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.