International journal of otorhinolaryngology最新文献

{"title":"Assess the Impact of Puberphonia in the Society","authors":"K. Muthiah, Navin Bharath Kumaresan","doi":"10.11648/J.IJO.20190502.12","DOIUrl":"https://doi.org/10.11648/J.IJO.20190502.12","url":null,"abstract":"Puberphonia is a voice disorder which is distinguished by the habitual and continuous use of prepubertal high-pitched voice of a child even after puberty. It is not a rare disorder; it is followed by a synopsis of current approaches to treat puberphonia in males. The impact of voice disorder varies greatly from person to person, environment, occupation, family members and overall personality. These are all the variables that can affect the way voice disorder affect a particular person. In general, people with puberphonia tend to encounter problems that include emotional, psychological, social and professional difficulty. To assess the impact of puberphonia in levels of society, the study was carried out as a descriptive simple purposive sampling technique used and was able to treat 476 cases in our puberphonia clinic by using self-administered questionnaire. As investigators, we found out the impact of puberphonia. Puberphonia treatments are discussed in terms of pharyngeal resonance manipulation, fire breathing techniques and habituation. The study was analyzed for the social impact of puberphonia on marriage and job opportunity. The study was concluded that, other problems of puberphonia includes depression, loneliness, cowardice, low self-esteem and inferiority complex and thinking of suicide which would be the take home message from our long experience of 29 years in treating puberphonia. We discussed thoroughly further knowledge about puberphonia among the society and health professionals.","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73839128","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":"Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study","authors":"Alexis do Santos Zounon, U. Vodouhe, Jean-Baptiste Agai, D. Balde, S. Adjanohoun, W. Adjibabi, B. Vignikin-Yehouessi","doi":"10.11648/J.IJO.20190502.11","DOIUrl":"https://doi.org/10.11648/J.IJO.20190502.11","url":null,"abstract":"The study analyzed the correlation between the presence of concha bullosa with the presence of radiological sinus opacity and sinonasal functional symptoms. All patients whose computed tomography (CT) findings were positive for concha bullosa were included in the study. The CT parameters taken in consideration were the presence and volume of concha bullosa, the aspect of the ipsilateral maxillary sinus (normal transparency, presence of sinus opacity). Clinical parameters were sinonasal functional signs. Statistical comparisons were made using the Pearson Chi square test. Over a four years period, 2436 CTs were interpreted, 276 of which presenting a concha bullosa (prevalence of 11.33%). The average age was 33 (19 to 63). Females (204 either 74%) outnumbered men (72 either 26%). An opacification of the ipsilateral maxillary sinus seen upon CT was statistically related to the presence of a large concha bullosa (p = 0.02). On the other hand, the presence of a clinical symptomatology of maxillary sinusitis crossed with the presence of a large concha bullosa was not significant (p ˃ 0.50). This study has demonstrated a close correlation between the existence of a large concha-bullosa and an ipsilateral maxillary sinusitis seen on CT-Scan without necessarily having clinical manifestation of sinusitis. The diagnosis of sinusitis must remain primarily clinical.","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74208771","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 Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis","authors":"O. J. Idugboe, A. Adeyemo, E. Totyen","doi":"10.11648/J.IJO.20190501.16","DOIUrl":"https://doi.org/10.11648/J.IJO.20190501.16","url":null,"abstract":"Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22- item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty- two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19 – 91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS.","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89527374","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":"Clinical Profile of Epistaxis in Sokoto: A 12-Year Analysis","authors":"A. Daniel, Yikawe Semen Stephen","doi":"10.11648/J.IJO.20190501.15","DOIUrl":"https://doi.org/10.11648/J.IJO.20190501.15","url":null,"abstract":"Epistaxis is bleeding from the Nose and Paranasal sinuses and could be a life threatening emergency requiring urgent attention. The aim is to determine the aetiological factors and highlight treatment modalities in a tertiary hospital in Northwestern Nigeria. This was a 12-year retrospective study of all patients managed with epistaxis between January 2000 and December 2011in the otorhinolaryngology department of Usmanu Danfodiyo University Teaching Hospital, Sokoto. Ninety-five patients were reviewed, out of which 61 [64%] were males and 34 [36%] were females. Age group 20-29 years had the highest prevalence [21.1%]. The commonest aetiology was hypertension in 24.2% of patients followed by idiopathic 21.1%, rhinosinusitis 20%, trauma 14.7%. Anterior nasal packing was the most common method of treatment [49.5%]. Epistaxis is a common Otorhinolaryngological condition. Hypertension was the commonest cause in this study, with most cases seen in patients’ aged 20 – 29years.","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85976404","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":"Temporal Fascia Versus Tragal Perichondrial Graft in Myringoplasty and Tympanoplasty","authors":"Tallat Najeeb, W. Bangash, Nisa Siddiqui","doi":"10.11648/J.IJO.20190501.14","DOIUrl":"https://doi.org/10.11648/J.IJO.20190501.14","url":null,"abstract":"The objective of this study is to compare the results of tympanoplastywith underlay technique with respect to graft uptake, hearing improvement and complications. Thestudy was conducted between January 2006 & January 2018 at Haider clinic, Kulsum international Hospital Islamabad, MaroofInternational Hospital, Social security Hospital Islamabad and PAF hospital Islamabad. Sampling was done by non-probability convenient sampling type by random selection. Total of 1677 patients were selected had Tympanoplasty type 1. All had dry central perforations of different sizes for more than 3 months and conductive hearing loss of less than 40dB with patent Eustachian tube. Informed consent was taken from patients andethical committee. Patients with sensorineural hearing loss and with severe nasal pathology were excluded. Patients were divided into 2 groups, A and B, were subjected totympanoplasty by underlay technique by the same group of surgeons. In group A, temporalis fascia graft and in group B tragalperichondrial graft was used. Postoperative audiometry was done after 3 months in each case to calculate air bone gap. In our study there were 62% males and 38% females, mean age was 32.5. In Group A, 689 patients hadtympanoplasty with temporalis fascia and in group B 988 patients with chondro-perichondrial graft. Medialization was seen in 30(4.3%) patients in Group A and in 10(1%) in group B. Persistent Perforations happened in 32(4.6%) patients in group A and in 8(0.8%) patients group B. Graft uptake success rate using temporalis fascia was 85.9% and was 97.4% with Chondro-perichondrial graft. Hearing improvement was seen in 627(91%) patients in group A and 970(98%) patients in group B. Statistical analysis of the data was done using SPSS 16. Temporalis fascia and tragal perichondrium both are excellent material to repair tympanic membrane. Graft uptake rate and hearing improvement are better in perichondrial graft.","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78707602","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":"Intra Oral Versus External Approach in the Surgical Management of Eagle’s Syndrome","authors":"Ba Djibril, D. Alexis, Ndiaye Ciré, D. Abdoulaye, Darwin ' Karim, Adjibabi Wassi, Yehouessi-Vignikin Bernadette","doi":"10.11648/J.IJO.20190501.13","DOIUrl":"https://doi.org/10.11648/J.IJO.20190501.13","url":null,"abstract":"Eagle syndrome is defined as an elongation of the styloid process. It is a radioclinic entity characterized by heterogeneous polymorphic symptomatology. Its management is essentially through intra oral or external surgery. The objective of our work is to highlight the various diagnostic means and to propose a surgical therapeutic attitude on the clinical and radiological basis. This is a retrospective study performed at the ENT department of the Heinrich Lubke Hospital in Diourbel between March 2015 and March 2017. The study involved 15 patients with confirmed Eagle's syndrome based clinical and computed tomography evidence. Epidemiological, diagnostic and therapeutic data were collected from patient records and the Operative Record register. The choice of the surgical approach was based on Langlais’ classification, the measurement of the styloid process and the complications. The study included 15 patients, counting 14 women and one man with a sex ratio (male / female) of 0.071. The age of the patients varied between 23 years and 55 years with an average of 31.33 years. The chief complaints were foreign body sensation in the throat (15 patients, 100%), headache (15 patients, 100%), dysphagia (11 patients, 66.6%), neck pain (6 patients; 40%), periorbital and temporal pain (5 patients, 33.33%), otalgia with tinnitus (4 patients, 26.66%). The average size of the styloid process was 4.085 cm (1.608 inches). Only one patient received exclusively medical treatment. The others received surgical treatment by external approach (9 patients, 64.3%) or intra-oral approach after prior tonsillectomy (5 patients, 35.7%). The styloidectomy was bilateral in 10 patients (71.14%) and unilateral in 4 patients (28.57%). Eagle syndrome is a condition considered rare. Its curative treatment is essentially surgical with an intraoral or external approach. We recommend the external approach because it offers a better exposure of the operative field, and control of the cervical neurovascular elements. The external approach generates little postoperative pain thereby shortening the period of hospitalization.","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":"157 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86327198","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":"Tumors of the Submandibular Gland: Our Management Experience at Sylvanus Olympio University Hospital in Lomé","authors":"W. Foma, B. Amana, Haréfétéguéna Bissa, E. Pegbessou, K. Amégbor, E. Boko, E. Kpemissi","doi":"10.11648/J.IJO.20190501.11","DOIUrl":"https://doi.org/10.11648/J.IJO.20190501.11","url":null,"abstract":"The purpose of this survey was to describe the epidemiological, diagnostic and therapeutic aspects of submandibular gland tumors in our practice setting. This was a descriptive retrospective study of submandibular gland tumors treated in the ENT and cervico-maxillofacial surgery department of the Sylvanus Olympio University Hospital over a period of 15 years. Data were collected from patient records. During the study period, 25 tumor cases were collected and operated, representing 38.46% of the surgical pathology of the submandibular gland. The sex ratio (m / f) was 0.56. The average age was 45.68 years old with extremes of 5 and 86 years old. The 45 to 60 age group was the most represented with 11 cases (44%). Submandibulectomy was performed in all patients with supraomohyoid lymph node dissection in 4 cases based on clinical and ultrasound criteria for malignancy and intraoperative findings. The histology of the operative specimens found 6 malignant tumors (24%) and 19 benign tumors (76%). The pleomorphic adenoma was the most common histological type with 12 cases (48%). The size of the tumor did not have a statistically significant impact on the benign or malignant nature of the tumor (p = 0.55). Similarly, the histological nature was not related to sex (p = 0.19). The immediate postoperative evolution was good in 22 cases and complicated in 3 cases. Two cases of carcinoma classified pT3 were referred for complementary radiotherapy. In conclusion, tumors of the submandibular gland are relatively rare and predominantly affect women in our context. The evolution under treatment is good but could still be improved by a good preoperative exploration including the fine-needle biopsy or even the MRI.","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80023750","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":"Risk Factors for Refractory and Delayed <i>De novo</i> Otitis Media Requiring Pressure Equalization Tube Insertion.","authors":"Sarah N Bowe,&nbsp;Kris R Jatana,&nbsp;D Richard Kang","doi":"10.13188/2380-0569.1000008","DOIUrl":"https://doi.org/10.13188/2380-0569.1000008","url":null,"abstract":"<p><strong>Objective: </strong>Limited data exists regarding risk factors for otitis media in older children and specifically those for which surgical intervention is performed. This study investigated potential risk factors in this older age group who required pressure equalization tube (PET) insertion.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Tertiary care pediatric academic medical center.</p><p><strong>Subjects and methods: </strong>Children 6-12 years old undergoing PET insertion between October 1, 2010 and September 30, 2011. Data was stratified into two separate age cohorts (6-7 versus 8-12-year-olds) and compared using chi-square analysis.</p><p><strong>Results: </strong>A total of 263 patients met study criteria. PET insertion was most common in 6 year-olds (36%, 95/263). Presence of siblings (p=0.03) and history of recurrent upper respiratory tract infection (p<0.01), otalgia (p<0.05), otorrhea (p<0.001), and nasal discharge (p<0.001) were common in the older cohort. No statistical difference was found for history of recurrent acute otitis media, allergy, asthma, or atopy between the two groups (p=0.23-0.92), although the overall prevalence of these conditions was high in both cohorts.</p><p><strong>Conclusion: </strong>The 8-12-year-olds had a history of recurrent upper respiratory tract infection and more infectious symptoms than the 6-7-year-olds. Atopy can lead to a heightened susceptibility to upper respiratory tract infections and potential increase in the relative risk of otitis media. In our patient population, while there was no statistically significant difference in history of asthma, allergy, or atopy, the overall prevalence within both cohorts was relatively high. Therefore, this study provides insight into many pertinent and potentially modifiable risk factors for older children requiring PET insertion.</p>","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34544550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiographic Findings and Clinical Correlates in Pediatric Periorbital Infections.","authors":"Jonathan M Grischkan,&nbsp;Charles A Elmaraghy,&nbsp;Matthew R Garrett,&nbsp;Boris Karanfilov,&nbsp;Kris R Jatana","doi":"10.13188/2380-0569.1000004","DOIUrl":"https://doi.org/10.13188/2380-0569.1000004","url":null,"abstract":"<p><strong>Objective: </strong>To review radiographic studies of pediatric patients presenting with periorbital infections and to evaluate sinonasal anatomical factors and clinical course related to this disease process.</p><p><strong>Methods: </strong>Retrospective study review of computed tomography (CT) scans in 100 patients less than 18 years old, admitted to a tertiary children's hospital with the diagnosis of an orbital infection. CT scans were reviewed for anatomic variants and Lund-Mackay scores were calculated. An independent chart reviews of the treatment course and need for surgical intervention was performed.</p><p><strong>Results: </strong>Of 100 patients, 67% were male, 60% had left-sided infections, and 30% of patients were treated with surgical drainage. Adenoid hypertrophy (61%), inferior turbinate hypertrophy (80%) and septal deviation (47%) were common, but did not show statistical correlation with the need for surgical intervention. Dehiscence of the lamina papyracea was identified in 21% of patients treated without surgery and in 76% of those requiring surgery (P 0.0048). The average overall Lund-Mackay score was 11.8 and did not correlate with the need for surgical intervention.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first study to evaluate the incidence of sinonasal anatomic abnormalities in children presenting with periorbital infections. This study also demonstrated that lamina papyracea dehiscence is a common finding and is associated with higher rates of surgical intervention. Such findings may have an important role in the diagnosis, surveillance and management of sinus disease in the pediatric population.</p>","PeriodicalId":91095,"journal":{"name":"International journal of otorhinolaryngology","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563871/pdf/nihms661172.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34002330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}