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