耳鼻喉(英文)最新文献

{"title":"A Rare Case of Vallecular Cyst Causing Neonatal Stridor","authors":"Worood Husain, Jalal Almarzooq, Deena Shabib","doi":"10.4236/IJOHNS.2018.76031","DOIUrl":"https://doi.org/10.4236/IJOHNS.2018.76031","url":null,"abstract":"Vallecular cyst is uncommon laryngeal lesion and generally asymptomatic. However, when large in size or occur in a small airway like in neonates, it causes respiratory and feeding difficulties. Here we report a rare case of symptomatic vallecular cyst in a neonate.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"07 1","pages":"313-316"},"PeriodicalIF":0.0,"publicationDate":"2018-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47697628","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":"Analgesic Effect of Pre-Incisional Peritonsillar Infiltration of Ketamine for Post-Tonsillectomy Pain in Children","authors":"N. Sarhan, Mohammed A. Fatahalla, M. Ahmed, Haitham Osman","doi":"10.4236/IJOHNS.2018.76032","DOIUrl":"https://doi.org/10.4236/IJOHNS.2018.76032","url":null,"abstract":"Objective: Two different concentrations of ketamine 0.5 mg/kg, 0.25 mg/kg were applied to both tonsils perioperatively to check analgesic effect postoperatively in children. This study done at Department of anesthesia and otorhinolaryngology, faculty of medicine, Al-Azhar University hospitals, and the medical ethics committee. The study was conducted in the ENT operating theatre, Al-Azhar University Hospitals, from Jan. 2017 to June 2018. Methodology: We divided patients into 3 groups K1, K2 and S each group 25 patients, group K1 had 0.25 mg ketamine, group k2 had 0.5 mg ketamine and group S had normal saline as a control group. These groups assessed intraoperatively by Heart rate and main arterial pressure (MAP) were recorded at the intervals together with Ventilation parameters. Postoperative pain assessment by using Children’s Hospital of Eastern Ontario Pain Scale (CHEOPS). The sedative condition was assessed with the Wilson sedation scale at 5, 15, 30, and 60 min after entrance to the PACU. CHEOPES was recorded only when patient modified Wilson sedation score was one. Incidences of postoperative complications as: blood loss, dysphagia, nausea and vomiting were noted and demonstrated; hallucinations will be observed and recorded. Results: There were no significant differences among the groups regarding age, gender and weight. There were no significant differences among the groups with respect to the demographic data, duration of surgery or anesthesia, and intraoperative blood loss. As regarding hemodynamics, mean blood pressure was significantly lower in group (K1) than group S (control group) at 20 and 30 minutes after injection of ketamine and significantly lower in group (K2) than group S (control group) at 20 and 30 minutes after injection of ketamine with no difference between group (K1) and (K2). There was a significant statistical difference in analgesia duration per hours and frequency of analgesics used over 24 hours between three groups, the duration was longer in group (K1) and (K2) and frequency of analgesics used over 24 hours (P value < 0.05). Regarding postoperative complications, there was no significant statistical differences as regard nausea and vomiting, but the percentage of dysphagia is significantly higher in group S (control group) than group (K1) and group (K2). Conclusions: In our study, we found that preincisional peritonsillar infiltration of 0.25 mg/kg or 0.5 mg/kg of ketamine given at approximately three minutes before surgery provides efficient pain relief during 24 h after surgery, decrease need for rescue analgesics, has a good effect on dysphagia postoperatively and doesn’t produce hallucinations in children undergoing tonsillectomy.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"07 1","pages":"317-329"},"PeriodicalIF":0.0,"publicationDate":"2018-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44911665","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":"Psychosocial Experience in Goiter Patients","authors":"S. Hounkpatin, F. Bouraima, U. Vodouhe, O. Adjibodé, M. Flatin, P. Gandaho","doi":"10.4236/IJOHNS.2018.76037","DOIUrl":"https://doi.org/10.4236/IJOHNS.2018.76037","url":null,"abstract":"Introduction: Goiter often poses aesthetic disgrace problem. The psychosocial impacts of goiter, in particular in woman may be significant. Objective: studying the psychological and social impacts of the disease in goiter patients within the African context and their consequences on the treatment. Methods: It was a transversal study that took place from May 1to July 31, 2011 in the Collines and Donga departments situated in the center and the north of Benin. The study consisted of a survey conducted through an individual discussion based on questionnaire submitted to goiter patients who accepted to provide their answers. Results: This survey involved 86 patients of which 83 women and 3 men. Their average age was 43.7 ± 13.41. Goiter was noticeable in the totality of the patients. 68.6% of patients declared that they experienced on daily basis the shame caused by the disease. 66% thought that it was a natural disease; however, 27.9% believed that it was caused by bewitchment or sorcery. 46.5% and 37.2% resorted to modern and indigenous medicine respectively; 16.3% made no therapeutic move. Despite the psychosocial impacts of the disease, 50% of the patients rejected surgical intervention possibility. The core motives they raised were lack of financial means (34.8%), disease recurrence fright (23.3%), anesthesia fright (16.3%), and surgical fright (14%). Conclusion: Despite the psychological impacts of the disease, strong resistance exists probably more on cultural aspect than the motives mentioned by thyroidectomy patients.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"7 1","pages":"367-374"},"PeriodicalIF":0.0,"publicationDate":"2018-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44294715","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":"External Branch of the Superior Laryngeal Nerve: Anatomy and Operating Hurts","authors":"A. Kanté, B. Ba, Y. Sidibé, D. Ouattara, B. Bengaly, B. Coulibaly, D. Traoré, M. Daou, T. Touré, S. Diallo, A. Coulibaly, M. Keita, S. Sanogo, D. Traoré, M. Magané, O. Touré, I. Tounkara, A. Diarra, B. Kéita, Timbely Guidèrè, B. Togola, N. Ongoïba","doi":"10.4236/IJOHNS.2018.76039","DOIUrl":"https://doi.org/10.4236/IJOHNS.2018.76039","url":null,"abstract":"Purpose: Our purpose was to describe the anatomy of the external branch of the upper laryngeal nerve and to estimate the frequency of nerves at risk during the total thyroidectomies sub. Methodology: We realized in the CHU Point G in Bamako a forward-looking study over a period going from September 1st, 2016 till December 31st, 2017. All the patients operated by thyroidectomies subtotals for mild goiters were included to whom a systematic location of the external branch of the superior laryngeal nerve in the space avascular of Reeve was realized. Cancers and other thyroid pathologies were not included. Results: We counted and operated 120 cases of mild goiters. The external branch of the superior laryngeal nerve was seen and dissected in 80.8%; it was not seen in 19.2%. According to the classification of Cernea: the type 2 was found in 80.8% of the cases with him under typical 2b in 47.5% and under type 2a in 40 (33.3%). The global frequency of lesion of the external branch of the upper laryngeal nerve was 10.8% at 9 patients among whom 6 who presented a BENLS of Type Ni. Conclusion: The external branch of the upper laryngeal nerve of type 2 presents a risk of wound because the surgeon treats the upper pedicle at the level of the critical centimeter place over the upper pole of the thyroid. The identification of the nerve during the thyroid surgery is the solution of choice.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"07 1","pages":"388-395"},"PeriodicalIF":0.0,"publicationDate":"2018-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49493782","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":"Hearing Outcome in Stapes Surgery Using Various Biomaterial Prostheses","authors":"Sasindran Vivek, N. K. Febin, M. Nidhi, B. Harikrishan","doi":"10.4236/IJOHNS.2018.76033","DOIUrl":"https://doi.org/10.4236/IJOHNS.2018.76033","url":null,"abstract":"Aims: To assess the hearing outcome in patients who have undergone stapes surgery using polytetrafluoroethylene (PTFE) and Titanium prosthesis at 1 and 3 months post operatively. Material & Methods: Research design: Prospective study. Setting: ENT department, Pushpagiri Medical College. Study population: All age groups with clinical diagnosis of otosclerosis and air-bone gap more than 15 dB irrespective of sex difference. Patients with Meniere’s disease are excluded. Method: A prospective study was conducted for a period of one and a half years from January 2014 to July 2015 to find out the hearing outcome of stapes surgery in patients with otosclerosis using polytetrafluoroethylene (PTFE) and Titanium prostheses, attending our outpatient department. Results: In this study, 84.21% of ears with polytetrafluoroethylene (PTFE) and 81.81% of ears with titanium were able to achieve good results in terms of Air-Bone gap (ABG) closure (ABG < 20 dB). The average post op hearing following stapes surgery at 3 months improved to near normal levels of 34.12 dB ± 8.95 with an average hearing gain of 19.19 dB with PTFE prosthesis and 30.86 dB ± 5.47 with an average hearing gain of 21.2 dB with titanium which were significant. Conclusion: Stapes surgery is the surgical procedure of choice for otosclerosis. In our study, a significant hearing improvement was seen in majority of cases. None of the factors considered relevant for the success of stapes surgery like age, sex, type of prosthesis appeared to affect the post-operative hearing significantly. Hence stapes surgery can be effectively used to improve hearing in otosclerosis.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"07 1","pages":"330-343"},"PeriodicalIF":0.0,"publicationDate":"2018-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45664071","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":"Etiologies of the Hearing Loss and Their Impacts at the Patients Worn Hearing Aid in the International Center of Hearing Correction in Abidjan (ICHC)","authors":"Mobio N’kan Max Ange, I. Salha, Y. Nadine, Yotio Ayekpa, D. Nasser, Yapo Assi Romaric Evrand, V. Koffi-Aka","doi":"10.4236/ijohns.2018.76036","DOIUrl":"https://doi.org/10.4236/ijohns.2018.76036","url":null,"abstract":"Objective: Determine the etiologies and their impacts of hearing loss at the patients’ worn hearing aid in the international center of hearing correction in Abidjan (ICHC). Material and Method: The study is of transverse and analytical type realized in the ICHC from July 1999 to June 2010. It concerned the files of patients’ worn hearing aid in the center. The patients worn initially in another center but followed in the ICHC were excluded. Data were collected from medical files of patients and concerned etiologies, age, type, degree of hearing loss as well as the prosthetic gains and the satisfaction. Results: Fifteen etiologies were listed with in first three rows the meningitis (17.9%) the presbyacusis (17.5%) and chronic otitis media (12.1%). The degrees of hearing loss in the seven etiologies most frequent were severe and profound in 87.6% of cases to the right and 82.8% to the left. The prosthetic pure tonal gain was significant in case of sound trauma and sudden hearing loss. The prosthetic speech reception threshold gain was only significant in case of presbyacusis and sudden hearing loss. The satisfaction of hearing aids was significant in case of presbyacusis, sudden hearing loss and the sound trauma. Conclusion: The main clauses etiologies were the meningitis and the presbyacusis. The tonal and speech prosthetic gain were significant in case of sudden hearing loss.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"07 1","pages":"359-366"},"PeriodicalIF":0.0,"publicationDate":"2018-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45037444","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":"Epidermoid Cyst of the Auricle: A Common Cyst at a Rare Site","authors":"V. Fernandes, N. Pinto, Ombretta Barreto, J. Furtado, Siddhartha Basuroy","doi":"10.4236/ijohns.2018.76034","DOIUrl":"https://doi.org/10.4236/ijohns.2018.76034","url":null,"abstract":"Epidermoid cysts are benign, developmental, superficial cysts found commonly on the face, trunk and neck. Its presence on the ear lobe is very rare. We shall describe the occurrence of an epidermoid cyst on the auricle along with the presence of a dermoid cyst over the occipital scalp and elaborate on the patient presentation, diagnosis, management along with the post-operative follow up.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"07 1","pages":"344-349"},"PeriodicalIF":0.0,"publicationDate":"2018-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43761415","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":"An Overview and Comparative Evaluation of Head and Neck Cancer Risk Factors in India and Australia","authors":"S. Singh, R. Eisenberg, G. Hoffman","doi":"10.4236/ijohns.2018.75027","DOIUrl":"https://doi.org/10.4236/ijohns.2018.75027","url":null,"abstract":"Aim: An overview and comparative evaluation of head and neck cancer risk factors in India and Australia. Method: In this review we included articles with information on head and neck cancer risk factors and its association based on: smoking tobacco, alcohol, smokeless tobacco, betel nut and areca nut chewing, viral infection like HPV, dental hygiene, diet, family history, socioeconomic status, other heavy metals and systemic conditions. Articles with clinical features, diagnosis, treatment and prognosis were excluded. Results: Head and neck cancer in India has different demographic, risk factors, dietary habits, personal and family history. Oral cancer is more common amongst all head and neck squamous cell cancers in males. This is mainly attributed with consumption of a variety of smokeless tobacco, smoking, alcohol, poverty, illiteracy, cultural, advanced stage at presentation; lack of good treatment infrastructure creates main challenge to India as compared to Australia. Conclusion: The knowledge about risk factors for HNC in public health education for general population supports health promotion and tobacco prevention, which is the main aim of the programs started by the government, as head and neck cancers are potentially preventable.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"07 1","pages":"254-267"},"PeriodicalIF":0.0,"publicationDate":"2018-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43228208","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":"Squamous Inclusion Cyst in the Palatine Tonsil Mimicking a Tumor","authors":"V. Fernandes, Purva Khandolkar, Vivekanandan Pillai, Isha Rajendra Sukhthankar, Aditi Ashok Chari","doi":"10.4236/ijohns.2018.75026","DOIUrl":"https://doi.org/10.4236/ijohns.2018.75026","url":null,"abstract":"Squamous inclusion cyst is a rare benign cystic lesion most commonly affecting the floor of mouth in the oral cavity. Its presence in the palatine tonsil of the oropharynx is an extremely rare occurrence. We highlight a case of an elderly female who was histopathologically diagnosed as squamous inclusion cyst of the palatine tonsil. We shall discuss the presentation, diagnosis, management and postoperative follow-up of the case.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"07 1","pages":"249-253"},"PeriodicalIF":0.0,"publicationDate":"2018-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47449772","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":"Endoscopic Surgical Procedures for Fungal Maxillary Sinusitis: How to Do It, a Review","authors":"M. Sawatsubashi","doi":"10.4236/IJOHNS.2018.75029","DOIUrl":"https://doi.org/10.4236/IJOHNS.2018.75029","url":null,"abstract":"Fungal rhinosinusitis (FRS) is categorized as being either invasive or non-invasive based on the histopathological evidence of tissue invasion by fungi. Endoscopic sinus surgery (ESS) has become the gold standard treatment for non-invasive FRS including sinus fungal ball. It is considered to be an effective and safe procedure. It is important to keep a sufficient field of view in order to remove the fungal debris completely. ESS should also prevent damage to the nasal cavity structures including the inferior turbinate. This report mainly describes the endoscopic surgical procedures for fungal ball of the maxillary sinus (sinus mycelia) based on our methods and review of the literature, including written articles in Japanese. ESS procedures include the middle meatus approach for the maxillary sinus, the combined approach (both middle and inferior meatal antrostomy) for the maxillary sinus, and endoscopic modified medial maxillectomy (EMMM).","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"07 1","pages":"287-297"},"PeriodicalIF":0.0,"publicationDate":"2018-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43814696","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}