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ABSTRACT
Year : 2003  |  Volume : 5  |  Issue : 1  |  Page : 44-46

Selected abstracts


Date of Web Publication11-Jul-2020

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-8491.289566

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How to cite this article:
. Selected abstracts. Saudi J Otorhinolaryngol Head Neck Surg 2003;5:44-6

How to cite this URL:
. Selected abstracts. Saudi J Otorhinolaryngol Head Neck Surg [serial online] 2003 [cited 2022 Dec 8];5:44-6. Available from: https://www.sjohns.org/text.asp?2003/5/1/44/289566




  Stage IV oral cavity carcinoma; Is conventional radical treatment an option? Top


Al-Rajhi N, Saleem M, Al-Amro AS, El-Enbaby AM, El-Husseiny GA, Mahsan ZZ,Taibah KM,A1- Zahrani AM.

Saudi Med J 2002;Vol 23(9):1096-1098.

Objective: To evaluate the outcome of radical treatment for patients with stage IV squamous cell carcinoma of the oral cavity.

Methods: Using head and neck tumor database, 57 patients with stage IV non-metstatic invasive squamous cell carcinoma of the oral cavity treated with curative intent at King Faisal Spicialist Hospital and Research Centeer, Riyadh, Kingdon of Saudi Arabia, between July 1992 and June 1998, were identified and retrospectively reviewed.

Results: Our cohort of patients consisted of 33 males and 24 females, with a median age of 65 years. The primary sites were alveolus (26), tongue(22). buccal mucosa (6), floor of the mouth (2) and retromolar trigone (one). Definitive radiotherapy was used in 7 patients, surgery in 17 and combined modality in 33. With a median follow up for surviving patients of 53 months, the actuarial 5- year overall survival and relapse free survival wa 20%and 14%. Tumors arising from the alevolus showed a better outcome as compared to the rest of the oral cavity sites with an overall survival and relapse free survival of 32% and 26% compared to 8% and 4% (pvalue=0.0057 and 0.0038)

Conclusion: Advanced oral cavity tumors are aggressive neoplasms with a poor outcome to conventional treatment modalities. New approaches like neoadjuvant or concurrent chemoradiotherapy with or without surgery meed to be considered and evaluated in prospective studies.


  Otologic facial palsy: Etiology, onset and symptom duration. Top


Kvestad E, Kvaerner KJ, Mair IWS.

Ann Otol Rhinol Laryngol 2002; 111:598-602

To estimate the occurance of otogenic facial palsy, we performed a retropsective case record study of all patients hsopitalized for otogenic facial palsy in the period 1989 to 1999 at Ulleval University, which is the only refreral hospital for patients with otologic sequelae in Oslo. The facial palsy was a complication of acute otitis media in 10 patients { 56%), of acute mastoiditis in 3 patients (17%), of secretory otitis media in 3 patients (17%) and chronic otitis media in 2 patients (11%). In half of the patients , complete facial palsy was found at the time of diagnosis. Sixteen patients (89%) reported a gradual onset of facial palsy. The mean duration of the otologic symptoms before the onset of facial palsy was 3 days (range 1to 9 days), and the median time to remissionn was 9 weeks (range 2 to 96 weeks). Total remission was achieved in all patients who received follow-up. Although most patients recover within a few weeks , some patients have long-lasting facial palsy. Multicenter studies are needed to increase the sample size aand to identify predictors of facial palsy duration.


  Lemon flavored cod liver oil and a multivitamin-mineral supplment for the secondary prevention of otitis media in young children:Pilot study. Top


Linday LA, Dolitsky JN, Shindleddecker RD, Pippenger CE.

Ann Otol Rhinol Laryngol 2002; 111:642-652

We measured blood levels of fatty acids, vitamin A, and trace metals in children undergoing ambulatory surgeyr for placement of tympanostomy tubes and a comparison group javing other ambulatory surgical procedures. We then performed a small, out-patient, secondary prevention tudy uusing nutritional supplments chosen on the basis of those blood levels.The study subjects had lower levels of red blood cell eicosapentaenoic acid (EPA) than did adult controls. Consistant with previous reports,the levels of vitamin A were d” 40 ug / dL for 69% of our subjects, and the plasma slenium levels for children were lower than published values for adults. We then studied one otitis media (OM) season; 8 children (0.8 to 4.4 years of age) received 1 teaspoon of lemo-flavored cod-liver oil (containing both EPA and vitamin A) and half-tablet of a selnium-containing childrenis chewable multivitamin-mineral tablet per day. During this OM season , study subjects received antibiotics for OM for 12.3% ± 13.4% (SD;p,.05) fewer days during supplmentation than before supplmentation. Larger, controlled trials are warranted to assess the utility of cod liver oil (of acceptable purity and taste) and a childrenis mutlivitamin- mineral preparation containing selenium, both for the prevention of OM and for the acceptance of delayed prescription of antiobiotics for this disorder.


  Treatment of chondrodrmatitis nodularis with removal of the underlying cartilage alone: retrospective analysis of experience in 37 lesions. Top


De Ru JA, Lohus PJFM, Saleh HA, Vuyk HD.

J Laryngol Otol 2002;116:677-681.

Most otolaryngologist treat patients with chondrodermaitis nodularis (CDN) by wedge excision. Although the results of this technique are generally good,it can leave the patients with an asymmetric, deformed ear.

In the dermatological literature ,a relativel straightforward technique has been described for the treatment of CDN by smoothing only the underlying cartilage. This is based on the assumption that CDN is caused by pressure necrosis of protuberant cartilage, and thus is primarily not a skin disease. Reports on this technique claim excellent cosmetic results with only a smal chance of recurrence. In the present study we analyse the applocation of this technique to 34 patients with CDN lesions. All patients were symptom-free with a minimum follow-up of three months according to their medical reports. Seventeen patients with 19 lesions were interviewed later by telephone. In a mean follow-up of 30.7 months, 34 of these patients remained symptom-free and only one required revision surgery. The authors recommend this safe and simple technique to other physicians who treat patients with CDN.


  Polysomnographic studies in children undergoing adenoidectomy and/ or tonsillectomy. Top


Jain A, Sahni JK.

J Laryngol Otol 2002; 116:711-715.

Forty children (age group four to 12 years) undergoing adenoidectomy and / or tonsillectomy were subjected to pre- and post-operative polysomnography. Though clinicla evaluation amd x-ray soft tissue nasopharynx lateral view was carried out for all patients. The tonsils were clinically graded from grade 1 to IY whereas the adenoids were measured radiographically (using three different measurem- nts) in all children. Thirty out of 40 (75 perc ent) children presented with predoinant obstructive symptoms out of whom 22 (73.3 per cent) were found to have obstructive sleep apnoea (OSA),i.e. apnoea index > five per hour. The remaining 10 (25 pe cent) had predominnatly inflammatory symptoms on presentation and out these 2 (20 per cent) were found to have OSA, Relative adenoid size expressed as ratio between the distance from the point of maximum thickness of adenoids along a line drawn along a straight part of the basiocciput and distance from the posterior nasal spine to the antero-inferior edge of the sphenobasioccipital synchodrosis, was found to have a highly significant correlation with the grade of OSA. In our study, all patients with this ratio greater than 0.64 were found to have OSA. No correlation between tonsil size and grade of OSA was found. There was a highly significant improvement in polysomnographic scores following surgey in all patients.


  Acute cooling of the body surface and the common cold Top


Eccles R.

Rhinol 2002;40:109-114.

There is a widley held belief that acute viral respiratory infections are the result of a ichitli and that the onset of respiratory unfection such as a common cold is often associated with acute cooling of the body surface, espicially as the result of wet clothes and hair. However, experiments involving inoculation of common cold viruses into the nose, and periods of cold exposure, have failed to demonestrate any effect of cold exposure to sus- ceptability to infection wiyh common cold virus.Prsent scientific opinion dismiesses any cause-aaand-effect relationship between acute cooling of the body surface and common cold. This review proposes a hypothesis; that acute cooling of the body surface causes reflex vasoconstriction in the nose and upper airways, and that this vasocon- stricor response may unhibit respiratory defence and cause the onset of common cold symptoms by converting an asymptomatic sub-clinical viral infection into a symptomatic clinicla infection.


  Usefulness of MR angiography in cases of central vertigo. Top


Fujita N, Yamanaka T, Hosoi H.

Auris Nasus Larynx 2002;29:247-252

Objective: syndromal vertigo is defined as a combination of vestibular function disturbance and cranial nerve or cerebral function disturbance. There is evidence that MR angiography (MRA), providing angiogram like images of the intracranial and extraxranial arterial flow, could replace invasive methods for diagnosing central vertigo. The purpose of this study was to provide simplified MRA criteria for identifying morbidity and analyze the relation between imaging findings and clinical manifetsations.

Methods: Thirty-three individuals with symptoms of syndromal vertigo and vertebrobasilar territory disease were examined by equilibrimetry, MR imaging (MR]) and MRA.

Results: Under MRA, vertebral artery (VA) stenosis was more common than VA occlusion (23 vs. nine cases respectively). A basilar artery (BA) deviation was found in eight cases (24.2%). Twenty- five VA or BA abnormalities (75.8%) were found, and eight combined VA and BA abnormalities (24.2%) were found.

Conclusion: We emphasize three points as follows. MRA is advantageous over conventional angiography for less invasive methods. MRA can reveal abnormalities even in cases of “solo-vertigo” with no observed neurologic abnormalities. In our series, abnormalities were confirmed by KRA even incases with no concamitant hypertension, coronary heart heart disease, or diabetes millitus^ which are regarded as latent risk factors for stroke!

Emotional investments in surgical decision making

Kerr AG.

J Laryngol Otol 2002; 116:575-579

Gordon Smyth had a deep emtoional investment in closed cavity surgey for cholesteatoma but, nonetheless, later acknowledged that he believed that he had been mistaked. Emotional investments create problems for all surgeons. Sometimes they have difficulty in recognizing that they need to change what they aredoing. This is specially imptoant in the management of Menieres disease where unproven surgical procedures are often perpetuated. Surgeye on the endolymphatic sac is of doubtful value but still continues to be the emost frequently performed operation for this condition. Surgeons need to reconsider the evidence and question the appropriateness of these operations.






 

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Stage IV oral ca...
Otologic facial ...
Lemon flavored c...
Treatment of cho...
Polysomnographic...
Acute cooling of...
Usefulness of MR...

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