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....
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...
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...
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...
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 ...
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)....