Comparison of Tympanic Membrane Perforation With and Without Calcification of Anterior Mallear Ligament Under Transcanal Endoscopic Type I Tympanoplasty

xlomafota13 shared this article with you from Inoreader Comparison of Tympanic Membrane Perforation With and Without Calcification of Anterior Mallear Ligament Under Transcanal Endoscopic Type I Tympanoplasty Via ear nose throat Ear Nose Throat J. 2021 May 16:1455613211010092. doi: 10.1177/01455613211010092. Online ahead of print. ABSTRACT OBJECTIVES: Chronic suppurative otitis media (CSOM) induced tympanic membrane perforation (TMP) can be accompanied by anterior mallear ligament (AML) calcification. So far, comparative evaluations of TMP with and without AML calcification have rarely been reported. The aim of the current study is to compare the hearing outcomes of TMP with and without calcificatio n of AML under transcanal endoscopic type I tympanoplasty. METHODS: Records of 67 patients diagnosed with CSOM and receiving transcanal endoscopic type I tympanoplasty were divided into the AML calcification group (Cal group, n = 31) and the non-AML calcification group (non-Cal group, n = 36). The 31 patients in the Cal group were divided into subgroup A and B according to the severity of calcification. The operation time, closure rate, and pre- and postoperative audiometric results were retrospectively collected and analyzed. RESULTS: Preoperatively, the Cal group had higher mean air-bone gap (ABG; P = .022), and ABGs at 250 Hz (P = .017) and 500 Hz (P = .008) compared with the non-Cal groups. The Cal group showed higher improvements of ABGs at 250 Hz (P = .039) and 500 Hz (P = .021) compared with the non-Cal groups postoperatively. CONCLUSIONS: The TMP with AML calcification leads to higher ABGs at low frequencies. The hearing o utcomes are similar for TMP both with and without AML calcification after surgery. Our results suggest that transcanal endoscopic type I tympanoplasty is an appropriate surgical method for TMP with AML calcification, if the lesion can be detected and completely eliminated. PMID:33993754 | DOI:10.1177/01455613211010092 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

First Branchial Cleft Anomalies: Rare Work Type I and Type II Entities

xlomafota13 shared this article with you from Inoreader First Branchial Cleft Anomalies: Rare Work Type I and Type II Entities Via ear nose throat Ear Nose Throat J. 2021 May 16:1455613211015737. doi: 10.1177/01455613211015737. Online ahead of print. ABSTRACT First branchial cleft anomalies (FBCAs) are the most infrequent malformations that occur during the development of the branchial apparatus, appearing in less than 8% of all branchial anomalies. Traditionally, they are classified into Work type I and II, depending on their origin. We present a pair of rare FBCAs: a case of a preauricular Work type I cyst with twin fistulae coursing toward the parotid gland and a Work type II cyst of significant dimensions. PMID:33993773 | DOI:10.1177/01455613211015737 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Sigmoid Sinus Thrombosis as a Complication of Acute Otitis Media in a 6-Year-Old Male

xlomafota13 shared this article with you from Inoreader Sigmoid Sinus Thrombosis as a Complication of Acute Otitis Media in a 6-Year-Old Male Via ear nose throat Ear Nose Throat J. 2021 May 16:1455613211015752. doi: 10.1177/01455613211015752. Online ahead of print. ABSTRACT Sigmoid sinus thrombosis (SST) is a potentially life-threatening complication of otitis media which is nowadays rare due to the widespread use of antibiotics. A high index of suspicion is necessary to allow for a timely diagnostic and therapeutic intervention. Intravenous wide-spectrum antibiotics and a cortical mastoidectomy are the mainstay of treatment. There i s no consensus regarding the necessity of anticoagulants in pediatric patients. We present a 6-year-old boy who presented with an SST as a result of acute otitis media. PMID:33993776 | DOI:10.1177/01455613211015752 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Needle in the Haystack: Wire Bristle Foreign Body Presenting Deep Within the Tongue Base

xlomafota13 shared this article with you from Inoreader Needle in the Haystack: Wire Bristle Foreign Body Presenting Deep Within the Tongue Base Via ear nose throat Ear Nose Throat J. 2021 May 16:1455613211014079. doi: 10.1177/01455613211014079. Online ahead of print. ABSTRACT OBJECTIVES: To report a case of ingested wire bristle embedded within the extrinsic musculature of the tongue requiring a transcervical approach for removal and to provide a revised algorithm for the management of ingested wire bristles. METHODS: The clinical record of 1 patient who ingested a grill brush wire bristle was reviewed. A literature review was al so conducted to refine a treatment algorithm for managing ingested wire bristles. RESULTS: We present a case of a 53-year-old male who accidentally ingested a grill brush wire bristle. After multiple unsuccessful endoscopic attempts at removal, the wire bristle migrated deep into the extrinsic musculature of the tongue, necessitating a transcervical approach for adequate visualization and retrieval. CONCLUSIONS: This is the first case reported of a wire bristle migrating deep into the tongue musculature that was successfully removed via a transcervical approach. Our proposed algorithm provides a comprehensive approach to the management of ingested wire bristles, specifically in cases where endoscopic retrieval is not feasible. PMID:33993775 | DOI:10.1177/01455613211014079 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Metastatic Melanoma of the Tongue Base

xlomafota13 shared this article with you from Inoreader Metastatic Melanoma of the Tongue Base Via ear nose throat Ear Nose Throat J. 2021 May 17:1455613211014288. doi: 10.1177/01455613211014288. Online ahead of print. NO ABSTRACT PMID:33993772 | DOI:10.1177/01455613211014288 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Role of transpalatal advancement pharyngoplasty in management of lateral pharyngeal wall collapse in OSA

xlomafota13 shared this article with you from Inoreader Role of transpalatal advancement pharyngoplasty in management of lateral pharyngeal wall collapse in OSA Via Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial Braz J Otorhinolaryngol. 2021 May 6:S1808-8694(21)00081-1. doi: 10.1016/j.bjorl.2021.04.009. Online ahead of print. ABSTRACT INTRODUCTION: Non-response to palatal surgery for OSA is a problem. Residual lateral wall hypopharyngeal collapse is the proposed mechanism of failure. OBJECTIVE: This study aims to evaluate the role of transpalatal advancement pharyngoplasty in non-responders to primary palatal surgery with residual lateral wall hypopharyngeal collapse. METHODS: This is a retrospective study that was conducted on patients who underwent transpalatal advancement pharyngoplasty for residual lateral wall hypopharyngeal. Inclusion criteria were age greater than 18-years, OSA proved by the polysomnography with apnea hypopnea index >15, lateral wall collapse at the level of hypopharynx as proved by drug-induced sleep endoscopy and had a previous tonsillectomy or previous palatal surgery for OSA. Exclusion criteria were t hose with no history of tonsillectomy or any other surgery for OSA and those with a missed followup. Data of included patients were collected and included gender, age, polysomnographic data like the apnea hypopnea index, oxygen desaturation and the calculated preoperative Epworth sleepiness scale. The early outcome included symptom improvement as measured by Epworth sleepiness scale score and lateral pharyngeal wall evaluation by nasopharyngoscopic examination in the first postoperative month. Late outcome measurement was performed by the 6-month postoperative polysomnography. Data were analyzed using SPSS program. RESULTS: The study included 37 patients with a mean age of (40.43 ± 6.51). The study included 26 men and 11 women. There was a statistically significant improvement of apnea hypopnea index from 37.8 ± 9.93 to 9.9 ± 2.55. In addition, a statistically significant improvement of lowest oxygen saturation from 78.9 ± 3.39 to 83.3 ± 3.31 was encountered. The patients improved clinically, and this improvement was measured by statistically significant improvement of Epworth sleepiness scale score and snoring visual analogue scale. CONCLUSION: Transpalatal advancement pharyngoplasty widens the retropalatal airway and has a great role in the management of the vertical palate phenotype. In addition, it can have a role in the management of lateral walls, especially lateral wall hypopharyngeal collapse. PMID:33994340 | DOI:10.1016/j.bjorl.2021.04.009 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Ossiculoplasties: about 30 cases and literature review

xlomafota13 shared this article with you from Inoreader Ossiculoplasties: about 30 cases and literature review Via oto-rhino-laryngologie Pan Afr Med J. 2021 Feb 18;38:187. doi: 10.11604/pamj.2021.38.187.27449. eCollection 2021. ABSTRACT The purpose of this study was to evaluate the functional outcomes of ossiculoplasties. We conducted a retrospective study, in the department of ear, nose and throat (ENT) and congestive cardiac failure (CCF) at the University Hospital Mohammed VI, in Oujda, from October 2018 to March 2020. Out of 45 patients with secondary otitis, 30 had gone ossiculoplasty using endoscopic transmeatal approach. These patients were enrolled in the study. The average age of patients was 31.8 years, with a F/M sex ratio of 1.5. The examination of the eardrum showed type A otitis (18 cases) type B otitis (5 cases), type C otitis (3 cases) and type D otitis (4 cases), according to Austin classification; 70% of patients who had undergone surgery had hearing loss between 30 and 40 dB and 30% of patients had hearing loss of ≥40 dB. Type II ossiculoplasty was perform ed in 26 cases, using tragal cartilage in 18 cases. Autologous incus interposition graft and placement of titanium PORP were performed in 4 cases each, whereas ossiculoplasty type III was performed in 4 cases, with placement of titanium TORP. Type II ossiculoplasty group had a hearing gain of ≥20 dB (all cases), whereas type III ossiculoplasty group had a hearing gain of ≥1 dB (1 case). Success rate was 90%. The analysis of these results shows that the overall outcome is slightly worse in patients undergoing type III ossiculoplasty than in those undergoing type II ossiculoplasty. However, comparative studies between the placement of prostheses and autografts or between different types of materials have only shown minor differences reported by the same author or the same team. Many authors highlighted that the preservation of the handle of malleus could provide better functional results. PMID:33995793 | PMC:PMC8106790 | DOI:10.11604/pamj.2021.38.187.27449 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Review of Radiofrequency Ablation in Tonsillectomy

xlomafota13 shared this article with you from Inoreader Review of Radiofrequency Ablation in Tonsillectomy Via Otolaryngology Indian Abstract The most common disease involving the tonsils among children and adults is chronic tonsillitis. There are different surgical techniques described in literature for the treatment of diseases involving the tonsils. Of these, the most routinely performed and the traditional method is conventional dissection tonsillectomy. The main disadvantage of this method is bleeding and postoperative pain. Radiofrequency ablation is found to overcome this limitation due to its mechanism of action. Both monopolar and bipolar radiofrequency ablation can be used in the surgical management. The effectiveness of monopolar radiofrequency has been proved in different fields of medicine. Hence new studies can be directed in comparing monopolar radiofrequency ablation with other techniques of tonsillectomy. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The Wheel-Shaped Composite Cartilage Graft for Type 1 Tympanoplasty: Comparison with Palisade and Island Cartilage Graft

xlomafota13 shared this article with you from Inoreader The Wheel-Shaped Composite Cartilage Graft for Type 1 Tympanoplasty: Comparison with Palisade and Island Cartilage Graft Via Otolaryngology Indian Abstract This study aims to compare the graft success and hearing results of the palisade and island cartilage graft, with wheel-shaped composite cartilage graft (WsCCG) for type 1 tympanoplasty. The study was designed retrospectively. Only patients with conductive hearing loss and simple pars tensa perforation of the tympanic membrane were included in the study. Pure tone average (PTA), air–bone gap gain (ABG), word recognition score (WRS), ABG closure and grafts success were compared between the graft groups. Records of 111 patients were analyzed. The graft success rate was 89.7% for palisade cartilage graft (PCG, n = 39), 86.1% for island cartilage graft (ICG, n = 36), and 97.2% for wheel-shaped composite cartilage graft (WsCCG, n = 36) (p = 0.244). Average postoperative PTA and ABG values were significantly affected by the cartilage graft type, but WRS was not affected. (p = 0.005, 0.019, 0.306, respectively, One Way-Anova te st). Post-Hoc LSD test showed a statistically significant decrease in PTA and ABG averages for WsCCG group compared to the ICG group (p = 0.004; CI%95 = 15.1–2.2 dB and p = 0.023; CI%95 = 8.2–0.4 dB, respectively). Postoperative PTA and ABG averages for WsCCG and PCG groups were similar (p = 0.069 and p = 0.053, respectively). In addition, while there were 2 (5.1%) retractions in the PCG group and 1 (2.7%)in the ICG group, there was no retraction in the WsCCG group. The WsCCG provided comparable results with classical reliable graft techniques (PCG and ICG) and may recommend as a more suitable graft due to hearing results and resistance against retraction. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Outcome of Universal Neonatal Hearing Screening Programme at a Tertiary Care Centre: A Prospective Study

xlomafota13 shared this article with you from Inoreader Outcome of Universal Neonatal Hearing Screening Programme at a Tertiary Care Centre: A Prospective Study Via Otolaryngology Indian Abstract Hearing is an important sense organ for human beings essential for speech, language and overall development. Universal neonatal hearing screening programmes are mandatory in many developed countries. In India out of 1000 neonates approximately 5–6 infants are diagnosed with hearing impairment but still universal neonatal hearing screening programme is in its infancy. To screen all neonates delivered at our centre in three years, with secondary objective of determining the significance of risk factors with neonatal hearing loss and to provide appropriate intervention following the detection of a permanent hearing impairment. It is a non-randomised prospective cohort study conducted at a tertiary care centre to screen all neonates born between Jan 2017 and Dec 2019 with 2 stage protocol using distortion product otoacoustic emission and auditory brainstem response. The study population was also divided into two groups, ''at risk'' and ''no risk'' g roups to determine the significance of risk factors on neonatal hearing loss. Total 2676 neonates were screened, OAE referral rate was 1.53%. There was a 94.12% follow up. The incidence of hearing impairment was found to be 7 per 1000(In the "no risk" group, 2.9 per 1000 and in the "at risk" group, 41.38 per 1000). Statistically, a significant difference was found in the incidence of hearing impairment between the two groups (p < 0.05, chi-square Test). Hospital based universal hearing screening of new born before discharge is feasible at a tertiary care centre. A high incidence of 0.7% congenital hearing impairment warrants universal newborn hearing screening programme. Considering the limitations and infrastructure in India, we should at least employ screening for all high risk neonates. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Salvaging Cochlear Implant After Suspected Biofilm Infection: Our Experience

xlomafota13 shared this article with you from Inoreader Salvaging Cochlear Implant After Suspected Biofilm Infection: Our Experience Via Otolaryngology Indian Abstract We describe a novel procedure using betaine surfactant and polyhexanide for biofilm in cochlear implants. Early intervention along with wound debridement, double layer vascularized flap and rifampicin helps in salvaging the implant. Leaving the array in cochlea avoids fibrosis and can be considered for cochlear implantation at a later stage. This novel procedure significantly limits morbidity and repeated surgeries. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.