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Acute Otomastoiditisin Children: Clinical Presentations and Management
Rim Bechraoui,
Mohamed Dhaha,
Sana Mahfoudhi,
Azza Mediouni,
Jihen Marrakchi,
Houda Chahed,
Mohamed BenAmor,
Najeh Beltaief,
Rim Zainine,
Ghazi Besbes
Issue:
Volume 4, Issue 1, June 2018
Pages:
1-5
Received:
3 December 2017
Accepted:
25 December 2017
Published:
19 January 2018
Abstract: Acute mastoiditis (AC) is a serious complication of acute otitis media (AOM) affecting, in most cases, the pediatric population. Diagnosis is usually easy in front of a retro auricular swelling associated to OM. However, this disease may cause significant and even life threatening complications beyond the tympanomastoid system such as peripheral facial nerve palsy, Bezold’s abscess, meningitis, subperiosteal abscess and brain abscess. Management of AC remains controversial raging from conservative treatment in the form of IV antibiotics to more aggressive interventions such as mastoidectomy. This retrospective study represents our experience in the management of AC in the pediatric population. Our purpose was to review and discuss clinical presentations and main treatment modalities of AM.
Abstract: Acute mastoiditis (AC) is a serious complication of acute otitis media (AOM) affecting, in most cases, the pediatric population. Diagnosis is usually easy in front of a retro auricular swelling associated to OM. However, this disease may cause significant and even life threatening complications beyond the tympanomastoid system such as peripheral fa...
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Prophylactic Tobramycin Drops After Tympanostomy Tube Placement
Abdussalam Mohamed Jahan,
Basheer Ali Al hanash,
Abdulhakim Yousef Ben Ghuzi
Issue:
Volume 4, Issue 1, June 2018
Pages:
6-10
Received:
8 January 2018
Accepted:
20 January 2018
Published:
21 February 2018
Abstract: Tympanostomy tube insertion remains one of the most commonly performed surgeries in ENT practice. Post-operative infections remain one of the common complications after surgeries. Topical antibiotic ear drops are used to reduce the risk of this complication. The aim of this study was to assess the role of antibiotic ear drops (Tobramycin) in prevention of post-operative infection. A randomized controlled trial was done on 84 patients complaining of bilateral secretory otitis media, were operated using ventilation tube insertion. All patients were randomly allocated into two groups. The first group (group A) was the intervention group, in which all patients were given local tobramycin ear drops for five days post operatively to decrease otorrhea. The other group (group B) was the control group and no ear drops were prescribed post operatively. All patients in both groups were followed up to 14 days post operatively. A statistically significant decrease was observed in the incidence of post tympanostomy otorrhea and infections between the treatment group (group A = 7.1%), and the control group (group B = 14.2 %) (P<0.05). To conclude, antibiotic ear drops should be prescribed to all patients who are undergoing tympanostomy tube insertion. A 5-day course post operatively with tobramycin local drops is recommended.
Abstract: Tympanostomy tube insertion remains one of the most commonly performed surgeries in ENT practice. Post-operative infections remain one of the common complications after surgeries. Topical antibiotic ear drops are used to reduce the risk of this complication. The aim of this study was to assess the role of antibiotic ear drops (Tobramycin) in preven...
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Tuberculosis: An Unusual Cause of Otitis Media and Mastoiditis in Children
Rim Bechraoui,
Semia Meherzi,
Sana Mahfoudhi,
Houda Chahed,
Azza Mediouni,
Jihene Marrakchi,
Mohamed Ben Amor,
Najeh Beltaief,
Rim Zainine,
Ghazi Besbes
Issue:
Volume 4, Issue 1, June 2018
Pages:
11-12
Received:
2 December 2017
Accepted:
1 February 2018
Published:
8 March 2018
Abstract: Tuberculous otitis media (TOM) is a rare cause of chronic suppurative infection of the middle ear. Clinical symptoms are nonspecific making delayed diagnosis. We present the case of an infant, aged 22 months, having immune deficiency, who was admitted for a left externalized otomastoiditis. The radiological assessment confirmed this diagnosis. The child had a surgical drainage of the collection with biopsy of granulation tissue whose histopathological examination found a caseo-follicular tuberculosis. Despite its rarity, TOM is associated with a high rate of complications. The diagnosis should be considered in any suppurative chronic otitis resistant to standard treatment.
Abstract: Tuberculous otitis media (TOM) is a rare cause of chronic suppurative infection of the middle ear. Clinical symptoms are nonspecific making delayed diagnosis. We present the case of an infant, aged 22 months, having immune deficiency, who was admitted for a left externalized otomastoiditis. The radiological assessment confirmed this diagnosis. The ...
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Intestinal Type Adenocarcinoma from Inverted Papilloma
Rim Bechraoui,
Sana Mahfoudhi,
Mohamed Dhaha,
Azza Mediouni,
Jihene Marrakchi,
Houda Chahed,
Mohamed Ben Amor,
Najeh Beltaief,
Rim Zainine,
Ghazi Besbes
Issue:
Volume 4, Issue 1, June 2018
Pages:
13-15
Received:
1 December 2017
Accepted:
1 February 2018
Published:
19 March 2018
Abstract: Sinonasal inverted papilloma is a rare benign tumor that accounts for 0.5-4% of all primitive nasosinus tumor. It has the potential to recur and exhibit malignant characteristics. Inverted papilloma recurring as adenocarcinoma is rare and even after exhaustive literature search only few cases could be found. The aim of the present study was to investigate the clinicopathological features and prognosis of intestinal type adenocarcinoma from inverted papilloma. We report a case of 54 old man who was operated two years ago from naso-sinusal inverted papilloma. He presented after one year nasal blockage and nasal bleeding. Clinical exam found a naso –sinusal tumor. He was operated and anatomopathological exam found an intestinal Adenocarcinoma type from inverted papilloma. A radiotherapy was indicated. The majority of inverted nasal papilloma are benign and treatment is complete local surgical removal. There is an associated real, but small risk of malignancy, which may coexist at the time of presentation or develop at a later time. Surgery plus postoperative radiotherapy was the predominant form of treatment.
Abstract: Sinonasal inverted papilloma is a rare benign tumor that accounts for 0.5-4% of all primitive nasosinus tumor. It has the potential to recur and exhibit malignant characteristics. Inverted papilloma recurring as adenocarcinoma is rare and even after exhaustive literature search only few cases could be found. The aim of the present study was to inve...
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Etiological Factors and Management of Vocal Fold Paralysis: Single Institution Study
Hassan Alassiry,
Nasser Hassan
Issue:
Volume 4, Issue 1, June 2018
Pages:
16-20
Received:
3 May 2018
Accepted:
22 May 2018
Published:
3 July 2018
Abstract: Vocal fold paralysis is a sign of underlying diseases. However, etiologies of this problem are varied and changing from center to center and need more clarification. The aim of the study is to determine the etiological factors and management options of vocal fold paralysis among patients attended to the voice clinic center at King Abdul-Aziz Medical City. The medical records of 106 patients diagnosed with vocal fold paralysis were studied retrospectively. The following variables were recorded; age, gender, occupation, smoking, surgical history, radiation history, cause and type of vocal fold paralysis, associated risks, and management. Out of the 106 cases, 58 were males and 48 females with a ratio of 1.2:1. The age of the patients ranged from 6-92 years. Surgical trauma (iatrogenic) was the leading cause of vocal fold paralysis (45.3%) followed by idiopathic (17.9%), external neck trauma (13.2), Non-laryngeal malignancy (6.6%), post upper respiratory tract infection and viral infection (5.7%), TB and TB lymphadenitis (3.8%), intubation (2.8%), neurogenic (1.8%) and thyroid mass (1.8%). Total thyroidectomy was the most common surgical etiology of vocal fold paralysis (38.8%). The most common etiology of vocal fold paralysis is surgery and most cases were total thyroidectomy. Otolaryngologists should be familiar with the etiology, incidence, evaluation, and management options of vocal fold paralysis to optimize patient care and avoid further complication. We recommend that all patients undergoing total thyroidectomy and surgeries related to the course of recurrent laryngeal nerves should have detailed voice assessment pre-and postoperatively.
Abstract: Vocal fold paralysis is a sign of underlying diseases. However, etiologies of this problem are varied and changing from center to center and need more clarification. The aim of the study is to determine the etiological factors and management options of vocal fold paralysis among patients attended to the voice clinic center at King Abdul-Aziz Medica...
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An Unusual Association: Arnold Chiari Deformity and Meniere's Disease
do Santos Zounon Alexis,
Molher Joffrey,
Bonnard Damien,
Darrouzet Vincent
Issue:
Volume 4, Issue 1, June 2018
Pages:
21-26
Received:
23 May 2018
Accepted:
8 June 2018
Published:
12 July 2018
Abstract: Rare and fairly unknown, Arnold Chiari deformity is defined by the abnormally low position of the cerebellar tonsils that engage through the foramen magnum. Its association with the triad of tinnitus-hypoacousia-vertigo causes an authentic Meniere’s disease worth discussing. We report an unusual association of Arnold Chiari deformity with Meniere’s disease. A 46-years-old patient was diagnosed with left Meniere’s disease in 1994 on the classical diagnostic triad and the mode of progression: rotatory vertigo evolving by iterative crises; Intermittent buzzing tinnitus; left perception deafness with notion of wadded left ear. For a decade (1994 to 2015), he has been put under hygieno-dietary measures, vestibular re-education and medical treatment. The evolution was marked by the worsening of vertigo becoming progressively incapacitating, as well as an aggravation of the left deafness and persistence of tinnitus. Audiometry highlighted a severe endocochlear left perception deafness. The videonystagmography revealed a well-compensated left vestibular deficit. Cerebral magnetic resonance imaging (MRI) revealed a cerebellar tonsils’ ptosis through the foramen magnum. The diagnosis of Arnold-Chiari deformity associated with Meniere’s disease was then retained. The patient received a surgical left labyrinthectomy in 2015. The clinical course was uneventful, marked by the disappearance of vertigo twenty four months later. Association of Meniere’s disease and Arnold Chiari deformity is rare and must be diagnosed. These two pathologies being manifested by peripheral vertigo, a meticulous clinical and Para clinical examination is necessary to guide the diagnosis. Cerebrospinal fluid flow and pressure anomaly due to Arnold Chiari malformation can truly impact labyrinthine physiology, which explains the correlation between these two entities.
Abstract: Rare and fairly unknown, Arnold Chiari deformity is defined by the abnormally low position of the cerebellar tonsils that engage through the foramen magnum. Its association with the triad of tinnitus-hypoacousia-vertigo causes an authentic Meniere’s disease worth discussing. We report an unusual association of Arnold Chiari deformity with Meniere’s...
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Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy
Zhanna Evgenevna Komarova,
Alexey Nicolaevich Nasedkin,
Vitalyi Nicolaevich Selin,
Valentin Yurievich Tyukin,
Anna Yurievna Polschikova
Issue:
Volume 4, Issue 1, June 2018
Pages:
27-30
Received:
10 July 2018
Accepted:
30 July 2018
Published:
27 August 2018
Abstract: The study aim was to increase the effectiveness of surgical treatment and rehabilitation of patients with bilateral paralysis of the larynx by applying low-intensity laser radiation of the visible red spectrum in the pulsed mode in this category of patients in the postoperative period. There were healed 18 female patients with bilateral paralysis of the larynx, 14 of them was tracheotomized, 4 of them - wasn’t. According to the method of surgical intervention, the patients were divided into 2 groups. The first one includes 9 female patients who had chordaritenoidotomy with coblator. The second one includes 9 female patients who had chordaritenoidotomy with microsyrgery tools. All of patients had antiphlogistic therapy after operation, 5 patients from each group also had additionally low-intensity laser radiation therapy with device «Mustang 2000». On the third and tenth day patients had Doppler laser flowmetry, considering variation coefficient (Kv). On the third day 4 patients from each group (who haven’t additionally red pulsed laser therapy) have Kv=9, 10 patients (who have additionally red pulsed laser therapy) – Kv=13. On the 10 day the first ones had Kv=26, the second ones – Kv=32. The criteria for the effectiveness of postoperative treatment were the quality and timing of wound healing, the absence of cicatricial measurements in the long-term postoperative period, and the normalization of respiratory function. After 4 months both groups have such complications as cicatricial stenosis of vocal folds and underfolds area, polypus of vocal folds. In 10 patients receiving laser therapy, no complications were observed. In conclusion it can be said that the method of surgical intervention (in the first group - chordaritenoidotomy with the cold-plasma apparatus cobblator, in the second group - chordaritenoidotomy with instruments for microsurgery of the larynx) practically does not affect the final result. Laser therapy is an important factor in the activation of regenerative processes in the postoperative area.
Abstract: The study aim was to increase the effectiveness of surgical treatment and rehabilitation of patients with bilateral paralysis of the larynx by applying low-intensity laser radiation of the visible red spectrum in the pulsed mode in this category of patients in the postoperative period. There were healed 18 female patients with bilateral paralysis o...
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Effects of Tinnitus on Quality of Life Among Sawmill Workers
Bright Otoghile,
Confidence Chioma Otoghile,
Nasir Olakunle Ariyibi
Issue:
Volume 4, Issue 1, June 2018
Pages:
31-34
Received:
21 July 2018
Accepted:
6 August 2018
Published:
1 September 2018
Abstract: Tinnitus is a sensation of sound without an external stimulus and it is a common phenomenon among noise exposed workers. Tinnitus can be very challenging for its sufferers and it could possibly affect their quality of life in various ways. This study aimed to find the effects of tinnitus on quality of life among noise exposed workers. This study was a prospective, community based cross sectional study involving 420 sawmill workers in Ile-Ife. Library and administrative staff of Obafemi Awolowo University, Ile-Ife were used as control and the quality of life of all participants was evaluated with World Health Organization Quality of Life bref questionnaire. Self reported tinnitus severity was evaluated using the Tinnitus Handicap Inventory. Correlation was done between quality of life scores and tinnitus severity scores. The sawmill workers were found to be predominantly males with a male to female ratio of 41: 1. Out of the 420 sawmill subjects, 41 (9.8%) had tinnitus and only one of control had tinnitus. There was a negative correlation between tinnitus and the physical, psychological and social domains of quality of life. Increase in tinnitus severity was found to be associated with a significant reduction in physical, psychological and social domains of the quality of life.
Abstract: Tinnitus is a sensation of sound without an external stimulus and it is a common phenomenon among noise exposed workers. Tinnitus can be very challenging for its sufferers and it could possibly affect their quality of life in various ways. This study aimed to find the effects of tinnitus on quality of life among noise exposed workers. This study wa...
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