scholarly journals Effects of COVID-19 Pandemic on Otolaryngology Surgery in Italy: The Experience of Our University Hospital

2020 ◽  
Vol 163 (1) ◽  
pp. 86-88 ◽  
Author(s):  
Massimo Ralli ◽  
Antonio Minni ◽  
Francesca Candelori ◽  
Fabrizio Cialente ◽  
Antonio Greco ◽  
...  
Keyword(s):  
Head And Neck ◽  
Bone Fractures ◽  
Malignant Tumors ◽  
Nasal Bone ◽  
Upper Airway ◽  
Neck Surgery ◽  
University Hospital ◽  
Outpatient Procedures ◽  
Therapeutic Procedures ◽  
Adults And Children

Otolaryngology and head and neck surgery underwent drastic changes during the COVID-19 pandemic. Since March 10, the first day of the lockdown in Italy, diagnostic and therapeutic procedures were limited to emergency and oncology cases, while outpatient procedures and clinical examinations were temporarily suspended to limit virus diffusion and to reallocate personnel into wards dedicated to COVID-19. In our otolaryngology unit, between March 10 and April 28, 2020, we performed 96 surgical procedures; they mainly consisted in diagnosis and treatment of malignant tumors of the head and neck (77%), management of acute upper airway obstruction in adults and children (14.7%), drainage of abscesses of the head and neck (6.2%), and treatment of nasal bone fractures (2.1%). When comparing these data with those of the same period in 2019 for emergency and oncology procedures, we noticed a drastic reduction of head and neck abscesses and nasal bone fractures, while oncology surgery remained stable.

scholarly journals A Study of External Nasal Splints used in Nasal Bone Fractures and Rhinoplasties

2011 ◽  
Vol 4 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Sudhir Naik ◽  
Sudhir M Naik
Keyword(s):  
Retrospective Study ◽  
Head And Neck ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Neck Surgery ◽  
Hospital Department ◽  
Plaster Of Paris ◽  
Medical College ◽  
Nasal Bones ◽  
Nasal Fractures

ABSTRACT Background/Objectives Plaster of Paris (POP), thermoplastic splints and self-adhesive padded aluminium splints are the most common splinting methods used after reduction of fractured nasal bones and rhinoplasty. All these methods have their proponents but may have one or more disadvantages in the way of being cumbersome, time-consuming, bulky, conspicuous and expensive. Design A retrospective study at KVG Medical College and Hospital, department of ENT and head and neck surgery. Intervention 94 cases of splinting done for nasal bone fractures and rhinoplasties were included in our study. POP and adhesive aluminium splints were used to stabilize the nasal framework. Results Eleven cases of nondislocated nasal fractures and 10 cases of internal augmentation rhinoplasties were stabilized by aluminium nasal splints. 69 cases of displaced nasal fractures and 4 cases of external rhinoplasties were stabilized by POP splints. Conclusions POP splints give the best stabilization for nasal bone fractures as well as for rhinoplasties but are bulky and conspicuous. Aluminium nasal splints are not bulky and conspicuous but cannot be used for fractures with lacerations and external rhinoplasties.

scholarly journals Risk of blood splashes in otorhinolaryngology surgery: do we really require protection?

2016 ◽  
Vol 3 (1) ◽  
pp. 6
Author(s):  
Bikash Lal Shrestha ◽  
Ram Chayya Man Amatya
Keyword(s):  
Head And Neck ◽  
Body Fluid ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
University Hospital ◽  
Radical Mastoidectomy ◽  
Modified Radical Mastoidectomy ◽  
Needle Stick Injuries ◽  
Nose And Throat ◽  
Protective Mask

<p class="abstract"><strong>Background:</strong> Surgeons are particularly at risk from blood borne pathogens like hepatitis and HIV during interventions or surgeries. They do take precaution to avoid the needle stick injuries but few pay attention on blood or body fluid splashes into eye. The main aim of the study was to know the risk of blood splashes in glass, gown and mask during ENT –HNS (ear, nose and throat and head and neck surgery).</p><p class="abstract"><strong>Methods:</strong> The prospective study conducted in Department of ENT-HNS of Dhulikhel Hospital, Kathmandu University Hospital from 1<sup>st</sup> July 2016 to 30<sup>th</sup> September 2016. All the elective cases were included for study. Surgery was performed by the single surgeon. The surgeon wore the glass and mask during the surgery. At the end of the surgery, the glass, mask and gown was inspected by the surgeon for any blood splashes and information was recorded<span lang="EN-IN">. </span><span lang="EN-IN"> </span></p><p class="abstract"><strong>Results:</strong> There were total 62 patients with male 30 and female 32. Regarding the age, most of the patients lie between 20-50 years. The amount of blood splatter in glass, mask and gown is most common in modified radical mastoidectomy surgery. Likewise, the blood splatter is most common in tonsillectomy in throat surgery and in head and neck surgery, the blood splatter is common in all head and neck surgery.</p><p class="abstract"><strong>Conclusions:</strong> The blood splashes is high even in various ENT surgeries. So it is important to take precaution by surgeon like protective mask and glass worn during surgeries to protect from various blood-borne infection transmissions<span lang="EN-IN">. </span></p>

scholarly journals Analysis of facial bone fractures: An 11-year study of 2,094 patients

2010 ◽  
Vol 43 (01) ◽  
pp. 042-048 ◽  
Author(s):  
Kun Hwang ◽  
Sun Hye You
Keyword(s):  
Bone Fractures ◽  
Traumatic Injury ◽  
Nasal Bone ◽  
Epidemiological Data ◽  
Fracture Site ◽  
University Hospital ◽  
Facial Bone ◽  
Concomitant Injuries ◽  
Intraoral Approach

ABSTRACT Purpose: The medical records of these patients were reviewed and analysed to determine the clinical characteristics and treatment of facial bone fractures. Patients and Methods: This is a retrospective study of 2,094 patients with facial bone fractures from various accidents that were treated at the Inha University Hospital from 1996 to 2007. Results: The most common age group was the third decade of life (29%). Males were more common than females (3.98:1). The most common aetiology was violent assault or nonviolent traumatic injury (49.4%). The most common isolated fracture site was the nasal bone (37.7%), followed by the mandible (30%), orbital bones (7.6%), zygoma (5.7%), maxilla (1.3%) and the frontal bone (0.3%). The largest group with complex fractures included the inferior region of the orbital floor and zygomaticomaxilla (14%). Closed reduction was performed in 46.3% of the cases while 39.7% of the cases required open reduction. For open reductions, the most commonly used soft-tissue approach was the intraoral approach (32.3%). The complication rate was 6.4% and the most common complication was hypoesthesia (68.4%) followed by diplopia (25.6%). Conclusion: Long-term collection of epidemiological data regarding facial fractures and concomitant injuries is important for the evaluation of existing preventive measures and useful in the development of new methods of injury prevention and treatment.

Miscellaneous conditions

2005 ◽  
pp. 431-450
Author(s):  
Patricia Sylla
Keyword(s):  
At Risk ◽  
Airway Obstruction ◽  
Head And Neck ◽  
Sore Throat ◽  
Foreign Bodies ◽  
Upper Airway ◽  
Neck Surgery ◽  
Head And Neck Surgery

Airway obstruction 432 Foreign bodies (FBs) 434 Stridor 438 Epistaxis (non-traumatic) 439 Urticaria and angioedema 440 Dizzyness/'vertigo' 441 Sore throat 442 Drugs and dressings commonly used in head and neck surgery 444 The upper airway is at risk when the following findings are present: •...

scholarly journals An Initial Survey of Septorhinoplasty in Crooked Nose Deformities

2016 ◽  
Vol 31 (1) ◽  
pp. 31-34
Author(s):  
Cesar V. Villafuerte ◽  
Alexander Edward S. Dy ◽  
Jose Florencio F. Lapeña
Keyword(s):  
Physical Violence ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Case Series ◽  
Sports Injury ◽  
University Hospital ◽  
Open Rhinoplasty ◽  
Crooked Nose ◽  
Columellar Strut ◽  
Nose Deformity

Objectives: Crooked nose deformity is a commonly seen reason for septorhinoplasty in the otolaryngology clinic. The purpose of this study is to initially determine the different etiologies of patients with crooked nose deformities who underwent septorhinoplasty, and to describe the different types of crooked nose by their level of deviation and surgical management in our institution.   Methods: Study design:       Case Series Setting:                 Tertiary Public University Hospital Subjects: A chart review of all patients with a crooked nose deformity who were admitted at the otorhinolaryngology ward of the National University Hospital and underwent septorhinoplasty from January 2012 to January 2015 was conducted, and data consisting of age, sex, etiology of crooked nose deformity, level of deviation, cartilage source, and surgical intervention were obtained and analyzed.   Results: A total of 21 patients underwent septorhinoplasty for crooked nose deformity in the study period. The most common etiology for crooked nose was physical violence (13/21 or 62%), followed by sports injury (4/21 or 19%), vehicular accidents (2/21 or 9%), and accidental fall (1/21 or 5%). There were more upper and middle third deviations than lower third deviations. Sixteen out of 21 patients (76%) underwent open rhinoplasty, while the rest underwent an endonasal approach. Twelve (57%) underwent intervention on the nasal fracture after at least a year (old or neglected fracture) as compared to the 9 (43%) who had immediate intervention after less than two weeks. Thirteen used septal cartilage, while 4 used conchal cartilage, and 1 used tragal cartilage. The most common grafts used were spreader and camouflage, followed closely by dorsal onlay, and columellar strut grafts.     Conclusions: The majority of crooked nose deformities that were subjected to septorhinoplasty in our department were secondary to old nasal bone fractures caused by physical violence. Upper and middle third level deviations were more common, and most underwent open rhinoplasty with autologous cartilage grafts. Future studies may increase our understanding of, and improve our techniques in septorhinoplasty for crooked nose deformities in Filipino noses in particular, and Asian noses in general.     Keywords: rhinoplasty, deviated nose, crooked nose, septorhinoplasty, nasal trauma

Adverse Events Associated With Laser Use in the Upper Airway

2020 ◽  
pp. 019459982093874 ◽  
Author(s):  
Jane Y. Tong ◽  
Luke J. Pasick ◽  
Daniel A. Benito ◽  
Robert T. Sataloff
Keyword(s):  
Adverse Events ◽  
Head And Neck ◽  
Upper Airway ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Accurate Estimation ◽  
User Facility ◽  
Standardized Reporting ◽  
Surgical Lasers ◽  
Surgical Laser

Objective Surgical lasers are used extensively in head and neck surgery. Laser use in the upper airway offers many advantages but also presents risks to patients and operators that are not reported comprehensively. This study aims to summarize device malfunctions, patient complications, and subsequent interventions related to laser use in the upper airway. Methods The US Food and Drug Administration’s Manufacturer and User Facility Device Experience database was queried for reports of surgical laser adverse events from January 2010 to March 2020. Data were extracted from reports pertaining to the upper airway. Results Sixty-two reports involving upper airway laser use in an operating room were identified, from which 95 events were extracted. Of these, 40 (42.1%) were adverse events to patients, 2 (2.1%) adverse events to operators, and 53 (55.8%) device malfunctions. Dislodgement of laser fiber in the airway (23 [57.5%]), burn (8 [20%]), and scar (5 [12.5%]) were the most common adverse events to patients. Two incidents of eye exposure through unfiltered microscope lenses were the only adverse events to operators. Fiber break (26 [49.1%]) and flare (12 [22.6%]) were the most common device malfunctions. Discussion Surgical lasers have demonstrated utility in head and neck surgery but are associated with risks. This study discusses adverse events and device malfunctions associated with airway laser surgery and emphasizes shortcomings in current reporting. Implications for Practice Standardized reporting and multi-institutional research are needed to better understand adverse events related to surgical laser use and to allow accurate estimation of their prevalence.

scholarly journals Comparative analysis of the prevalence of the glutathione S-transferase (GST) system in malignant and benign thyroid tumor cells

2007 ◽  
Vol 125 (5) ◽  
pp. 289-291 ◽  
Author(s):  
Antonio José Gonçalves ◽  
Lucia Helena de Carvalho ◽  
Kauê Serdeira ◽  
Marianne Yumi Nakai ◽  
Tatiana Ramos Malavasi
Keyword(s):  
Head And Neck ◽  
Malignant Tumors ◽  
Thyroid Tissue ◽  
Neck Surgery ◽  
Thyroid Tumor ◽  
Double Negative ◽  
Glutathione S Transferase ◽  
Cross Sectional ◽  
De Medicina ◽  
Benign Thyroid

CONTEXT AND OBJECTIVE: When null, the mu and theta genes of the glutathione S-transferase system (GSTM1 and GSTT1, respectively) are related to malignant tumors affecting the lungs, colon, prostate, bladder and head and neck. In the thyroid, the appearance of cancer has been correlated with deletion of these genes. The aim of this study was to compare the frequencies of these genes in patients with benign and malignant tumors of the thyroid gland. DESIGN AND SETTINGS: This was a cross-sectional clinical trial carried out in the Head and Neck Surgery Division, Faculdade de Medicina da Santa Casa de São Paulo. METHODS: Samples of thyroid tissue were collected from 32 patients and divided into two groups: benign tumor (A) and malignant tumor (B). After DNA extraction, the genes were amplified using PCR. RESULTS: The B group presented four cases of positive genotyping for both genes, seven positive for GSTT1 and negative for GSTM1, two negative for GSTT1 and positive for GSTM1, and only one case of double negative. The A group showed 11 cases with positive genotyping for both genes and none with the double negative genotype. CONCLUSION: In this study, there was no relationship between the presence of the GSTT1 and GSTM1 genes and the benign and malignant thyroid tumors.

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