Journal of Otolaryngology and Rhinology is an international, open access, peer-reviewed journal that publishes a wide variety of information on all aspects of head and neck medicine. The main objective of the journal is to set a forum for publication, education, and exchange of opinions globally. The Journal provides a podium for all clinicians, surgeons and health professionals to contribute their findings and help raise awareness among the community in various aspects of otology, rhinology, and laryngology. We aim to publish the highest quality clinical content via open access platform providing the readers free, immediate and unlimited access.

Journal of Otolaryngology and Rhinology is an open journal which provides research updates on Otology, Congenital deformities of the ear and temporal bone, Disorders of equilibrium, Neurological and Vascular causes of vertigo, Hearing loss, Facial Paralysis, Cochlear implantation in adults and children; Devices including bone anchored hearing aids and middle ear implants, Tinnitus, Ear trauma, Chronic suppurative otitis media including its intracranial complications, Neck masses in infants and children, Airway disorders in childhood, Congenital deformities of the ear and temporal bone, Basic sciences of rhinology, Congenital nasal abnormalities, Nose and sinus infections, Nose and sinus inflammation excluding infection, Nasal polyps, Foreign bodies, Epistaxis, Nasal trauma and deformity, Nasal and paranasal sinus tumours, Adenoidal and tonsillar pathology, Congenital deformities of the larynx, Head and neck cancer, Airway disorders, Voice disorders, Pharyngeal and oesophageal disorders, Cervical lymphadenopathy, Sleep apnoea, Adenoidal and tonsillar pathology, Rhinology, Basic sciences, Congenital abnormalities, Diseases of the oesophagus, Benign Oesophageal and Related Disorders in Childhood, Oesophageal Neoplasia etc. Original Article, Reviews, Mini-Reviews, Short Communications, Case Reports, Clinical Image, Perspectives/Opinions, Letters, Short Note, and Commentaries are accepted for publication. All articles published in the journal are subject to a rigorous peer review process. It encourages authors to publish their results in detail to disseminate the updated research findings.

 
Journal Information

Title: Journal of Otolaryngology and Rhinology

ISSN: 2572-4193

Editor-in-chief: John E Nathan

NLM title abbreviation: J Otolaryngol Rhinol

ICV: 87.93

ISO abbreviation: J Otolaryngol Rhinol

Other titles: JOR

Category: Otolaryngology

DOI: 10.23937/2572-4193

Peer review: Double blind

Review speed: 3 weeks

Fast-track review: 10 days

Publication format (s): Electronic and print

Publication policy: Open Access; COPE guide

Publication type(s): Periodicals

Publisher: ClinMed International Library

Country of publication: USA

Language: English

Contact email: contact@clinmedjournals.org

 
Articles Search by   Keyword   |   Journal title   |   Author name   |   DOI

 

 Open Access DOI:10.23937/2572-4193.1510109

Melkersson-Rosenthal Syndrome

Yane Melo Santana, Angela Maria De Amorim Sozio, Dayse Kelle Nascimento Ribeiro, Juliana Costa Santos, Luana Mattana Sebben, Diego Monteiro De Carvalho and Fabricia Louzada Depizzol Vito Sobrinho

Article Type: Case Report | First Published: August 28, 2021

The authors report the case of a 14-year-old girl with Melkersson-Rosenthal syndrome in its classical form, with the triad of recurrent peripheral facial paralysis, upper lip edema and fissured tongue. A rare disease of unknown etiology, it has a chronic and progressive course, and clinical diagnosis is usually by exclusion. An individualized, multidisciplinary approach is fundamental for the treatment of the symptoms and avoids complications and permanent sequelae. The therapeutic options are v...
 

 Open Access DOI:10.23937/2572-4193.1510108

Sinonasal Schwannomas

Ana Carolina Riveros, Valentina Proietti, Candelaria Serrano and Carlos Santiago Ruggeri

Article Type: Original Research | First Published: August 25, 2021

Schwannomas of the nasal cavity and paranasal sinuses are uncommon. Treatment is surgical and endoscopic excision is a main indication. Our aim was to determine the incidence of rhinosinusal Schwannomas and the effectiveness of endonasal surgery with endoscopes to treat these tumors. The electronic medical records of all patients diagnosed with head and neck schwannomas were reviewed, excluding acoustic nerve neurilemomas and neurofibromas. Those who presented tumors located in the nose or paran...
 

 Open Access DOI:10.23937/2572-4193.1510107

Endoscopic Surgery of Supraorbital Cells Mucoceles

Carlos Santiago Ruggeri, Valentina Proietti and Ana Carolina Riveros

Article Type: Original Article | First Published: August 21, 2021

Mucoceles originating from supraorbital ethmoid cells are difficult to treat. Due to its lateral location the endonasal approach with endoscopes is sometimes not sufficient to achieve adequate exposure and the use of extended transnasal techniques and even external approaches is required. To determine the success rate of surgical treatment performed endonasally with endoscopes or combined, endonasal and trough a transpalpebral approach to treat mucoceles originating in supraorbital cells. Patien...
 

 Open Access DOI:10.23937/2572-4193.1510106

Knowledge, Attitudes and Practices of General Practitioners Regarding Ear Infections in Lomé (Togo)

Winga Foma, Essobozou Pegbessou, Warou Dolou, Mèhèza Bamassi, Bathokedeou Amana and Essohanam Boko

Article Type: Original Article | First Published: August 07, 2021

This paper describes how Togolese general practitioners deal withear infections by assessing their level of knowledge about the disease. Furthermore, this research work identifies their attitudes and practices regarding presumptive symptoms of ear infections. This study was conducted in the municipality of Greater Lomé, the capital of Togo. It was a cross-sectional study with a descriptive aim which took place over a period of six (06) months using a questionnaire filled in the presence of the ...
 

 Open Access DOI:10.23937/2572-4193.1510105

Temperature-Controlled Radiofrequency Treatment of the Nasal Valve and Nasal Airway Obstruction: Early Results of a Prospective, Multi-Center Study

William C. Yao, MD, Randall A. Ow, MD and Henry P. Barham, MD

Article Type: Case Report | First Published: July 10, 2021

Nasal valve collapse is a primary cause of nasal obstruction. Patients with nasal airway obstruction suffer from a variety of symptoms that affect quality of life including congestion, headache, sleep problems, daytime sleepiness, and snoring. To evaluate the effectiveness of a low-power temperature-controlled radiofrequency procedure to treat the nasal valve and measure symptomatic improvement in patients diagnosed with nasal airway obstruction due to nasal valve collapse. A prospective, single...
 

 Open Access DOI:10.23937/2572-4193.1510104

Simultaneous External Canal Cholesteatoma and Keratosis Obturans: A Rare Case Report

Anwar El Batawy, MD

Article Type: Case Report | First Published: June 30, 2021

Primaryexternal auditory canal cholesteatoma (EACC) is a rare entity. Its association with keratosis obturans (KO) was not documented. I report a rare case with co-existence of ipsilateral EACC and contralateral KO. From clinical presentation, radiological investigation, and operative finding; I conclude to describe this case with simultaneous external canal cholesteatoma and keratosis obturans. External auditory canal cholesteatoma (EACC) and keratosis obturans (KO) are diseases that primarily ...
 

 Open Access DOI:10.23937/2572-4193.1510103

Surgical Outcomes of Revision Myringoplasty

Ismail Alhiraki, MD

Article Type: Research Article | First Published: June 05, 2021

To evaluate the success rate of revision myringoplasty using temporalis fascia graft myringoplasty and to analyse the effect of potential influencing factors on closure of tympanic membrane (TM) and hearing outcome such as size of perforation (less or greater than 50% of tympanic membrane), site (anteriorly or posteriorly located) of perforation, whether the patient smokes or not, and condition of contralateral ear. Thirty patients were included in this prospective study, who underwent revision ...
 

 Open Access DOI:10.23937/2572-4193.1510102

Occult Facial Nerve Palsy: Cases of the Masquerading Malignancy

Yi Hai Li, MBChB, Aneesh Kumar, FRCS, FRACS (ORL-HNS) and Hans Stegehuis, FRACS (ORL-HNS)

Article Type: Case Series | First Published: May 31, 2021

Peripheral facial nerve palsy is mostly attributed to Bell’s palsy, however in 5-10% of cases it may be from an underlying malignancy. It can be difficult to distinguish initially, frequently leading to misdiagnosis and a delay in management, potentially compromising survival of these patients. A common distinguishing feature is that facial palsy from malignancy is typically gradual onset and progressive as opposed to sudden in that of Bell’s palsy, although other benign causes may also pres...
 

 Open Access DOI:10.23937/2572-4193.1510101

Endoscopic Transnasal Resection of Sinonasal Hemangiopericytoma: A Report of Two Cases

Tessei Kuruma, Mariko Arimoto, Mayuko Kishimoto, Kinga You, Yuka Kawade, Yasue Uchida, Ogawa Tetsuya and Yasushi Fujimoto

Article Type: Case Report | First Published: April 21, 2021

Hemangiopericytoma is an uncommon vascular tumor derived from the pericytes of Zimmermann, representing only a small proportion of head and neck tumors, and mostly occurring in the sinonasal tract. We report two cases of hemangiopericytoma of the sinonasal tract in a 78-year-old woman and a 77-yearold man, both presenting with symptoms of frequent epistaxis. In Case 1, a purple tumor was identified originating from the posterior olfactory fissure in the left nasal cavity. To reduce bleeding from...
 

 Open Access DOI:10.23937/2572-4193.1510100

Primary Endonasal Dacryocystorhinostomy - Impact of Multiple Factors on the Outcome

Ângelo Miguel Carvalho, Francisco Patrão, Márcia Mourão, Catarina Almeida, Luis Pinto, Vera Soares and Rui Tavares

Article Type: Review Article | First Published: March 22, 2021

Endoscopic dacryocystorhinostomy (en-DCR) is the mainstay of treatment of patients with nasolacrimal duct obstruction, with current success rates above 90%. Our aim was to evaluate multiple demographic and technical factors and estimate its influence on the outcome of en-DCR. We performed a retrospective review of the clinical records of patients submitted to a DCR at the Lacrimal Surgery Unit of the Centro Hospitalar Tondela-Viseu between June 2010 and December 2018, and collected data on demog...
 

 Open Access DOI:10.23937/2572-4193.1510099

Papilloma of the Ear’s External Auditory Canal: A Rare Localization in a Case at the Peace Hospital of Ziguinchor in Southern Senegal

NDADI TCHIENGANG K Junie, SENGHOR Fabrice, KANE Yaya, DIONE Antoinette, CISSE Mohamed, THIAM Ibou and DIOM Siga Evelyne

Article Type: Case Report | First Published: January 30, 2021

HPV infections are caused by human papillomaviruses. These viruses create cutaneous or mucous membrane tumors, including some warts. Warts are extremely common and easy to recognize, but when the location is atypical, histological confirmation is required. We report a HPV infection case localized in the ear’s external auditory canal in a 30-year-old young that is admitted to the ENT department of the Ziguinchor Peace Hospital. The examination found: auricular pruritus, a full ear feeling and a...
 

 Open Access DOI:10.23937/2572-4193.1510098

Endoscopic Transoral Surgery of the Tongue Base

Carlos S Ruggeri, Lautaro Acosta and Ivo Bedini

Article Type: Original Research | First Published: January 13, 2021

To determine the efficacy and incidence of complications in tumors and in other diseases involving the tongue base treated by transoral surgery with the assistance of endoscopes. To determine the efficacy and incidence of complications in tumors and in other diseases involving the tongue base treated by transoral surgery with the assistance of endoscopes. Central glossectomies and hemiglosectomies were performed with this technique, and through a...
 

 Open Access DOI:10.23937/2572-4193.1510097

Endoscopic Surgery in Malignant Rhinosinusal Tumors

Eduardo Figueroa, Candelaria Serrano and Carlos Santiago Ruggeri

Article Type: Original Article | First Published: December 30, 2020

In this study, we describe our experience in the treatment of malignant rhinosinusal tumors and establish factors related to their prognosis. To determine the local control and the survival rates in patients with malignant tumors of the paranasal sinuses and nasal cavity treated by endonasal endoscopic surgery. All patients who had malignant tumors of the nasal cavity and paranasal sinuses who were treated by an endonasal, cranionasal or combined endonasal an external approach in the ENT Departm...
 

 Open Access DOI:10.23937/2572-4193.1510096

Retrograde Air Flow through the Lacrimal Drainage System with Valsalva Maneuver

Swati Malik, B.A., Mohammad Javed Ali, F.R.C.S., Miel Sundararajan, M.D. and Harsha S. Reddy, M.D.

Article Type: Case Report | First Published: December 14, 2020

We present a series of three clinical videos of retrograde air flow through the lacrimal system with Valsalva maneuver that illustrate the hypothesized dysfunctions at various points within the lacrimal valvular system. Under normal physiologic conditions, the lacrimal excretory system has a series of valves that prevent retrograde flow of fluid and air. Therefore, while performing the Valsalva maneuver, increased intranasal pressure is not transmitted to the nasolacrimal system; however, trauma...
 

 Open Access DOI:10.23937/2572-4193.1510093

Nasopharyngeal Reflux: A New Indication for Esophagogastroduodenoscopy to Rule Out Barrett's Esophagus?

Sean P Chislett, MD, Jordan Kalathia, BS, Alla Y. Solyar, MD, Alexander P Limjuco, MD and Donald C Lanza, MD

Article Type: Research Article | First Published: November 12, 2020

To identify the prevalence of Barrett’s esophagus (BE) in patients with nasopharyngeal reflux (NPR) presenting to a tertiary rhinology practice in 2017, and to assess for any correlation with the presence of symptomatic gastroesophageal reflux disease (GERD). Demographic data, self-reported symptoms and relevant past medical history were compiled from a standardized intake questionnaire. Symptoms were grouped into 3 categories: NPR, laryngopharyngeal reflux (LPR) and GERD. Descriptive and nonp...
 

 Open Access DOI:10.23937/2572-4193.1510092

A Rare Case of Actinomyces odontolyticus Infection after Injection Laryngoplasty with Deflux

Kelti Munroe, BSc, Jonathan Melong, MD and Timothy Brown, MD, FRCSC

Article Type: Case Report | First Published: November 06, 2020

Actinomyces odontolyticus is a grampositive, anaerobic bacteria that is part of the normal oral commensal flora. It has been previously demonstrated to be a rare cause of endogenous bacterial infections in humans. In the current case report, we present a rare case of vocal cord infection caused by Actinomyces odontolyticus after injection laryngoplasty with Deflux in an otherwise healthy male patient. A 61-year-old healthy male was taken to the operating theater for injection laryngoplasty for a...
 

 Open Access DOI:10.23937/2572-4193.1510091

A Rare Presentation of Gradenigo’s Syndrome

Nilam U. Sathe, MBBS, MS ENT, Dharmishtha R. Kaku, MBBS, MS ENT, DNB ENT, Anjali Taku, MBBS, MS ENT, Muniram Pawara, MBBS, MS ENT and Vani K. Gupta, MBBS, MS ENT, DNB ENT

Article Type: Case Report | First Published: November 05, 2020

Gradenigo’s syndrome is a characteristic triad of suppurative otitis media, pain in distribution of trigeminal nerve and abducens nerve palsy. Early diagnosis and management of Gradenigo’s syndrome is important as it can give rise to fatal complications. Careful clinical history and physical examination, neuroimaging are needed for a differential diagnosis. We present a case report of unusual presentation and eitiological cause of Gradenigo’s syndrome and its effective management. Patient ...
 

 Open Access DOI:10.23937/2572-4193.1510090

Intra-Operative Findings in Middle Ear Cleft in Cases of Chronic Inactive Mucosal Otitis Media

Sourabh Shankar Chakraborty, MBBS, DNB (ENT) and Anil K Monga, MBBS, MS (ENT)

Article Type: Original Article | First Published: October 14, 2020

To assess intra-operative findings of mastoid bone; their prevalence in patients with chronic otitis media (inactive mucosal) and their correlation with age, sex of the patient, duration of complaint and degree of hearing impairment; to establish the prevalence of aditus block. In this study 100 patients, ranged from 11 to 74 years, with inactive mucosal chronic otitis media were subjected to type I tympanoplasty with cortical mastoidectomy. All the Intraoperative findings of middle ear & mastoi...
 

 Open Access DOI:10.23937/2572-4193.1510089

Pleomorphic Adenoma of Nasal Septum Masquerading as Squamous Cell Carcinoma: About One Case

Kharoubi Smail

Article Type: Case Report | First Published: September 30, 2020

Pleomorphic adenoma is one of the most common benign tumors of the major salivary glands. It can also occur in the minor salivary glands, which exist in the nasal cavity. We present a case of pleomorphic adenoma masquerading as squamous cell carcinoma in 61-year-old man. This patient presented with nasal obstruction, nasal bleeding and nasal deformity. Biopsy have reveled moderaletly differenciated squamous cell carcinoma. After surgical procedure (lateral rhinotomy). The final diagnosis affirme...
 

 Open Access DOI:10.23937/2572-4193.1510088

Intratonsillar Abscess: Case Series of a Rare Entity

S Juthika Rai, Madhuri G and Chandre Gowda BV

Article Type: Case Series | First Published: August 29, 2020

Intratonsillar abscess (ITA) is a rarely reported clinical entity in both children and adults. Despite its rarity ITA should be considered in the differential diagnosis of Peritonsillar abscess and Tonsillitis. CT scan is useful to confirm the presence of an ITA. The following case series summarizes three cases of intratonsillar abscess that presented to our centre and their management. The primary treatment modality in our cases involved needle aspiration with post-procedural antibiotics....
 

 Open Access DOI:10.23937/2572-4193.1510087

Zygomatic Arch Blastomycosis in a Pediatric Patient: A Case Report

Paige Kennedy, MD and Andrea Shogan, MD

Article Type: Case Report | First Published: August 14, 2020

Blastomycoses dermatitidis is a fungal organism endemic to the eastern United States. This organism is thought to grow in soil and decaying wood, and exposure with inhalation of the spores can result in blastomycosis, a potentially life-threatening disseminated infection. We present a case of an 11-year-old female who presented to our institution with headaches and left-sided facial swelling, who was ultimately found to have blastomycosisof her left zygomatic bone....
 

 Open Access DOI:10.23937/2572-4193.1510086

Fishing at Home during Covid-19 Lockdown Period: A Rare Presentation of Penetration Fishhook at Nasal Bridge

Kuong Lung Kiu, Shiun Chuen Chew and Pek Ser Heng

Article Type: Case Report | First Published: July 13, 2020

In Otorhinolaryngology (ORL) practice, we commonly received cases of foreign bodies in the nose. Among these referrals, the pediatric group is the most common, others could involve the mentally challenged patients. These foreign bodies may vary from different materials and consistencies and removal them requires good clinical experience as well as proper clinical instruments and cooperative clinical staff and the patient. On rare occasion, penetrating foreign body at the nasal bridge was present...
 

 Open Access DOI:10.23937/2572-4193.1510085

Epidemiological Study of Head and Neck Cancer in Al-Baharegion, South West of Saudi Arabia

Rajab A AlZahrani

Article Type: Original Research | First Published: July 10, 2020

This is a retrospective, cross-sectional study, in which the records of patients presented to the Otorhinolaryngology (ENT), and various surgical departments at King Fahd Hospital at Al-Baha region and the documents of patients referred from Al-Baha region to the nearby specialized and oncology centers over ten years (January 2009-December 2019). A total of 470 patient’s records were reviewed for the following variables: Age, sex, occupation, smoking and alcohol consumption habits, primary tum...
 

 Open Access DOI:10.23937/2572-4193.1510084

To Evaluate Clinico - Microbiological Profile in Chronic Rhinosinusistis: A Prospective Cohort Study in North India

Dr. Arun Kumar TM, Dr. Surinder K. Singhal, Dr. Arjun Dass, Dr. Jagdish Chander, Dr. Shashikant A. Pol and Dr. Nitin Gupta

Article Type: Research Article | First Published: June 25, 2020

Chronic rhinosinusitis is defined as the inflammation of mucosa of nose and paranasal sinus for at least 12 consecutive weeks of duration. Being one of the most common health problems worldwide, its pathogenesis is not well defined and there may be multiple aetiologic factors. Bacteria, fungi or viruses may be involved in some cases but there may be cases with no identifiable pathogenic organisms. As there is emerging drug resistance management of patients is also getting troublesome....
 

 Open Access DOI:10.23937/2572-4193.1510083

Solitary Fibrous Tumor of the Nasal Cavity with Intracranial Expansion: A Case Report and Review of the Literature

Randall A Bloch , Ran Vijai Singh, MD, Marc L Silverberg, MD, Joseph K Han, MD and Kent K Lam, MD

Article Type: Case Report | First Published: June 06, 2020

Solitary fibrous tumors (SFTs) typically arise from the pleura and other thoracic locations but can also rarely affect the nasal cavity and paranasal sinuses. This report describes the presentation, workup, and management of a patient with a sinonasal SFT with expansion into the intracranial fossa. We report on a 78-year-old male who presented with approximately 1 year of worsening nasal obstruction, difficulty sleeping, and loss of olfaction and gustation. Fiberoptic examination, CT, and MRI al...
 

 Open Access DOI:10.23937/2572-4193.1510082

How I Do It: The Reversible Tracheostomy Stitch

David K Lerner, MD, Yarah M Haidar, MD, Jill Gregory, CMI FAMI and Eric Genden, MD

Article Type: Original Article | First Published: May 30, 2020

Elective tracheostomy is routinely performed in conjunction with major head and neck surgery, notably during transoral robotic base of tongue resection and oral cavity/oropharyngeal resection with free flap reconstruction, due to concern for potential post-operative airway compromise. In these circumstances, the tracheostomy is typically intended to be temporary with reversal during the post-operative stay. In order to expedite tracheostomy site closure and preclude development of a tracheocutan...
 

 Open Access DOI:10.23937/2572-4193.1510081

The Value Barium Swallow in the Diagnosis of Head and Neck Cancer Patients, a Validity of study

Mahmoud Elsayed, FRCS ORL-HNS, Dena Elsawy, MBChB (Hons) BSc, Abdelrahman Ezzat, FRCS ORL-HNS and Phillip Moore, FRCS ORL-HNS

Article Type: Original Article | First Published: May 08, 2020

Globus pharyngeus is a common benign condition. Patients with this condition are commonly investigated to exclude the risk of upper aero-digestive malignancies. One of the investigations carried out is barium swallow. However, there is great debate regarding the role of barium swallow in the diagnosis of head and neck cancers. Therefore, the aim of this study is to review the validity of barium swallow in diagnosing malignancies. All patients diagnosed with head and neck cancer between January 2...
 

 Open Access DOI:10.23937/2572-4193.1510079

Sphenoidal Aspergillosis in an Immunocompetent Patient

Mohammed Elbouderkaoui, Youssef Lakhdar, Sara Rochd, Othman Benhoummad, Youssef Rochdi, Hassan Nouri and Abdelaziz Raji

Article Type: Case Report | First Published: April 18, 2020

Aspergillosis of the sphenoid sinus is a rare condition. The causative agent is most often Aspergillus fumigatus. We report this case of an immunocompetent 16-year-old woman with no specific medical history who presented with severe chronic headache, retro orbital pain, associated with nasal obstruction. The clinical examination showed a polyp filling the left nasal cavity with a left exophthalmos. The CT scan showed a heterogeneous left sphenoid sinus lesion with calcifications inside it. In ma...
 

 Open Access DOI:10.23937/2572-4193.1510078

A Case of Achondroplasia with Vascular Malformation Compressing the Airway Which Caused Obstructive Sleep Apnea with a Brief Review of the Literature

Areej Albelali, Raghad Alkanhal, Wala S. Alshiha and Jaber Alshammari, MD

Article Type: Case Report | First Published: April 17, 2020

Achondroplasia is the most common skeletal dysplasia which can lead to many serious complications. Obstructive sleep apnea is a common complication in achondroplasia that varies in severity levels from mild to life threatening. In this report, we present a case of achondroplasia with vascular malformation compressing the airway which caused obstructive sleep apnea....
 

 Open Access DOI:10.23937/2572-4193.1510077

Sinonasal Tract Meningioma: A Case Report

Redentor B. Magdayao, MD and Jennifer De Silva-Leonardo, MD

Article Type: Case Report | First Published: April 16, 2020

A 53-year-old male presented with persistent right nasal obstruction and recurrent epistaxis. He was initially managed as a case of nasal polyposis. However, persistence of symptoms prompted consult with another ENT specialist. Further evaluation revealed meningioma in the sinonasal tract. The patient underwent bifrontal craniotomy with excision of the intracranial extension of the tumor and endoscopic excision of the intranasal meningioma. Follow- up revealed resolution of symptoms and absence ...
 

 Open Access DOI:10.23937/2572-4193.1510076

Evaluation of Vestibular Evoked Myogenic Potentials Test in Vitamin B12 Deficiency

Deniz Karatekin, Selim Ünsal and Hanifi Kurtaran

Article Type: Research Article | First Published: April 15, 2020

35 people with vitamin B12 deficiency (16 female, 19 male), 35 people with a normal B12 level who has no hearing or balance problems (18 female, 17 men) participated in the study. Using the 500 Hz stimulus ToneBurst of the patients participated in the study, P1 and N1 wave latencies and amplitudes were evaluated. No statistically significant difference was found between P1 and N1 wave latencies and amplitudes at the 500 Hz and 100 dBnHL intensity level of the participants (p < 0.05)....
 

 Open Access DOI:10.23937/2572-4193.1510075

Management of Difficult Laryngeal Exposure with Two Surgeons by Using the Flexible Fiberscope

Kuang-Chih Lee and Chih-Shin Lin

Article Type: Research Article | First Published: April 15, 2020

Out of these patients, 3 patients presented with difficult laryngeal exposure that were operated under suspension microlaryngoscopy. Laryngeal exposure was much improved by the flexible fiberscope with a video system compared with the suspension microlaryngoscopy. The endolaryngeal surgeries in all cases with difficult laryngeal exposure were performed smoothly. The flexible fiberscope with a video system could remarkably improve visualization of the larynx. This approach provided an alternative...
 

 Open Access DOI:10.23937/2572-4193.1510073

Secondary Rhinoplasty Using Autologous Rib Cartilage: A Review

Guillermo Navarro Santos, Sylvia Elizabeth Villarreal Navarro, Arturo Alanís Ibarra, Sergio Andrés de Lara Ovalle, Adriana Miroslava Pérez Peña and Esaú Floriano Sánchez

Article Type: REVIEW Article | First Published: March 16, 2020

Rhinoplasty is one of the most complex procedures in the cosmetic surgery field. Satisfactory long-term results rely on using grafts with enough strength for adequate support and low resorption rates. Grafts in septorhinoplasty can be obtained from autologous, homologous and alloplastic materials. Autologous rib cartilage is the graft material of choice for secondary rhinoplasty when enough septal cartilage is not available....
 

 Open Access DOI:10.23937/2572-4193.1510072

Primary Thyroid Lymphomas: A Report of Five Cases

Hajar Haoufadi, Mohamed Chehbouni, Youssef Rochdi, Hassan Nouri and Abdelaziz Raji

Article Type: Case Series | First Published: February 12, 2020

Primary thyroid gland lymphoma is a rare condition, accounting for only 2% of extranodal lymphomas, usually occurring in patients with autoimmune thyroiditis. Among these lymphomas, B-cell non-Hodgkin lymphoma is the most frequently encountered, while Hodgkin’s disease and T-cell lymphomas are extremely rare. Through this paper, we report 5 primary thyroid lymphoma cases, diagnosed in our department in a period of 6 years (Jan 2012 to Dec 2017), all of them were B-cell Non-Hodgkin Lymphomas. P...
 

 Open Access DOI:10.23937/2572-4193.1510071

Patient Reported Outcomes of Balloon Dilation for Eustachian Tube Dysfunction Using the SNOT-22 Survey

Zahrah M Taufique, MD, MBA, Steven A Gordon, MD, MPH, Janine M Rotsides, MD, Jamie R Oliver, BA and Lisa A Liberatore, MD

Article Type: Original Resear ch | First Published: January 15, 2020

Eustachian tube dysfunction is a common medical condition affecting approximately 1% of the adult population. Previous studies have evaluated eustachian balloon tuboplasty using tympanometry, ability to perform Valsalva maneuver and subjective improvement in symptoms to measure effectiveness. In this study, we propose using the Sino-Nasal Outcome Test (SNOT-22) to measure outcomes following eustachian tube balloon dilation, with a focus on ear-specific symptoms within the survey....
 

 Open Access DOI:10.23937/2572-4193.1510070

Giant Epidermoid Cyst of the Bony External Ear Canal - A Rare Case Report

Muzeyyen Dogan

Article Type: Case Report | First Published: December 05, 2019

Epidermal cyst of the bony external auditory canal in adults is rare. Only nine cases are reported in the literature. They occasionally tend to develop into a malignancy. A 35-years-old female presented with complaints of decreased hearing and fullness at the left ear. The severity of these symptoms increased gradually for 6 months. On physical examination, the left otoscopy showed a mass that was completely occluding the canal; the tympanic membrane was not visualized. The property of this mass...
 

 Open Access DOI:10.23937/2572-4193.1510068

Preoperative Computed-Tomography for Endoscopic Sinus Surgery: A Simplified Checklist

Saad M Alshammari, MD and Nada A Alshaikh, MD

Article Type: Research Article | First Published: October 21, 2019

Endoscopic sinus surgery (ESS) gained growing popularity with indications expanding beyond rhinosinusitis. Preoperative high-resolution computed tomography (CT) scan is essential in providing the surgical map for surgeons. In addition of being a diagnostic imaging technique, it gives valuable information about origin, nature and extension of the pathology to adjacent structures. Therefore, preoperative review of para-nasal sinuses (PNS) CT scan is crucial in order to perform successful and compl...
 

 Open Access DOI:10.23937/2572-4193.1510069

A Revisit of Open Repair for Zenker's Diverticulum Compared to Endoscopic Repair

Ryan Marshall, MD, Gobind Gill, MD, Mohamad Babi, MD, Kirk Withrow, MD and Do-Yeon Cho, MD

Article Type: Research Article | First Published: November 04, 2019

The purpose of our study is to prove open repair (OR) for Zenker's diverticulum can result in similar lengths of stay in the hospital, and similar convalescent periods when compared to endoscopic repair (ER). Retrospective chart review was performed between 2013-2018 for those patients who had surgical repair of Zenker's diverticulum by two surgeons. After discussing all risks, benefits, and alternatives, patient made a decision whether to have ER vs OR of Zenker's diverticulum. These findings s...
 

 Open Access DOI:10.23937/2572-4193.1510067

Open Rhinoplasty Approach for Resection of a Subcutaneous Aneurysmal Fibrous Histiocytoma

Anna Frants, MD, Marissa Lafer, MD, Cheng Z Liu, MD and Judy W Lee, MD

Article Type: Case Report | First Published: October 14, 2019

Aneurysmal fibrous histiocytoma (AFH), also known as aneurysmal dermatofibroma, is a rare variant of the more common and benign dermatofibroma (fibrous histiocytoma). AFHs account for approximately 2% of all cutaneous fibrous histiocytomas, and have been reported to occur most often on the extremities of young to middle aged adults, with a slight female predominance. The mass was excised en bloc using an open rhinoplasty approach. Once the nasal skin-SMAS envelope was elevated, a lobular, cystic...
 

 Open Access DOI:10.23937/2572-4193.1510066

Modified Rhinolift: A Minimally Invasive Technique for Age- Related Tip Ptosis

Nikolaus Hjelm, MD, Peter Ciolek, MD, Ryan Heffelfinger, MD and Howard Krein MD, PhD

Article Type: Case Report | First Published: October 07, 2019

As one ages, the structure of the nose undergoes a number of changes, leading to alterations in form and function. Patients with no previous history of nasal issues may present with age-related nasal obstruction later in life. Tip ptosis is a well-recognized etiology of nasal obstruction in the aging patient. The pathogenesis is believed to be due to weakening of several of the tip support mechanisms. Of primary importance, there is age-related degradation of the fibrous union at the cephalic ed...
 

 Open Access DOI:10.23937/2572-4193.1510065

What are the Factors Leading to Nasal Septal Perforations after Septoplasty?

Erkan YILDIZ, Sahin ULU and Orhan Kemal KAHVECI

Article Type: Research Article | First Published: August 26, 2019

Nasal septal perforation is the most common complication in the long term after septoplasty. Nasal septal perforation is the partial opening of the wall between both nasal cavities. In this study, we will evaluate the causes of septal perforation after septoplasty. 400 patients aged between 18 and 50 years who underwent septoplasty operation in Afyonkarahisar Şuhut State Hospital between 2016- 2019 were evaluated retrospectively. These patients were divided into groups with and without perforat...
 

 Open Access DOI:10.23937/2572-4193.1510064

Intraosseous Pleomorphic Adenoma of the Maxilla: A Case Report and Literature Review

Manola M, Moscillo L, De Luca E, Lalinga AV and Possidente L

Article Type: Case Report and Literature Review | First Published: August 26, 2019

Salivary gland tumours constitute 3% of all head and neck neoplasms. Pleomorphic adenomas arising in the maxilla are extremely rare, with only few cases reported to date. Radiographically and clinically, these lesions have the appearance of osteolytic processes or odontogenic cysts and the diagnosis represents a challenge. The surgical treatment of intraosseous glandular neoplasms is debated because of the few cases reported in literature. The Authors describe a rare case of intraosseous pleomor...
 

 Open Access DOI:10.23937/2572-4193.1510063

Dysphagia - Pathophysiology of Swallowing Dysfunction, Symptoms, Diagnosis and Treatment

Bahareh Bakhshaie Philipsen

Article Type: Review Article | First Published: August 21, 2019

Difficulty swallowing is called dysphagia. There is a wide range of potential causes of dysphagia. Because there are many reasons why dysphagia can occur, treatment depends on the underlying cause. Thorough examination is important, and implementation of a treatment strategy should be based on evaluation by a multidisciplinary team. In this article, we will describe the mechanism of swallowing, the pathophysiology of swallowing dysfunction and different causes of dysphagia, along with signs and ...
 

 Open Access DOI:10.23937/2572-4193.1510062

Late Endovascular Coil Erosion of the Internal Carotid Artery into the Nasopharynx: Case Report and Review of Literature

Graham Derek Unis, MS, BA, Basit A Jawad, MD, Ashwin Ananth, MD and Ryan Winters, MD

Article Type: Review Article | First Published: August 12, 2019

We present a case of a 72-year-old gentleman with an extruding internal carotid artery aneurysm coil through the Fossa of Rosenmuller. The patient was stable post-operatively and remained complication and progression free 8 months later at time of writing. Other reports involving pseudoaneurysms were found in the literature although no coil erosions in true aneurysms have been described. Conservative therapy with controlled amputation of the extruding filament in the operative room has served as...
 

 Open Access DOI:10.23937/2572-4193.1510061

Lateral Sinus Thrombosis as a Complication of Acute Otitis Media, Clinical Case Report in Bogota, Colombia

Gilberto Eduardo Marrugo Pardo, Carlos Julian Adarme Gomez and Alejandra Oliveros Vargas

Article Type: Research Article | First Published: August 07, 2019

Septic thrombosis of the lateral sinus is a rare complication of otitis media; currently, it hasn't been found a case report of septic thrombosis of the lateral sinus in the medical literature of Colombia and, in addition to this, there is no consensus in the management of this pathology. Hence the importance of the present case, which is a 3-year-old male patient, who presented a clinical picture of 7 days of evolution characterized by right otalgia and fever, which after the administration of ...
 

 Open Access DOI:10.23937/2572-4193.1510060

Coblation-Assisted Functional Endoscopic Sinus Surgery Improve Prognosis of the Patients with Chronic Rhinosinusitis and Nasal Polyps

Nannan Zhang, Mintao Zhong, Delong Liu, Cuiping Se, Wei Song and Qingfeng Zhang

Article Type: Research Article | First Published: June 10, 2019

Current surgical treatment for chronic rhinosinusitis and nasal polyps is functional endoscopic sinus surgery (FESS). Coblation-assisted Functional endoscopic sinus surgery (CAFESS) will probably replace of FESS with more effective result. Our aim was to explore the safety and efficacy of CAFESS for the patients with chronic rhinosinusitis and nasal polyps comparing to traditional FESS firstly by observing clinical data....
 

 Open Access DOI:10.23937/2572-4193.1510059

Changes in Auditory Steady - State Response and Tympanometry Post Adenotonsillectomy in Otitis Media with Effusion

Aman, Jagat Singh, Ashiya Goel, Chandni Sharma, Vikasdeep Gupta and Swati

Article Type: Research Article | First Published: April 27, 2019

Otitis media with effusion (OME) is an important and common condition in paediatric age group. It is the leading cause of hearing loss and a social morbidity in children which has long-term consequences for speech and language development. Adenoid hypertrophy is an important etiological factor in the causation of OME. Recurrent attacks of rhinitis, sinusitis and chronic tonsillitis may cause chronic adenoid infection and hyperplasia. Allergy of the upper respiratory tract may also contribute to ...
 

 Open Access DOI:10.23937/2572-4193.1510058

Congenital Cholesteatoma of Petrous Apex: A Case Report

Muhd Faiz Bin Zulkifli and Lokman Bin Saim

Article Type: Case Report | First Published: April 20, 2019

A 23-year-old female presented with progressive left sided facial asymmetry for 4 years and progressive hearing loss in the left ear for 2 years. She had normal left tympanic membrane and complete left lower motor neuron facial nerve palsy. High resolution computed tomography (HRCT) and magnetic resonance imaging (MRI) temporal bone showed extensive bony destruction, petrous apex and soft tissue lesion. Patient then proceed with transmastoid translabyrinthine approach. Diagnosis of cholesteatoma...
 

 Open Access DOI:10.23937/2572-4193.1510056

The Psychiatric Aetiologies of Epistaxis

Lewis William Murray

Article Type: RESEARCH ARTICLE | First Published: March 08, 2019

Both epistaxis and mental health disorders are common conditions encountered in medical practice and whilst there have been investigations into individual psychiatric conditions and epistaxis, to date no overview has been published of these conditions. This review aims to summarise the various aetiologies and their managements in the setting of epistaxis. A literature review was conducted using PubMed, Medline Ovid, and the Cochrane library using the terms epistaxis, mental health, psychiatric, ...
 

 Open Access DOI:10.23937/2572-4193.1510055

Incomplete Kawasaki Disease Presenting with Fever and Cervical Lymphadenitis in a 10-Year-Old Child

Masih Ahmed, MD, Sarah Ellison, MD and Kathryn S Moffett, MD

Article Type: CASE REPORT | First Published: February 27, 2019

A 10-year-old male was admitted to our hospital after worsening right-sided neck lymphadenitis and fever of 39.8 ℃ (103.6 ℉) of 7 days duration. He had been admitted to an outside facility and treated for 3 days with intravenous (IV) ampicillin/sulbactam and clindamycin, where a computed tomography (CT) revealed right sided lymphadenitis with no abscess formation. Blood and throat cultures showed no growth. Upon admission to our hospital, he had right neck swelling with tenderness and erythe...
 

 Open Access DOI:10.23937/2572-4193.1510054

An Iatrogenic Foreign Body in the Maxillary Sinus: Report of an Unusual Case

Fatima Betul Basturk, PhD, Dilek Turkaydin, PhD, Sertac Aktop, PhD and Hesna Sazak Ovecoglu, PhD

Article Type: Case Report | First Published: February 07, 2019

Dental practitioners frequently encounter with instrument fracture during root canal treatment. However, these fractures generally occur inside the root canals. It is not usual that high speed rotary instruments snap and go further to important anatomical landmarks. In our case report, a high-speed Gates-Glidden drill perforated the root and was introduced into the left maxillary sinus during a routine root canal treatment. The dental and surgical management of the case are described and the pos...
 

 Open Access DOI:10.23937/2572-4193.1510053

Improved Timeliness of Care for the Underserved: A Potential for Patient Navigation

Jason F Ohlstein, Thomas S Edwards, Charles A Riley, Joseph F Buell and Paul L Friedlander

Article Type: Original Article | First Published: Janaury 21, 2019

Retrospective chart review of 100 consecutive patients presenting from each of two tertiary referral centers in inner city New Orleans, Louisiana located in the same zip code serving the local community, with a new diagnosis of squamous cell carcinoma of the head and neck between 2011 and 2014.The data from 187 patients were analyzed for delay at presentation and subsequent provider delay. Statistical analysis was performed to evaluate the effect of race, insurance status, and patient navigation...
 

 Open Access DOI:10.23937/2572-4193.1510052

The Ex Utero Intrapartum Treatment (EXIT) Procedure in Huge Congenital Cervical Lymphatic Malformation

Muhd Faiz Bin Zulkifli Nor Rahimah Binti Aini and Siti Sabzah Mohd Hashim

Article Type: Case Report | First Published: January 03, 2019

Congenital giant cervical lymphatic malformation are rare tumors. Recent advances in prenatal diagnosis and delivery by ex utero intrapartum treatment (EXIT) have improved prenatal outcome. An otherwise healthy 35-year-old woman, gravida 5, para 4, was referred to our institution at 25 weeks' gestation with a diagnosis large neck mass in the fetus. Prenatal ultrasound and magnetic resonance imaging (MRI) findings suggested airway obstruction in the fetus. The EXIT procedure attempt to deliver th...
 

 Open Access DOI:10.23937/2572-4193.1510051

Hearing Threshold Level among Adult Diabetics in South-Western Nigeria

Omoregie J Idugboe, Babatope A Kolawole and Ebidisemene L Totyen

Article Type: Research Article | First Published: November 03, 2018

Among the most common chronic disorders of modern time, diabetes mellitus remains unique because of its multifactorial ramifications. Apart from the well-described association between congenital deafness and maternally inherited type of diabetes mellitus, the relationship between type 2 diabetes and hearing loss has been the subject of debate since Jordao reported a case of hearing loss with incipient diabetes coma almost 150 years ago. Documentation of this relationship among adult diabetics in...
 

 Open Access DOI:10.23937/2572-4193.1510050

Squamous Cell Carcinoma in Pinna and External Auditory Canal: A Case Report

Meichan Zhu, Guangyao He, Songhua Tan and Anzhou Tang

Article Type: Case Report | First Published: October 27, 2018

Squamous cell carcinoma in pinna and external auditory canal is rare and aggressive variant of cell carcinoma. We report the case of squamous cell carcinoma in pinna and external auditory canal. The case is presented, along with a brief literature review concerning squamous cell carcinoma in pinna and external auditory canal. The patient experienced locally invasive squamous cell carcinoma in his right pinna and external canal with invasive of the right parotid, temporomandibular joint, external...
 

 Open Access DOI:10.23937/2572-4193.1510049

Antrochoanal Polyp: A Literature Update

Francisco Andre Escamilla Islas, Jose Luis Treviño Gonzalez and Jose Martin Martinez Camarillo

Article Type: Review Article | First Published: October 17, 2018

The antrochoanal polyp (ACP) is a unilateral, solitary, pear shaped mass with a cystic stalk, differing from the inflammatory polyps in the formation of a constricted sac, half in the maxillary antrum and the other half in the nose, extruding in a variable extent to the nasopharynx. The ACP has a clinic diagnosis, with image studies as the CT scan and the MRI for the differential diagnosis. By microscopy ACP lacks minor mucoserous glands and a well-developed eosinophilic inflammatory infiltrate,...
 

 Open Access DOI:10.23937/2572-4193.1510048

Study of the Suture-Patch Device through the Tongue for Sleep Apnea using Fluid-Structure Interaction Modeling

Yang Liu, Yitung Chen, Woosoon Yim and Robert C Wang

Article Type: RESEARCH ARTICLE | First Published: September 24, 2018

The prevalence of obstructive sleep apnea (OSA) has been growing over the last few decades, but the treatment outcome differs from person to person. Interest in patient-specific modeling has increased substantially. The availability of detailed clinical data together with efficient numerical methods has now made the fluid-structure interaction modeling feasible. The current study uses 3-D two-way fluid-structure interaction to provide simulation results of the sleep apnea symptom in a female pat...
 

 Open Access DOI:10.23937/2572-4193.1510047

Idiopathic Bilateral Facial Palsy- Diagnostic and Therapeutic Approach in a Female Young Patient: Case Report

Marrugo Pardo Gilberto, Romero Moreno Luis Felipe and Munoz Becerra Daniel Edilberto

Article Type: Case Report | First Published: August 25, 2018

Idiopathic bilateral facial palsy is a rare entity with an incidence range between 0.2% and 0.3%. Granulomatosis with polyangiitis disease, Guillain Barre Syndrome, Systemic Lupus Erythematosus and infectious diseases such as neurosyphilis, parotiditis or borrelliosis are the main secondary causes of peripheral bilateral facial palsy....
 

 Open Access DOI:10.23937/2572-4193.1510046

A Prospective Study of Trans-Septal Suture Technique in Stabalising the Middle Turbinate and Preventing Adhesions after Endoscopic Sinus Surgery

Salil Sood and Deepak Gupta

Article Type: Research Article | First Published: July 13, 2018

Over the years the importance of middle turbinate has increased with the wider use of nasal endoscopes in the management of the sino nasal diseases. Lateralization of the middle turbinate may cause scarring & adhesions which may affect the results of the surgery. We have been using a simple technique of placing a transeptal suture to stabilise the middle turbinate and prevent adhesions between middle turbinate and the lateral wall of the nose. We have used this technique in prospective study, wh...
 

 Open Access DOI:10.23937/2572-4193.1510045

Silent Sinus Syndrome: A Case Report and Review of Literature

Sumana CV and Suhel Hasan

Article Type: Case Report | First Published: July 12, 2018

Silent sinus syndrome is a rare clinical entity affecting the maxillary sinus, causing progressive enophthalmos and hypoglobus resulting from retraction of maxillary sinus walls with increase in the orbital volume. We report a case of a 29-year-old male who presented with painless enophthalmos, without any disturbances in vision or ocular movements, with no history of sinusitis in the past....
 

 Open Access DOI:10.23937/2572-4193.1510044

Interesting Pustules on Pinna

Saliha KARATAY and Berrire KURT

Article Type: Clinical Image | First Published: June 16, 2018

A 56-year-old female patient with osteoarthritis of the knee is presented pustules in her ear corresponding to knee and gastrointestinal auricular points. When she came to our clinic, her primary complaint was knee and hip pain. She had a history of generalized osteoarthritis for eight years. She had tried paracetamol, NSAIDs and hyaluronic acid injections as well physical therapy. Her pain was assessed at 8 by visual analog scale (VAS). We decided to treat her with acupuncture....
 

 Open Access DOI:10.23937/2572-4193.1510043

Middle Ear Pressure Changes Over Time in Children with Down Syndrome

Scott Mitchell, Matthew JV Holmes and Nicholas Turner

Article Type: Research Article | First Published: June 08, 2018

Down syndrome is one of the most common genetic conditions affecting approximately 1 in every 1000 live births. There are a multitude of potential clinical manifestations associated with this condition including dysmorphic features, organic disorders such as congenital cardiac defects, gastrointestinal defects, ocular abnormalities, celiac disease and endocrine disorders along with haemato-oncological, immunological and disorders affecting the ears, nose and throat....
 

 Open Access DOI:10.23937/2572-4193.1510042

Omalizumab: Pharmacological Properties, Primary Therapeutic Effect Mechanisms and Adverse Effects

Oner Ozdemir

Article Type: Review Article | First Published: June 07, 2018

Since it was approved in 2003 by the FDA for the therapy of adult and adolescent moderate-severe persistent uncontrolled allergic asthma, the studies on asthma patients have demonstrated that omalizumab has an encouraging safety report, regardless of the allergic sensitization type. Omalizumab was later tried in the therapy of other Th2-type allergic disorders e.g. allergic asthma. Omalizumab hinders IgE effector functions by preventing IgE joining to high-affinity IgE receptors (FcεRI) on effe...
 

 Open Access DOI:10.23937/2572-4193.1510041

Management of Curved Foreign Bodies in Otorhinolaryngology Practice

Ozan Gokdogan, Hacer Baran, TolgahanCatli and Recep Karamert

Article Type: Case Report | First Published: May 30, 2018

Penetrating injuries usually affects non-dressed parts of body. Most of them treated by patient itself without any intervention. But some of them must be examined and treated by a specialist such as major injuries, minor injuries affecting the important structures and curved foreign bodies. Curved injuries can be made by a curved wire or fishhooks. Fishhooks take an important part of this injuries because of mechanism used in distal part of fishhooks....
 

 Open Access DOI:10.23937/2572-4193.1510040

Recurrent Respiratory Papillomatosis: Review and Treatment Update

Alfonso Reyes Escobedo, Karla M Santos Santillana and Jose Luis Trevino Gonzalez

Article Type: Review Article | First Published: May 28, 2018

Recurrent respiratory papillomatosis (RRP) is a benign tumor of the respiratory tract caused by the human papillomavirus (HPV). It is considered as a manageable rather than a curable disease because of its high recurrence rates and its unpredictable clinical course. The unique molecular characteristics of the virus, induces cellular proliferation causing airway obstruction....
 

 Open Access DOI:10.23937/2572-4193.1510039

Chondroblastoma of Ventral Skull Base: First Report of a Case

Ahmad Elkhatib, Paul Wakely Jr, Luciano M Prevedello, Ralph Abi Hachem, Andre Beer-Furlan, Daniel M Prevedello and Ricardo Carrau

Article Type: Case Report | First Published: May 25, 2018

Report of the first case of chondroblastoma involving the sinonasal cavity and ventral skull base, offering a description of the puzzling diagnostic process followed by its management. We describe the main radiologic and histologic characteristics of chondroblastoma and compare them to those of frequently mistaken differential diagnoses....
 

 Open Access DOI:10.23937/2572-4193.1510038

Buccal Space Giant Cell Angiofibroma: Case Report and Review of Head and Neck Occurrences

Moustafa W Mourad, Sami P Moubayed and Edward Shin

Article Type: Case Report | First Published: May 24, 2018

Giant cell angiofibroma (GCA) was first described in 1995, as a previously unrecognized soft tissue tumor of the orbit. Since that time, rare extraorbital head and neck manifestations of GCA have been documented. To the best of our knowledge, we present the fourth documented case of GCA of the buccal cavity, constituting the largest dominant site of occurrence in the extraorbital head and neck....
 

 Open Access DOI:10.23937/2572-4193.1510037

NK/T-Cell Lymphoma Presenting as a Post-Operative Nasal Septal Perforation: A Diagnostic Challenge

Mahir Khuri, Riad Khniefes, Noam Yehudai and Rabia Shihada

Article Type: Case Report | First Published: May 17, 2018

Lymphoma of the nasal cavity represent only 0.2-2% of head and neck lymphomas. Treatment is medical with an overall low 5-years survival between 40% and 59%. There are high rates of relapse as well as radiotherapy and chemotherapy resistance. We present a 44-year-old male, who was admitted to our department due to chronic sinonasal infection, complicated by a large septal perforation and nasal tissue necrosis, which developed over several months following an elective septoplasty surgery performe...
 

 Open Access DOI:10.23937/2572-4193.1510036

Rhinotillexomania in a Cystic Fibrosis Patient Resulting in Septal Perforation

Mark Gelpi, Emily N Ahadizadeh, Brian D'Anzaa and Kenneth Rodriguez

Article Type: Case Report | First Published: April 30, 2018

Cystic fibrosis (CF) is a multisystem disease that can have significant sinonasal manifestations. Viscous secretions are one of several factors in CF that result in chronic sinonasal pathology, such as sinusitis, polyposis, congestion, and obstructive crusting. Persistent discomfort and nasal manifestations of this disease significantly affect quality of life....
 

 Open Access DOI:10.23937/2572-4193.1510035

A Retrospective Study: Good Functional Outcomes are Independent of Pre-Operative Factors in Stapes Surgery for Otosclerosis

Jeremy Goh Chin Guan and Yeo Seng Beng

Article Type: Research Article | First Published: April 28, 2018

Otosclerosis is a disease of the temporal bone that affects the inner and middle ear. It is characterized by a pathological pleomorphic replacement of normal bone with spongiotic or sclerotic bone. Otosclerosis has traditionally been presumptively diagnosed by characteristic clinical findings on medical history, physical examination and audiology testing....
 

 Open Access DOI:10.23937/2572-4193.1510034

Cricoid Pressure during Rapid Sequence Induction - Time to Let Go and Grab the Ultrasound?

RA Fearnley, S Badiger, CA Oti and I Ahmad

Article Type: Research Article | First Published: January 20, 2018

Accurate localisation of the cricoid cartilage is a key step in the successful application of cricoid pressure during rapid sequence induction. Poorly localised pressure is unlikely to confer any protective benefit to our patients and may have deleterious effects on laryngoscopy. We postulated that the use of ultrasound would greatly improve the accuracy of cricoid cartilage localisation prior to the application of cricoid pressure....
 

 Open Access DOI:10.23937/2572-4193.1510033

Two Cases of Sinonasal Teratocarcinosarcoma: Confounders, Treatment and Review of the Literature

Vidur Bhalla, Naweed Chowdhury, Thomas Muelleman, Sameer Alvi, Chelsea Hamill, Roukoz Chamoun and D David Beahm

Article Type: Case Report | First Published: November 29, 2017

Sinonasal Teratocarcinosarcomas (SNTCS) are rare tumors of the anterior skull base that are typically diagnosed in the fifth decade of life, with only 5 reported cases in children. Treatment typically involves surgical resection and radiotherapy....
 

 Open Access DOI:10.23937/2572-4193.1510032

Epiglottis Reconstruction with Auricular Free Flap for Rehabilitation of Dysphagia: A Case Study

Bottini G, Brandtner C,Rasp G and Gaggl A

Article Type: Case Report | First Published: November 15, 2017

Supraglottic laryngectomy for laryngeal cancer aims to remove cancer of the larynx whilst preserving its functions of airway protection, breathing and voice production. A well-known long-term complication of this procedure is aspiration....
 

 Open Access DOI:10.23937/2572-4193.1510031

Synchronous Clival Chordoma and Sellar-Suprasellar Germinoma in a Pediatric Patient: Case Report and Review of Literature

Vidur Bhalla, Thomas Muelleman, Chelsea S Hamill, D David Beahm, Hesham M Soliman, Roukoz B Chamoun and Kathy Newell

Article Type: Case Report | First Published: May 31, 2017

Pediatric brain tumors are the leading cause of cancer in children. While children more likely present with craniopharyngiomas, germinomas or optic gliomas, synchronous intracranial lesions are highly uncommon. Here, we describe the case of a 10-year-old female who presented with central Diabetes Insipidus (DI)....
 

 Open Access DOI:10.23937/2572-4193.1510030

Synchronous Laryngeal Tuberculosis and Cancer, a First in Literature

Thilaga Rajendran, Velayutham Kamaru Ambu and Azila Alias

Article Type: Case Report | First Published: March 30, 2017

Laryngeal cancer is rising in incidence among elderly men with history of smoking. Laryngeal tuberculosis is a rare clinical entity and the incidence is significantly less than 1% of all tuberculosis. This case report highlights the co-existence of laryngeal cancer and TB in a 75-year-old man who presented to us with a 4-year history of hoarseness....
 

 Open Access DOI:10.23937/2572-4193.1510029

In Vitro Modulation of MMP-2 and MMP-9 Secretion by Cytokines, Inducers, and Inhibitors in Head and Neck Squamous Carcinoma Cells (FaDu) and Tongue Carcinoma Cells (SCC-25)

M Waheed Roomi, Bilwa Bhanap, Aleksandra Niedzwiecki and Matthias Rath

Article Type: Research Article | First Published: February 21, 2017

Head and neck squamous cell carcinoma (HNSCC) is a devastating disease with poor prognosis. Matrix metalloproteinases (MMPs), specifically, MMP-2 and MML-9 play a critical role in tumorigenesis by their ability to modify tumor microenvironments, facilitating cell invasion and metastasis. We compared MMP secretion by various cytokines, inducers, mitogen, inhibitors that regulate MMP-2 and MMP-9 activities in FaDu and Tongue cancer cell lines....
 

 Open Access DOI:10.23937/2572-4193.1510028

Inadvertent Vocal Fold Polypectomy During Tracheal Intubation; A Case Report

Sean Keane, Patrick Dillon and John E Fenton

Article Type: Case Report | First Published: January 21, 2017

A 48-year-old male presented for microlaryngoscopy and vocal fold polypectomy, which was complicated by polyp displacement into the lower respiratory airway during direct laryngoscopy and tracheal intubation. It is the first reported incidence of such a case. Following preoperative assessment and preparation, anaesthesia was induced and the airway secured using direct laryngoscopy and tracheal intubation with a microlaryngoscopy tube (MLT), which was reported uneventful....
 

 Open Access DOI:10.23937/2572-4193.1510027

Reduction of Bilateral Anterior Table Frontal Sinus Fractures Using Balloon Sinus Dilation Catheters: A Case Report

Andrew Petersen, Fariha Farid, Richard Klapchar, Sumit Bapna and Boris Karanfilov

Article Type: Case Report | First Published: December 03, 2016

We report the use of multiple balloon sinus dilation (BSD) catheters in the reduction of bilateral anterior table frontal sinus fractures in a 13-year-old male following sports injury. This case is unique in that it displays a less-invasive surgical correction of anterior table frontal sinus fractures using a new surgical tool and follows the literature-supported trend towards sinus preservation. More extensive frontal sinus fractures with severe comminution or displaced posterior table fracture...
 

 Open Access DOI:10.23937/2572-4193.1510026

Laryngeal Tuberculosis: About 3 Cases from Morocco

Abou-elfadl M, Benzaouia A, Abada R, Rouadi S, Roubal M and Mahtar M

Article Type: Clinical Study | First Published: December 03, 2016

The laryngeal tuberculosis incidence decreased significantly since the development of antituberculosis drugsand early detection of new cases. Currently, it represents less than 1% of cases of extrathoracic tuberculosis. As tuberculosis is endemic in Morocco, we continue to see this rare localization. Its clinical presentation is atypical and endoscopic aspects are polymorphic, hence the difficulty of diagnostic. The aim of the study is to report three different observations of the laryngeal loca...
 

 Open Access DOI:10.23937/2572-4193.1510025

Killian-Jamieson Diverticulum: A Case Report and Argument for Transcervical Diverticulectomy

Susannah Orzell, Todd Falcone and Gregory Grillone

Article Type: Clinical Study | First Published: October 05, 2016

Killian-Jamieson Diverticulum (KJD) is a rare type of cervical esophageal diverticulum. It originates inferior to the cricopharyngeal muscle and lateral to the longitudinal muscle of the esophagus, and is closely associated with the recurrent laryngeal nerve (RLN). We report a case of KJD in a 78-year-old man treated with an open diverticulectomy with a nerve integrity monitor (NIM), and present a comprehensive literature review....
 

 Open Access DOI:10.23937/2572-4193.1510024

The MOC Train is off Course

Scott L Lee

Article Type: Perspective | First Published: September 01, 2016

Leaders often use the proverbial departed train to get people on board with unpopular changes, especially ones with little supporting evidence. Most hop on so as to not get left behind, but is the Maintenance of Certification (MOC) train heading in the right direction? In 2000, the American Board of Medical Specialties (ABMS) mandated all specialty affiliates to limit board certification (BC) to 10 years, rather than continue the lifetime certificate....
 

 Open Access DOI:10.23937/2572-4193.1510023

Calcitonin-Secreting Moderately Differentiated Neuroendocrine Carcinoma of Larynx with Solitary Papillary Thyroid Carcinoma: A Case Report with Immunohistochemical Study

Hanadi Fatani, Faraj Alotaiby and Saleh F Aldhahri

Article Type: Case Report | First Published: August 12, 2016

A 51-year-old female presented with 2 months' history of sore throat, change in voice, odynophagia, along with neck and thyroid nodule. CT/PET scan showed thickening of epiglottis with enhancement after intravenous contrast. Laser resection of epiglottis was done and histopathology revealed moderately differentiated neuroendocrine carcinoma. A week later patient underwent total thyroidectomy with bilateral modified radical neck dissection. Adjuvant external beam radiotherapy to the larynx and ne...
 

 Open Access DOI:10.23937/2572-4193.1510022

HPV Associated Head and Neck Cancer

Guler Yavas and Cagdas Yavas

Article Type: Review Article | First Published: July 12, 2016

Human papillomavirus (HPV) - associated head and neck squamous cell carcinoma (HNSCC) is an entity with unique clinical and molecular characteristics, which mainly arises from the palatine tonsils and base of the tongue. Nowadays, oropharyngeal cancers are increasing in incidence despite declining prevalence of smoking and in direct opposition to a decreasing incidence of all other HNSCC. An epidemic of HPV-associated oropharyngeal cancers seems to account for these incidence trends....
 

 Open Access DOI:10.23937/2572-4193.1510021

Piriform Margin Augmentation as a Treatment for Persistent Nasal Valve Dysfunction: A Cadaveric Investigation and Report of Initial Clinical Results

Randolph B Capone, Michael M Kim and Dane J Genther

Article Type: Clinical Study | First Published: June 02, 2016

Background: Revision nasal valve reconstruction is one of the few treatment options available for patients with persistent nasal valve dysfunction after primary functional rhinoplasty. Revision nasal surgery is challenging, hampered by the presence of scar tissue, incorporated grafts, and the morbidity of obtaining additional autologous cartilage. Objective: In order to enhance nasal valve function while avoiding revision nasal surgery, a sublabial technique was developed to increase the project...
 

 Open Access DOI:10.23937/2572-4193.1510020

Characterization of Variant Periodic Fever Phenotypes

Michael D Puricelli, Christopher I Newberry, Ryan M Neff, Michael S Cooperstock and Eliav Gov-Ari

Article Type: Research Article | First Published: June 01, 2016

469 charts were reviewed and 31 potential cases identified. 29 individuals were included with 20 successfully contacted. 11 cases met the classic definition (CD), 9 had intermittent cardinal symptom(s) (IS), and 9 had isolated periodic fever (IPF). Treatment included observation, steroid administration, and/or surgery (tonsillectomy or adenotonsillectomy). Steroids terminated each episode in all treated patients, 9/11 with CD and 11/18 with IS/IPF. When steroid treatment shortened the inter-epis...
 

 Open Access DOI:10.23937/2572-4193.1510019

Cellular Rhinitis: A Therapeutic Proposal

A Macchi, F De Bernardi, A Peirolo and D Simoncini

Article Type: Original Article | First Published: May 01, 2016

Rhinitis, a common condition throughout the world, are classified in non-allergic (NAR) and allergic rhinitis (AR). The data collected by recent studies show that NAR affects more than 200 million patients world-wide, among which 8% to 10% suffer from NARES and NARESMA. Nevertheless, respiratory diseases, and in particular rhinitis, are not considered real and serious diseases, and, as a result, they remain frequently underdiagnosed and undertreated despite the heavy burden they place on patient...
 

 Open Access DOI:10.23937/2572-4193.1510018

An Unusual Complication of Maxillary Subperiosteal Implant Removal: Dislocation of the Parotid Gland Duct

Marciante Giulia Anna, Saibene Alberto Maria, Pisani Antonia, Biglioli Federico and Giovanni Felisati

Article Type: Case Report | First Published: April 30, 2016

A 73-year-old man, treated with a maxillary subperiosteal implant in 1985, was referred to our ENT clinic by his dental practitioner due to the onset of sudden edema, pain and purulent nasal discharge. Although the patient had experienced painful recurrent mobilization of the implant from 1995, he did not approach his dentist until 2006, when edema and purulent nasal discharge occurred. The radiologic imaging revealed a maxillary sinusitis with severe maxillary bone resorption and an oro-nasal/o...
 

 Open Access DOI:10.23937/2572-4193.1510017

Use of Vestibular Evoked Myogenic Potentials in Ear Selection for Surgical Treatment of Bilateral Benign Paroxysmal Positional Vertigo

Sandhu JS, Rea PA and Ray J

Article Type: Case Report | First Published: April 02, 2016

In cases of intractable benign paroxysmal positional vertigo (BPPV) where conservative management has failed, surgical plugging of the semi-circular canal can provide an effective solution. Where bilateral disease is present, selecting the ear on which to operate can provide a challenge as there is often a pre-existing vestibulopathy and therefore surgery carries a considerable risk of chronic imbalance....
 

 Open Access DOI:10.23937/2572-4193.1510016

Tracheostomy: The Dynamics of Indications in an Old Procedure

Kokong DD, Yaro PJ, Embu HY, Nimkur LT, Iduh AA, Okwori ET, Adoga AS and Binitie OP

Article Type: Retrospective Study | First Published: April 01, 2016

Tracheostomy is a surgical procedure in which an incision is made in the anterior part of the neck in order to gain access into the trachea via a stoma. The resultant stoma can serve independently as an airway-tracheotomy or a site for a tracheostomy tube to be inserted-tracheostomy, so as to establish an alternate airway. This is a valuable life-saving operation employed in critical airway....
 

 Open Access DOI:10.23937/2572-4193.1510015

Ortner's Syndrome Caused by Idiopathic Pulmonary Artery Aneurysm

Aleix Rovira, Marta Fulla Campi, Julio Nogues Orpi and Manel Manos Pujol

Article Type: Case Report | First Published: March 01, 2016

The Ortners syndrome or cardiovocal syndrome is an uncommon entity characterized by hoarseness due to left recurrent laryngeal nerve paralysis caused by identifiable cardiovascular disease. The most common conditions which may lead to Ortner's syndrome include mitral stenosis, aortic aneurysm, mitral valve prolapsed, cardiovascular surgery, aortic dissection etc. Herewith, we report the case of an atypical etiology of cardiovocal syndrome in a patient with a Pulmonary Artery Aneurysm (PAA)....
 

 Open Access DOI:10.23937/2572-4193.1510014

Metastatic Colorectal Carcinoma to Thyroid Gland on Background of Long Standing Multinodular Goiter

May Lim, Annabelle C Leong and Vijayadwaja Desai

Article Type: Case Report | First Published: February 25, 2016

Tumor metastases from colorectal carcinoma to the thyroid gland are extremely rare. We present a case of metastatic colonic adenocarcinoma to the thyroid occurring in a longstanding multinodular goiter together with a review of existing literature. A 60 year old lady presented acutely with stridor in 2014 on a background of colorectal carcinoma diagnosed 2003 and multinodular goiter diagnosed in 2006....
 

 Open Access DOI:10.23937/2572-4193.1510013

Avoidance of Multiple General Anesthetics by Piggybacking Otolaryngology and Pediatric Dental Rehabilitation Procedures

John E Nathan

Article Type: Editorial | First Published: February 02, 2016

This editorial takes a critical look at one aspect of healthcare which involves interaction between the fields of otolaryngology and pediatric dentistry. Not uncommonly on a daily basis each discipline makes use of general anesthesia to complete invasive procedures on young and pre-cooperative children. Myringotomies, tonsillectomies with and without adenoidectomies are commonplace in surgical schedules of hospitals and out-patient surgical centers....
 

 Open Access DOI:10.23937/2572-4193.1510012

Radio-clinical Aspects of Laryngocele: About Three Cases

Abou-elfadl M, Elbousaadani A, Abada RL, Rouadi S, Roubal M and Mahtar M

Article Type: Case Series | First Published: January 30, 2016

The laryngocele is a dilation of the laryngeal saccule filled with air which communicates with the lumen of the larynx. It is pathology, rare but can be serious. Symptoms are varied and diagnosis is based on direct laryngoscopy and scanner. The treatment is purely surgical. We discussed, through three different cases, the clinical, radiological and therapeutic modalities of laryngocele....
 

 Open Access DOI:10.23937/2572-4193.1510011

Comparison of Color Flow Doppler, Angiogram, CT Angiogram and Time Resolved MR Angiogram in the Preoperative Evaluation of Lower Extremity Vascularity for Fibular Free Flap Reconstruction

Catherine Weng, Rod Rezaee, Jason E Thuener and Chad Zender

Article Type: Retrospective Chart Review | First Published: January 27, 2016

Various imaging modalities have been used to evaluate lower extremity anatomy including traditional angiography, color flow Doppler (CFD), CT angiography (CTA) and MR angiography (MRA). We seek to compare these imaging modalities for preoperative planning of fibular osteocutaneous free flap reconstruction and to identify the optimal imaging method....
 

 Open Access DOI:10.23937/2572-4193.1510010

Endoscopic Transcanal Cartilage Myringoplasty for Repair of Subtotal Tympanic Membrane Perforation: A Method to Avoid Postauricular Incision

Khaled M Mokbel, Waleed Moneir, Hossam Elsisi and Ahmed Alsobky

Article Type: Original Article | First Published: December 28, 2015

Our aim is to evaluate transcanal endoscopic approach in repair of subtotal tympanic membrane perforation in a trial to prevent conventional postaural approach. Our study was done in 80 patients with unilateral dry subtotal tympanic perforations. They were 44 males and 36 females. Their ages ranged from 18-50 years with mean of 33 years. Autograft thin (0.2 mm) auricular cartilage shield was used to repair tympanic membrane perforation. Patients were divided into two groups according to the appr...
 

 Open Access DOI:10.23937/2572-4193.1510009

Eosinophilic Airway Inflammation: The Effectiveness of Nasal Steroids

Peirolo Anna, Simoncini Daniela, Macchi Alberto, Graziani Daniela, Porcu Stefania and Nespoli Luigi

Article Type: Research Article | First Published: December 24, 2015

Background: An increasing proportion of patients have coexisting upper and lower airway disease. Therefore, the historic perspective of these allergen-induced disorders as distinct and separate entities is being displaced by current thinking that they are better described as a continuum of inflammation involving one common airway. Objectives:The aim of this study was to investigate the role that upper airway inflammation and therapy plays on lower airway situation. Methods:This study was perform...
 

 Open Access DOI:10.23937/2572-4193.1510008

Surgery Guidelines for Barrier Membranes in Guided Bone Regeneration (GBR)

Rispoli L, Fontana F, Beretta M, Poggio CE and Maiorana C

Article Type: Review Article | First Published: November 15, 2015

Objectives: To analyze the biological principles of guided bone regeneration and to provide the clinician with information regarding the use of different membranes. Materials and Methods: The choosing criteria among different membranes and the clinical options are presented. Finally, the surgical technique is described in details. Results and Conclusions: Guided bone regeneration is one of the several surgical techniques that have been introduced in the last two decades for bone regeneration pri...
 

 Open Access DOI:10.23937/2572-4193.1510007

Nasal Glomangiopericytoma: Case Report and Clinicohistopathologic Overview

Sheldon P. Hersh and William H. Rodgers

Article Type: Case Report | First Published: September 25, 2015

Glomangiopericytoma, also known as sinonasal hemangiopericytoma, is a rare sinonasal neoplasm that commonly occurs during the sixth or seventh decade of life, often presenting with complaints of nasal congestion and epistaxis. Identified in less than 0.5% of all sinonasal tumors, this typically indolent lesion is a different tumor from the far more common and aggressive so-called soft tissue hemangiopericytoma that arises in varying sites throughout the body....
 

 Open Access DOI:10.23937/2572-4193.1510006

A Rare Clinical Presentation of a Somewhat Common Lesion

Steve Manzon, Malcolm Zola, Jared S Weiner, Rawle F Philbert, Kevin R. Torske, Donald B MacDougall, and Daniel Nadeau

Article Type: Case Report | First Published: September 18, 2015

Clinicians are often faced with diagnosing routine oral and maxillofacial pathology. Experience and training make such tasks relatively easy. Establishing differential diagnoses, and ruling out the most unlikely, usually will lead to an appropriate treatment plan. Occasionally, a pathologic presentation may significantly differ from the expected, and stump even an experienced clinician. It is imperative, when encountering an unknown or unusual lesion, to return to basics and approach the entity ...
 

 Open Access DOI:10.23937/2572-4193.1510005

Extracapsular Dissection-Endocapsular Decompression: An Easy Method to Avoid Facial Nerve Injury in Surgery for Extended Parapharyngeal Adenomas of the Parotid Gland

D'Ascanio Luca, Palmeri Annamaria Iole, Pappacena Marco and Piazza Fabio

Article Type: Case Report | First Published: September 09, 2015

The optimal surgical approach for extended parapharyngeal pleomorphic adenomas of the parotid gland is still controversial, also in relation to the possible complications of this type of surgery. We report our experience on 5 patients treated in the last 4 years with the 'extracapsular dissection-endocapsular decompression' surgical approach for parotid deep lobe extended adenomas. The surgical details are described. No complication in terms of temporary/permanent facial paralysis, sialocele or ...
 

 Open Access DOI:10.23937/2572-4193.1510004

Unusual Manifestation of Herpes Zoster Infection Involving the Greater, Lesser Occipital and Transverse Cervical Nerve: A Case Report

Emilio Mevio

Article Type: Case Report | First Published: September 3, 2015

The most common presentation of Herpes Zoster infection in the head and neck region is Ramsay Hunt syndrome (RHS). RHS represents a complication of the Varicella Zoster Virus (VZV) infection, tipically presenting with the triad of ipsilateral peripheral type facial nerve paralysis, ipsilateral ear pain and erythematous vesicles in the external auditory canal. Herpes Zoster results from the reactivation of VZV in the dorsal root ganglia and RHS can be associated with trigeminal, abducent, glossop...
 

 Open Access DOI:10.23937/2572-4193.1510003

Ramsay Hunt Syndrome Type 2: A Review of an Uncommon and Unwelcome Neurodermatologic Disease

Reid A. Waldman, Corey W. Waldman and Steven D. Waldman

Article Type: Review Article | First Published: August 28, 2015

First described in 1907 by James Ramsay Hunt, an American neurologist, Ramsay Hunt syndrome is the eponym given to a constellation of symptoms including a vesicular rash of the external ear and the ipsilateral two thirds of the tongue with associated paralysis of the seventh cranial nerve. The syndrome, which is also known as herpes zoster oticus and Hunt's syndrome, is believed to be caused by reactivation of dormant varicella-zoster virus (VZV) within the geniculate ganglion and associated sen...
 

 Open Access DOI:10.23937/2572-4193.1510002

Suspected Aspiration of a Patency Capsule

Claude F Harbarger and Brian J Wiatrak

Article Type: Case Report | First Published: August 21, 2015

Video Capsule Endoscopy (VCE) is an established means of evaluating the upper and lower aerodigestive tracts, with 3 companies now having received FDA clearance for their devices. The most prevalent risk of VCE is capsule retention, which infrequently results in bowel obstruction. In patients suspected of having a high risk of capsule retention, a dissolvable patency capsule is given a few days prior to the VCE procedure to ensure ultimate passage of the VCE device. Here we report what is, to ou...
 

 Open Access DOI:10.23937/2572-4193.1510001

The Subtleties and Nuances of Pediatric Sedation: A Disappearing Art for Managing the Apprehensive Child Patient

John E. Nathan

Article Type: Editorial | First Published: July 04, 2015

Pre-cooperative and severely apprehensive children have immature cognitive abilities, a restricted range of coping skills, brief or negligible attention spans, and virtually no experience coping with stress. For these children conventional communication strategies may often prove inadequate or inappropriate to overcome the behavioral manifestations of childhood dental fear and anxiety. Well- chosen pharmacological approaches has potential to permit in-office treatment, avoid aversive measures, a...

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ClinMed Journals Index Copernicus Values

Clinical Medical Image Library: 93.51

International Journal of Critical Care and Emergency Medicine: 92.83

International Journal of Sports and Exercise Medicine: 91.84

International Journal of Womens Health and Wellness: 91.79

Journal of Musculoskeletal Disorders and Treatment: 91.73

Journal of Geriatric Medicine and Gerontology: 91.55

Journal of Infectious Diseases and Epidemiology: 91.55

Clinical Medical Reviews and Case Reports: 91.40

International Archives of Nursing and Health Care: 90.87

International Journal of Ophthalmology and Clinical Research: 90.80

International Archives of Urology and Complications: 90.73

Journal of Clinical Nephrology and Renal Care: 90.33

Journal of Family Medicine and Disease Prevention: 89.99

Journal of Clinical Gastroenterology and Treatment: 89.54

Journal of Dermatology Research and Therapy: 89.34

International Journal of Clinical Cardiology: 89.24

International Journal of Radiology and Imaging Technology: 88.88

Obstetrics and Gynaecology Cases - Reviews: 88.42

International Journal of Blood Research and Disorders: 88.22

International Journal of Diabetes and Clinical Research: 87.97




New Issues

VOLUME 8, ISSUE 2

International Journal of Clinical Cardiology

ISSN: 2378-2951 | ICV: 89.24

VOLUME 8 | ISSUE 2 | 2021

VOLUME 8, ISSUE 2

Obstetrics and Gynaecology Cases - Reviews

ISSN: 2377-9004 | ICV: 88.42

VOLUME 8 | ISSUE 2 | 2021

VOLUME 7, ISSUE 1

Journal of Hypertension and Management

ISSN: 2474-3690 | ICV: 87.69

VOLUME 7 | ISSUE 1 | 2021

VOLUME 8, ISSUE 2

International Journal of Diabetes and Clinical Research

ISSN: 2377-3634 | ICV: 87.97

VOLUME 8 | ISSUE 2 | 2021

VOLUME 7, ISSUE 4

Journal of Infectious Diseases and Epidemiology

ISSN: 2474-3658 | ICV: 91.55

VOLUME 7 | ISSUE 4 | 2021