Pearls of plastics in ENT practice that Conceals & Camouflages the Camber, Contour & Cosmesis in Facial Trauma

Facial trauma can involve soft tissue injuries such as burns, lacerations, bruises and even fractures of the facial bones such as nasal fractures and fractures of the jaw as well as injury to the eye. Symptoms are specific to the type of injury that can be either signs of inflammation or changes in facial definition. Facial injuries have the potential to cause temporary deviations in facial delineation to permanent disfigurement of facial structures.

Kimura Disease of the Parotid Gland: Management Approach

Here we present a 43-years old Malay man with Kimura’s disease of the right parotid gland. Asian men have a predisposition for this chronic inflammatory disorder of unknown etiology mostly presenting at the head and neck region. The management in dealing with this patient is not straight forward as the presentation mimics a subcutaneous tumor-like mass in which main differential diagnosis includes lymphoproliferative disorders and parotid neoplasm. Moreover, cytological investigation is inadequate, and this necessitates the use intra-operative frozen section prior to tumor debulking. Without proper investigation, misdiagnosis can occur and potentially expose the patient to unnecessary extensive surgical procedures. Here we discuss step by step approach in managing this patient.

Risk of self-Injury by Patients using Video Otoendoscopes Aimed at home Market

These are powered by USB attachments and can be viewed on mobile phones or home PCs. They are targeted at the home market for examination of ears, nose, and mouths and even some sellers advocate using their use on pets too. They often come with attachments to allow ear cleaning of waand removal of foreign bodies etc. These are available on various online seller websites and can cost as little as £11.

COVID-19 Associated Rhino-Orbital-Cerebral Mucormycosis - An Institutional Series

Invasive fungal infection or mucormycosis is almost always confined to the patients with altered host defenses such as in transplant recipients, diabetics or patients with malignancies. Hypergycemia or uncontrolled diabetes, particularly diabetes acidosis is considered as the strongest and very well known risk factor for mucormycosis. It has spread like fire amongst the active COVID-19 and post COVID-19 diabetic patients. Many studies across the world have established the definitive severity of SARS-CoV-2 infection amongst diabetic patients.

Clinical differentiation of Migraine, Cervicocephalic Syndrome and Meniere's Disease

Meniere's disease, cervicocephalic syndrome and migraine are relatively common pathologies. It is important for the clinicians to make difference between these pathologies in clinical settings. This is a brief review on the important clues to differentiate these pathologies from each other to make the diagnosis of each one of these pathologies easier.

Do Patients Correctly Use Steroid Nose Spray? A Patient-Reported Survey of the Nasal Spray Technique and Patient Compliance

Background:Correct nasal spray techniqueand patient compliance are the two mostimportant factors in the use of steroid nose spray. Objectives:To find out if patientsuse steroid nasal spray with a correctspray technique and if they are compliant in using the spray. Design: Patient-reported survey Participants: 100 participants (1 excluded) Main outcome measures 1) Nasal spray technique 2) Patient compliance Results: Out of 99 participants included in this study only one patient used steroid nose spray with a completely correct spray technique. 40% of patients received guidance instructions from the prescriber about the spray technique. 70% of patients reported using their spray regularly and 53% of patients were found using the correct dosage of the spray. Conclusions: Wrong spray technique and patient noncompliance is common and can be corrected. This survey emphasizes the importance of giving written and verbal instructions about the use of spray to the patients.

Synovial Sarcoma of the Left Palatine Tonsil Case Report and Review of Literature

Synovial sarcoma arises primarily in the lower extremities with a predilection for sites in proximity to large joints, such as the knee. It rarely occurs in the head and neck region, and the tonsil is an unusual site for the tumor, with only eight previously published cases in this anatomical site. 6–10 % of all soft tissue tumors, only 3–5 % arise in the head and neck region, and SS arising in the tonsil is a rare finding, with only eight well-documented cases reported in the English language literature. We describe the histopathological findings of a primary synovial sarcoma of the palatine tonsil arising in a 20-year-old male, with presentation of dysphagia and sleep disturbance.

An Update on Smell and Sensuality

When thinking of smell, we usually consider it only as one of the five senses. Compared to the rest of senses, smell has been underestimated. By conducting a research, we will be able to discover how mistaken we are. The human sense of smell is more powerful than it's usually given credit for and plays a major role in human health and behavior than many experts in the field are aware of the sense of smell is present in our daily activities and, depending on the gender, perception may differ, as well as from the anatomical structure of the olfactory organ between genders to the stimulus of the odor. The fragrances determine our everyday food choices, places where we choose to spend with our life partner. Scents can determine our sexual behavior, in building infant-parent connection and create our habits as well. It can also warn us against the selection of food, persons, also death. In this case, the loss of smell can be related with an olfactory organ dysfunction, but as well can have an endocrine, genetic or psychical basis. The olfactory dysfunction can change our habits and basically our whole life. It is irrefutable that while talking about smell which we consider as one of the senses, we can talk about sensuality which broadly covers the relationship between smell and perception of reality. Sensuality in a general sense can be defined as the perception of the surrounding things through the senses, as sensory pleasure, and unlike sexuality, which can be translated as the reception of biological, psychological and physical stimuli. Aim of the study: Currently all of our senses are mostly well known. We are trying to consider the topic from many different sides to make ourselves more and more advanced. We are trying to unite a couple of subjects to prove that we can connect one with another to explore how advanced our organism is. In this research we are trying to look closely at the two different topics and glue them together. Trying to improve and update the connection between the sense of smell and sensuality. This is possible due to the relationship between the smell and the part of our brain responsible for memories and memory, i.e. the limbic system. In this way, we can process the aroma stimulus into memories, we associate smells with specific situations, places, people or things [1]. Therefore, the objectives we have in this study are the following: The nose as an olfactory organ and the anatomical differences as to structure; the olfactory system is strictly connected with the sense of smell; sex, as a gender, something that make us different from each other; physical and psychological disorders and influence of smell. Taking into consideration the amount of work and research on the sense of smell and the still uncertain issues related to it, it is certain how important it is for life and science to fully understand its properties. Over time, with the development of science and technology, there is an increasing wish to learn about such a complicated machine as the human body. Material and methods: In the first part of this research, we will gather all the information that is commonly available so far in the international bibliography, as well as the achievements and utilities obtained to date. Following we will analyse all the new concepts that exist on the topic of sense of smell in connection with sex and sensuality, also how the smell can change due to various disorders and try to summarise it based on the latest research.

Efficacy of Somnodent® Appliance Therapy in Moderate to Severe Obstructive Sleep Apnea Patients Somnodent® OAs for Moderate to Severe OSAHS

Objective: Oral appliances are one of the treatments of obstructive sleep apnea hypopnea syndrome. The main objective of the study was to determine the efficacy of the Somnodent® oral appliance on Apnea-Hypopnea Index. The secondary objective was to measure the efficacy on other oxymetric parameters and to determine its tolerance and dropout rate. Methods: Efficacy results of the oral appliances based on the apnea hypopnea index, the oxygen desaturation index and the lower oxygen saturation reduction, appliance complications and dropout rates were retrospectively collected from 25 patients with a moderate to severe obstructive sleep apnea hypopnea syndrome treated by a Somnodent® oral appliance. The procedure was entirely performed by otolaryngologists. Results: The AHI with OA was more significantly reduced in patients with a higher initial apnea hypopnea index and a higher initial body mass index but reduction was not related to age and not proportional to degree of mandibular advancement. The 50%-AHI reduction rate after OA was 55.6%, the AHI ≤5/h rate after OA was 22.2%. The OA significantly reduced the mean apnea-hypopnea index (-14.3/h, p<10-5). No patient had his AHI increased with oral appliance. One patient stopped using OA mainly because of nausea. Conclusions: Somnodent® is an effective and well-tolerated treatment for moderate to severe obstructive sleep apnea hypopnea syndrome.

Patient Awareness of Head and Neck Cancer Risk Factors: Assessment of the General Otolaryngology Population

Objective: The general public’s knowledge of the risk factors for head and neck cancer is insufficient. The level of awareness of such risk factors amongst the otolaryngology clinic patient population has not yet been elucidated in the literature. Method: This individual cohort study took place at a tertiary academic center. A survey was designed and administered to all patients who presented to otolaryngology clinic from 2017 to 2018 to assess knowledge of head and neck cancer risk factors. The main outcome measures were percentage of correct responses for each cancer risk factor and comparison of percent correct between cancer and non-cancer patients. Results: A total of 510 patients were enrolled in the study including 69 patients (13.5%) with a history of head and neck cancer. The most well recognized risk factors by all patients were cigarettes (83.7%) and chewing tobacco (77.5%). Twenty-nine percent of patients correctly identified alcohol as a risk factor. Additional risk factors were poorly recognized. Cancer patients had a similar or better correct response rate than non-cancer patients except for chewing tobacco (68.1% vs 78.9% respectively). Conclusion: The general otolaryngology clinic population, especially patients with a history of head and neck cancer, demonstrated improved knowledge of some risk factors for head and neck cancer, but insufficient awareness of alcohol and HPV transmissible behaviors.