoms and nasal endoscopic findings. Regarding the objective results (rhinomanometric assessments), similar trends, such as subjective ones, were observed within each group. The improvements within each treatment group were significant without side effects. Comparison between Groups A and B, before and after treatment, with the SNOT-22 questionnaire relating to the 5 most important questions (5 most important items) showed an improvement in both study groups but with better results, however regards efficacy, in Group B. Discussion: Our results reveal a greater efficacy achieved using a combined approach, with","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121849845","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":"Bi-Paddle Pectoralis Major Myo-Cutaneous Flap: A Step by Step Approach","authors":"A. Hakeem, Hassaan Javaid","doi":"10.47363/jolrr/2023(2)108","DOIUrl":"https://doi.org/10.47363/jolrr/2023(2)108","url":null,"abstract":"We present a case of reconstruction of a large full thickness cheek defect as a result of cancer ablative surgery. This defect was reconstructed primarily by bi-paddle pectoralis major myo-cutaneous (PMMC) flap. This technique is anatomically sound, technically easy with short learning curve and also reproducible. One has to be careful, not to place more than one third of the skin paddle outside the muscle. This method of reconstruction is an alternative where microvascular free tissue transfer is contraindicated due to medical comorbidity or is not feasible due to either lack of the expertise or infrastructure. It is extremely useful in salvage in cases, in cases of the failure of microvascular flap, in selected large full thickness oral cavity lesions. However, the limitations of this method include loss of nipple area and technical difficulty in females and obese patients.","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132943451","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":"Cerebral Vasospasm in Raynaud’s Syndrome Manifesting as Pulsatile Tinnitus","authors":"David D Brown","doi":"10.47363/jolrr/2023(2)109","DOIUrl":"https://doi.org/10.47363/jolrr/2023(2)109","url":null,"abstract":"Background: Pulsatile tinnitus is a pulse synchronous audible whooshing sensation that arises from turbulent flow in stenotic intracranial or upper cervical arteries, amidst other pathologies, yet is often idiopathic in origin. Raynaud’s syndrome involves peripheral vasoconstriction, but possibly also cerebral vasoconstriction. The presence of cerebral vasoconstriction in Raynaud’s was evaluated by ascertaining the prevalence of pulsatile tinnitus compared to a control population.","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126787542","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":"Rare Evolution of a Trichilemmal Cyst: A New Observation of Carcinomatous Degeneration","authors":"A. Youssef","doi":"10.47363/jolrr/2023(2)110","DOIUrl":"https://doi.org/10.47363/jolrr/2023(2)110","url":null,"abstract":"The trichilemmal cyst, also called the hair cyst, is an infrequent adnexal tumor that derives from the isthmic portion of the hair follicle. It is an oftensolitary tumor with preferential localization of the scalp. Its evolution is generally benign. Malignant cases are very rare and sometimes aggressive. Only about fifty cases are reported in the literature. We report a new observation of carcinomatous degeneration illustrating the difficulty of the therapeutic management of this aggressive form. It was a 55-year-old patient with no significant pathological antecedents who, since 2012, has had voluminous and numerous scalp swelling, slow and indolent evolution. The management was surgical with excision of 13 cysts initially. Pathological examination showed an appearance consistent with proliferative trichilemma cysts without evidence of malignancy. The patient had a recurrence of cystic lesions after five years. She was reoperated with excision of three cysts whose histopathological examination showed a well-differentiated keratinizing squamous cell carcinoma developed on one of the cysts. We decided on a surgical revision with extensive excision of the tumor followed by recovery by a sliding flap and rotation. The evolution was favorable with a follow-up of two years. The main take away of our case is the locally aggressive character of this malignant form which necessitate an extensive surgical excision, thus posing the problem of reconstruction.","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116555365","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":"Long-Term Management of Airway Obstruction as Key to Success","authors":"Shallu Aggarwal, S. Aggarwal, M. Sodhi, J. Singh","doi":"10.47363/jolrr/2022(1)107","DOIUrl":"https://doi.org/10.47363/jolrr/2022(1)107","url":null,"abstract":"","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130875258","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":"What’s in a Nose? A Case Report on Chronic Unilateral Rhinorrhea","authors":"Kennedy Dierks, Eric Carniol","doi":"10.47363/jolrr/2022(1)106","DOIUrl":"https://doi.org/10.47363/jolrr/2022(1)106","url":null,"abstract":"Introduction and Importance: Nasal foreign bodies often present acutely following insertion but may be missed by both family and health care providers, remaining in place for weeks, months, or even years after the initial event. Case Presentation: We present the case of a 16-year-old female who presented in-office complaining of intermittent unilateral foul-smelling rhinorrhea. The diagnosis was confirmed by intranasal examination with a speculum, as well as a computed tomography scan. She underwent surgery, removing an eraser top for a pencil with subsequent resolution of symptoms. Discussion: The diagnosis is based on the clinical history, physical examination and is supported by CT and exploratory surgery, this last one being also therapeutic. Conclusion: This case of chronic unilateral rhinorrhea due to a foreign body reinforces the importance of clinical examination as well as full evaluation of the differential diagnosis of both acute and chronic rhinorrhea particularly in small and older children.","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"14 23","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114089612","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":"Monkeypox: Is it our Fault?","authors":"M. W. Roomi","doi":"10.47363/jolrr/2022(1)105","DOIUrl":"https://doi.org/10.47363/jolrr/2022(1)105","url":null,"abstract":"The shock and awe of Covid-19 is still very much with us - the world has experienced first-hand the devastating effects of an out-of-control viral pandemic. Just as we are getting our arms around COVID-19, we find ourselves in the midst of a new threat - the monkey poxvirus. Monkey pox is a known quantity to the scientific community and has been for more than 60 years. Mostly relegated to the tropical rainforests of Central and West Africa; this zoonotic disease has largely been ignored in Europe and the Americas until just recently. Cases of the monkey pox infection first appeared sporadically among gay and bisexual men. Europe first reported cases in mid-2022. Shortly thereafter, the United States saw its first cases in large metropolitan areas such as New York, Chicago, San Francisco and Los Angeles. Monkey pox infections are transmitted through close personal contact with infected individuals. The World Health Organization has declared monkey pox a “Public health emergency of international concern”. Monkey pox is genetically similar to smallpox. Although no treatment for the monkey poxvirus exists, antivirals and vaccines developed for smallpox have proven effective against monkey pox. Because of its similarity to smallpox, individuals infected with monkey pox demonstrate attenuated symptoms (i.e. fever, chills, muscle aches, sore throat and cough) as compared to those infected with smallpox. After a 3-week incubation period, monkey pox goes away on its own in approximately 2-5 weeks. Diagnostic testing and disease confirmation is performed via RT-PCR testing of genetic material from the infected areas and through the presence of lymphadenopathy (i.e. enlarged lymph nodes). This overview serves as a point of discussion of the aforementioned areas and provides commentary on understanding methods of prevention and containment of the disease. In summary, the power of viral spread causing global pandemics is not to be ignored or neglected - and much more research is to be conducted","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127711677","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 Rare Tumour, a Rare Site and a Rare Presentation - “The Nasal Apricot”; Seeing Ameloblastic Carcinoma in a New Light","authors":"Manasa Sriram, Kumaresan Savithri Kishore, G. P. Sebastian, Karuppasamy Chelliah","doi":"10.47363/jolrr/2022(1)103","DOIUrl":"https://doi.org/10.47363/jolrr/2022(1)103","url":null,"abstract":"Ameloblastic Carcinoma (AC) is a rare malignant tumor that usually arises from the bones of the jaw. Out of approximately 120 reported cases in literature to date, only about 5 cases have been reported at extra-gnathic sites. The mandible is the most common site for the development of ameloblastic carcinoma. Less frequently, the maxilla is the primary tumor site. In one reported case, the primary site was the anterior skull base. We report a rare presentation of ameloblastic carcinoma primarily arising from the nasal cavity, which, as far as we know is the first of its kind as reported in literature","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116020885","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":"Mild Traumatic Brain Injury & Associated Hearing Loss Post Road Traffic Accident: A Case Study","authors":"Nithin Ak, Sagar Jose","doi":"10.47363/jolrr/2022(1)104","DOIUrl":"https://doi.org/10.47363/jolrr/2022(1)104","url":null,"abstract":"A concussion could be a delicate variety of traumatic brain injuries (mTBI) caused by a bump, blow, or jolt to the head. The first injury in a very delicate concussion could be a contusion (bruising) the brain. However in moderate to severe cases, haemorrhage (bleeding) of the brain can occur. The most common causes of concussions are sports injuries, bicycle and automotive accidents, and falls. Purpose: This study aimed to use activity and electrophysiological assessments to analyse the association between hearing disorder and traumatic brain injury. Method: The current work describes the case of a 25-year-old male who was brought to the department with bilateral hearing impairment with no different otological symptoms. The patient’s history concealed that he had encountered a road traffic accident 2 weeks prior. The patient had no hearing issues prior the insult. The patient conferred during this case study underwent multiple tests including behavioural, physiological and electrophysiological analyses. Conclusion: All analyses concluded that TBI will have a sway on the sensory system and may cause hearing disorders. This study highlighted the particular impact of TBI on the auditory system and so, the importance of receiving a full audiological assessment post TBI.","PeriodicalId":368829,"journal":{"name":"Journal of Otolaryngology Research &amp; Reports","volume":"184 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125674432","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}