scholarly journals Outcome of retroviral screening among patients undergoing ear, nose, throat, head and neck surgery, at the University of Benin Teaching Hospital, Nigeria

2018 ◽  
Vol 4 (4) ◽  
pp. 997
Author(s):  
Paul R. O. C. Adobamen ◽  
Johnson Ediale
Keyword(s):  
Hiv Infection ◽  
Head And Neck ◽  
Submandibular Gland ◽  
Otitis Media With Effusion ◽  
Neck Surgery ◽  
Chronic Tonsillitis ◽  
Female Ratio ◽  
Benin City ◽  
A Prospective Study ◽  
Surgery Department

<p class="abstract"><strong>Background:</strong> In Nigeria it has been estimated that 3.6% of the population are living with HIV/AIDS. Patients with different social, family, occupational and epidemiological background present for ear, nose, throat, head and neck (ENTH&amp;N) surgeries in our hospital. The aims of the study were to determine the prevalence of HIV infection among patients for ENTH&amp;N surgeries and to document the ENTH&amp;N conditions that were associated with HIV infection.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study that was carried out in the ENTH&amp;N Surgery department of UBTH, Benin City, Nigeria, between January, 2009 and December, 2010. All patients that were worked up for surgeries were enrolled into the study. Appropriate data were retrieved from the patients who gave informed consent for surgery and had retroviral screening and confirmatory tests by ELISA and Western blot methods respectively. The retroviral status of all the patients and the indications for the surgical procedures done were documented.  </p><p class="abstract"><strong>Results:</strong> There were 173 patients; 100 males and 73 females, with a male to female ratio of 1.37:1. Ages ranged from 0.83 years to 72 years, with an average age of 26.82 years. Out of a total of 168 patients screened for HIV infection in this study, 6 patients were retroviral positive. This gives a prevalence of 0.036%. Out of the 6 patients that were retroviral positive, 3 patients had chronic tonsillitis, 1 patient had chronic tonsillitis and otitis media with effusion, while the other 2 patients had submandibular gland and nasopharyngeal tumours respectively.</p><p><strong>Conclusions:</strong> A prevalence of 0.036% of HIV infection was found in patients for ENTH&amp;N surgeries. Chronic tonsillitis was the commonest presentation of HIV infection, equally followed by OME, nasopharyngeal and submandibular gland tumours. </p>

scholarly journals Halitosis: Its Aetiology and Psychosocial Impact- A Hospital Based Study

2021 ◽  
Vol 29 (2) ◽  
pp. 145-150
Author(s):  
Gopika Kalsotra ◽  
Monica Manhas ◽  
Sachin Gupta ◽  
Heemani Bhardwaj ◽  
Parmod Kalsotra ◽  
...  
Keyword(s):  
Social Life ◽  
Laryngopharyngeal Reflux ◽  
Systemic Disease ◽  
Tertiary Care ◽  
Neck Surgery ◽  
Psychosocial Impact ◽  
Care Hospital ◽  
Female Ratio ◽  
Study Results ◽  
A Prospective Study

Introduction Halitosis means bad or unpleasant odour from oral cavity. It causes embarrassment to the patients and affects their social life and communication. This study aims to find the causes of halitosis and to assess its psychosocial impact. Materials and Methods A prospective study was conducted in the department of Otorhinolaryngology and Head Neck Surgery in a tertiary care hospital. It included 165 patients, presenting to the ENT OPD with chief complains of oral malodour for at least 3 months. The patients in the age above 15 years and below 75 years, irrespective of gender, were included in the study. Results The age of the patients ranged from 15 to 75 years with a mean age of 52.24 ± 15.67 with male: female ratio of 7:10. The most common cause of halitosis in the present study included chronic rhinosinusitis (38.7%), gingivitis/periodontitis (19.39%), tonsillitis (4.84%), laryngopharyngeal reflux (2%), deep neck space infections (1.2%). In 23.56%, the halitosis was a symptom of an underlying malignancy. Conclusion Halitosis from an extra oral origin can be the sign of an underlying systemic disease or malignancy. The consultation should be done with the periodontist, ENT specialist and a physician.

100 years of Otorhinolaryngology, Head Neck Surgery Department of Medical University of Warsaw

2021 ◽  
Vol 9 (4) ◽  
pp. 1-5
Author(s):  
Kazimierz Niemczyk ◽  
Antoni Bruzgielewicz ◽  
Ewa Osuch Wójcikiewicz ◽  
Piotr Chęciński ◽  
Katarzyna Pierchała ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
History Of ◽  
Surgery Department ◽  
Medical University ◽  
Head Neck Surgery ◽  
Head Neck

On January 15, 2021, one hundred years have passed since the establishment of the Department of Otorhinolaryngology, Head and Neck Surgery at the Medical University of Warsaw. The authors representing the oldest generations of the current Team present the history of the Clinic from its establishment to the present day. The most important achievements throughout history and selected activities of the team currently working are described.

Aberrant anatomy of the hypoglossal nerve

2012 ◽  
Vol 126 (5) ◽  
pp. 538-540 ◽  
Author(s):  
S Islam ◽  
G M Walton ◽  
D Howe
Keyword(s):  
Head And Neck ◽  
Hypoglossal Nerve ◽  
Neck Surgery ◽  
Main Trunk ◽  
Iatrogenic Complications ◽  
Facial Reanimation ◽  
Nerve Anastomosis ◽  
Surgery Department ◽  
Variant Anatomy ◽  
Base Of The Tongue

AbstractObjective:Variant anatomy of the hypoglossal nerve is very rare. We report an unusual intra-operative finding of an aberrant branch of the hypoglossal nerve, encountered during a facial reanimation procedure.Case report:A 50-year-old man was referred to the head and neck surgery department by the neurosurgeons for hypoglossal-facial nerve anastomosis to treat his facial paralysis, which had occurred following the removal of an intracranial neoplasm. During surgery, we identified an aberrant branch of the hypoglossal nerve, which took a more ventral and superior course in the carotid triangle, prior to entering the base of the tongue. Following further dissection, we found the main trunk of the ‘true’ hypoglossal nerve. Several interconnecting strands were seen in the proximal aspect of both the aberrant branch and the main trunk of the hypoglossal nerve. These interconnecting fibres appeared to have tethered the main trunk into an abnormal anatomical position.Conclusion:As far as we can ascertain, this is the first report of an aberrant branch of the hypoglossal nerve. Although this variant would appear to be extremely rare, surgeons must consider all variations of this nerve during head and neck procedures, in order to minimise iatrogenic complications.

scholarly journals Adaptations of a Tertiary Otorhinolaryngology Head and Neck Surgery Department in Singapore during the COVID-19 Outbreak

2020 ◽  
pp. 000348942094677
Author(s):  
Anna See ◽  
Lih Khuang Go ◽  
Constance E. H. Teo ◽  
Neville Wei Yang Teo ◽  
Song Tar Toh
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Neck Surgery ◽  
World Health ◽  
Upper Respiratory Tract ◽  
Comprehensive Overview ◽  
Rigorous Framework ◽  
Novel Coronavirus ◽  
Health Organization ◽  
Surgery Department

Purpose: The novel coronavirus 2019 (COVID-19) outbreak which was first reported in Wuhan, China has been declared a pandemic by the World Health Organization on March 11, 2020. Otorhinolaryngologists deal intimately with pathologies of the head and neck region and upper respiratory tract and have been reported as a vulnerable group of healthcare workers who may be more susceptible to COVID-19 nosocomial infection. Methods: In this article, we provide a comprehensive overview of the adaptations of Singapore’s largest tertiary Otorhinolaryngology department during the COVID-19 outbreak. This was undertaken via an evidence-based approach. The relevant medical literature and evidence underlying our adaptations are highlighted. Results: A four-pronged strategy including (1) personnel segregation, (2) triaging and decantment, (3) use of personal protective equipment and (4) changes in clinical practice was employed. The strategy was bolstered by drawing upon a collective learnt experience from the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak. Conclusion: A rigorous framework which can preserve operationality while navigating the heightened risks during this outbreak is critical for every Otorhinolaryngology department. As the pandemic continues to evolve and more scientific reports of this disease are made available, approaches will need to be morphed.

scholarly journals Complications of Total Thyroidectomy in 50 Cases in The Department of Endocrine Surgery in BSMMU

2019 ◽  
Vol 17 (1) ◽  
pp. 25-29
Author(s):  
Md Alamgir Hossain Sikder ◽  
AEM Mahfuzur Rahman ◽  
Abul Khair ◽  
Md Jahangir Alam ◽  
Mohammed Rafiqul Lslam
Keyword(s):  
Total Thyroidectomy ◽  
Multinodular Goiter ◽  
Endocrine Surgery ◽  
Published Data ◽  
Female Ratio ◽  
Male Female Ratio ◽  
A Prospective Study ◽  
Surgery Department

Objective: To determine the complications of the patients undergoing total thyroidectomy. Method: A prospective study was held at Department of Endocrine Surgery in BSMMU from January 2006 to December 2006 Method: Fifty patients with multinodular goiter and carcinoma thyroid of both sexes were selected from admitted patient of endocrine surgery department. All patients were evaluated preoperatively and total thyroidectomy was done and post operative was followed up. Out of 50 patients 35 patients were female and 15 patients male, male - female ratio 1 :2.3. 40 patients were carcinoma thyroid, 10 patients were multinodular goiter. The overall incidence of postoperative complication in this series was 4. out of 50 patients 1 patient developed haematoma. 1 patient developed wound infection and 1 patient developed transient tetany on 2nd postoperative day which was improved later on. 1 patient developed a thyroid nodule 6th month after total thyroidectomy for carcinoma thyroid. In long term from total thyroidectomy 40 patients were followed up, 10 patients did not attend an subsequent follow up. Out of 40 patients 36 patients were out of complication. Conclusion: The results are comparable with the current published data and demonstrate that total thyroidectomy can performed with minimum complication rate. Journal of Surgical Sciences (2013) Vol. 17 (1) : 25-29

scholarly journals A COMPARATIVE STUDY TO ASSESS THE EFFICACY OF HYDROXYPROPYLMETHYLCELLULOSE POWDER OVER STEROID SPRAY IN TREATMENT OF ALLERGIC RHINITIS IN THE DEPTT. OF ENT AND HEAD & NECK SURGERY, SILCHAR MEDICAL COLLEGE & HOSPITAL

2021 ◽  
pp. 79-81
Author(s):  
Tinku Moni Borah ◽  
Smrity Rupa Borah Dutta
Keyword(s):  
Allergic Rhinitis ◽  
Nasal Spray ◽  
Neck Surgery ◽  
Complete Relief ◽  
College Hospital ◽  
Medical College ◽  
Group A ◽  
Group B ◽  
A Prospective Study ◽  
Surgery Department

Objective: To assess the efficacy of Hydroxypropylmethylcellulose powder over steroid nasal spray in treatment of allergic rhinitis. Methods: A prospective study of 60 patients suffering from allergic rhinitis was conducted in the ENT and Head & Neck surgery Department, Silchar medical College and Hospital from April 2018 to August 2018.The study subjects were divided into two groups A and B. Group A was treated with oral antihistaminic and steroid nasal spray, while group B was treated with oral antihistaminics and HYDROXYPROPYLMETHYLCELLULOSE powder nasal spray for 4 weeks. The treatment outcomes were evaluated after 14 days and 28 days from the beginning of treatment, by assessing relief of symptom on a five point scale. Results: There was almost similar score in both the groups ranging between score 3 and 4(i.e., relief of nasal obstruction and sneezing) after 14 days of treatment (62% vs 64%). But after 28 days there was significantly better improvement score of group B study subjects over group A in score 5 (i.e., complete relief from symptoms (83.3% vs. 66.6% ).In both the groups, mild sedation at the beginning of the treatment was reported in some patients, which is a well known side effect of antihistaminics. Conclusion: The result obtained comparing both the groups indicated high efficacy of hydroxypropylmethylcellulose powder over steroid nasal spray in the treatment of allergic rhinitis.

scholarly journals The impact of COVID-19 in the attendance of patients to the otolaryngology clinic: a retrospective review

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Kanachai Boonpiraks ◽  
Yanin Nawachartkosit ◽  
Dhave Setabutr
Keyword(s):  
Head And Neck ◽  
Retrospective Review ◽  
Care Center ◽  
Tertiary Care ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Patient Specific ◽  
One Year ◽  
Surgery Department ◽  
The Impact

Abstract Background To evaluate the impact of the COVID-19 outbreak on patient management at an Otolaryngology Head and Neck Surgery Department at a tertiary care center in Southeast Asia. This is a retrospective review. Patient load and diagnosis at the Outpatient Division of the Otolaryngology Head and Neck Surgery Department were reviewed at the height of the initial wave of the COVID-19 pandemic. Patient-specific data was then compared during the same timeframe one year prior. Patients were then grouped into an additional subspecialty subgroup based upon their diagnosis. Descriptive statistics were analyzed. Results A total of 819 cases were identified in 2019 during the study period. At the peak of the first wave, cases fell to 483, constituting a 41% decrease between the years (p value = 0.083). The largest decrease was in Otology cases with a drop by 53% (p value = 0.047), with the smallest decrease noted in General cases. Laryngology visits overall showed an increase in cases by 41.7%. Moreover, new visits decreased by 35.5%, with the largest decrease in new Laryngology visits and new Head and Neck Oncology cases. New visits for general issues had the smallest drop in patients, decreasing by only 21% (p value = 0.006) Conclusions The COVID-19 pandemic caused a significant decrease in overall cases in the Otolaryngology Head and Neck Surgery outpatient department. Thus, in anticipation of future outbreaks, interventions may be tailored according to these trends.

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