Kurt Neumann*

DOI : 10.32474/SJO.2019.02.000146

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This article is a follow up of my meanwhile published opinion about the risks of usage of statistical standard software in SJO in medicine by statistically insufficiently trained users because my experience strongly indicates, the scientific burden of providing evidence about the results of the published data is frequently transferred to actual laymen in statistical and mathematical science while the trained physicians usually do excellent work for their patients. The original problem was brought to my attention by a client whose intelligence was judged by me as very high...... ReadMore

Bishow Tulachan*, Abishesh Shakya, Paras Poudel and BN Borgohain

DOI : 10.32474/SJO.2019.02.000145

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Objective: FB (foreign bodies) in ear, nose and throat are often encountered by otolaryngologists in their daily practice and is commonly seen in both children and adults. Depending upon the type and location of FB, it may have serious impact on individual’s health if instant appropriate action is not taken. That’s why, there’s frequent visits to ED (emergency department) on having FB in ear and aerodigestive tracts. The objective of this study was to evaluate the nature, common sites, modes of presentation, modes of management of FB, age and gender distribution.Materials and Methods: A retrospective hospital-based study was done in Universal College of Medical Sciences, Bhairahawa, Rupandehi, Nepal from March 2014 to September 2017. The information was obtained from hospital record books.Results: Out of 483 total patients, 287 (59.42%) w..... ReadMore

Nilofer Halim*, Chaithra Kalkur and Anusha L Rangare

DOI : 10.32474/SJO.2019.02.000144

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Trigeminal neuralgia is the one of the most painful condition known to mankind, so much so that it has described as suicide illness. The diagnosis of Trigeminal neuralgia is clinically plausible due to its specific characteristics. Differentiating Classical form secondary Trigeminal neuralgia requires further evaluation with either a CT or MRI. A correct diagnosis is crucial, as patients can then follow a generally acknowledged treatment modality of either Medication or surgery. The aim of this article is to present a case of Trigeminal Neuralgia secondary to Cerebellopontine angle Epidermoid cyst in an elderly female patient. She had to be maintained with medicines alone as she was skeptical of undergoing brain surgery. This report also portrays that secondary trigeminal neuralgia..... ReadMore

Othman Alfleesy*

DOI : 10.32474/SJO.2019.02.000141

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For nearly 3000 years, it has been recognized that apparently healthy infants could die suddenly and unexpectedly usually during sleep [1]. During the last 60 years an intensive study were made by researchers for this dilemma. Studies showed that sudden infant death syndrome (SIDS) has association with sleeping positions. It affects about one out of every 500-600 live births [2]. SIDS is a common cause of infant’s deaths in developing countries, it is classified by Centre of disease control (CDC) as the third leading cause of overall infant mortality in USA [3]...... ReadMore

Manisha Choudhury*

DOI : 10.32474/SJO.2019.02.000137

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Introduction: Hearing loss is a hidden disability that affects the hearing ability of an individual and makes it difficult to recognize or discriminate the various auditory signals. People who usually suffer from hearing loss tend to exhibit heterogeneous characteristics comprising of diverse and complex psychosocial behaviours which includes resentment, hostility, rejection and subtle denial resulting to a significant deterioration on socio-emotional development which could ultimately lead to serious mental illness like depression. Objective: Present review study was conducted to assess the comprehensiveness and trend of various other studies related to impact of hearing loss in individuals leading to depression by assembling diversified online data bases from various sources. Methods: To conduct this systematic review, a t..... ReadMore

Alireza Bina*

DOI : 10.32474/SJO.2019.02.000133

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There are some studies which confirmed that dysfunction in Central Nervous System (CNS) may cause a malfunction in the Peripheral Auditory system (Cochlea_ Auditory Nerve, Auditory Neuropathy), but the question is could Brain Disorder without any lesion in Cochlea and/or Auditory nerve cause Sensorineural Hearing Loss? It seems that there are a lot of Sensorineural hearing loss which they have neither Sensory nor Neural lesion, Brain is involved causing them. We deal with this subject in this paper and we propose a new theory that External Ear Canal is not the only input of Auditory Signals, Sounds could receive by the head and Cerebral Cortex and approach to the Cochlea (Backward Auditory input of Sounds)...... ReadMore

Ramesh Kumar Sharma*

DOI : 10.32474/SJO.2019.02.000131

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A person inhales daily almost 14 kiloliters of air, breathing on average 18 times a minute, or consumes around 540 milliliters of air per breath; and makes every cell of the body receive oxygen essential for respiration, a biochemical process that releases energy from food within the cells [1]. The nose, the first organ which comes in contact of air in the respiration process, conceptually should be considered the most worthy of attention, when the patients suffering from respiratory diseases are checked by a physician...... ReadMore

Shah Neha*

DOI : 10.32474/SJO.2019.02.000127

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Radiofrequency proves to be a useful tool for snoring/ sleep Apnoea cases. Its advantage includes relative precision in incision making, relative bloodless fields if used appropriately, decrease postoperative pain and excellent healing with fibrosis which aids in stiffening tissues. Radiofrequency is high frequency alternating current used to ablate (cut/coagulate) tissues. It can be applied to nasal turbinate’s, soft palate, tongue base, tonsils etc. and it can be used to perform various procedures in the cutting mode to improve obstructive sleep disordered breathing. The objective/aim was to assess efficacy of radiofrequency as a tool for procedures/surgeries for snoring/ sleep apnoea. The parameters assessed were post-op pain, post- op blood loss, reduction in subjective snoring sounds by patients and partner, reduc..... ReadMore

Marine Raquel Diniz da Rosa*, Daviany Oliveira Lima, Mariana Lopes Martins, Thaís Mendonça Maia Wanderley Cruz de Freitas and Amanda Câmara Miranda

DOI : 10.32474/SJO.2019.01.000124

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This article explores the occurrence of tinnitus and hearing loss in the elderly. Both are highly prevalent after 60 years old. It highlights the relationship between hearing loss, tinnitus and aging. And it points out some possible form of intervention...... ReadMore

Kasim S Kasim*

DOI : 10.32474/SJO.2019.01.000122

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Malignant sinonasal carcinomas are a rare entity comprising less than 1% of all cancers and around 3% of all head and neck malignancies seen in humans. Among this 15-20% are transitional cell carcinoma also known as non-keratinizing carcinomas of sinonasal tract or cylindrical cell carcinoma or Schneiderian carcinoma or Ringertz carcinoma or respiratory epithelial carcinoma. We are reporting a case of 72 years old gentleman presented with CVA and during brain CT a right nasal mass lesion found incidentally. Endoscopy assisted biopsy was taken which revealed sinunasal carcinoma of transitional type. Very few reported cases were found upon searching the English literature. A possible reason could be histopathological challenges or the multiple synonyms of this tumor...... ReadMore

Almuhaya Reham*, Alarfaj Ahmed, Alturki Lulwah, Layan al Tawil, Areej Alrajeh and Alkarzae Mohammed

DOI : 10.32474/SJO.2019.01.000121

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Background: Nowadays, the demand of plastic surgery has dramatically increased According to the American Society of Plastic Surgery (ASPS), nearly 17 million cosmetic producers were performed in 2016 and 58% has increased cosmetic surgery from 2012-2016 for both men and women. Media influences, medical advancements and patients’ characteristics have a role in the recent upsurge of cosmetic surgery.Objectives:a) To find reasons for encouraging the patient to go for facial plastic surgery.b) To asses Factors that motivate people towards plastic surgery.c) To study the association between body dysmorphic disorder in people attending a facial plastic clinic and the desire to do an intervention.Design: A cross-sectional study.Settings: conducted in a facial plastic clinic in King Abdulaziz University Hospital, Ri..... ReadMore

Nilofer Halim*, Chaithra Kalkur, Anusha L Rangare and S Padmashree

DOI : 10.32474/SJO.2019.01.000120

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Numb chin syndrome (NCS) or mental neuropathy is a sensory neuropathy. It can present as trivial finding of hypoesthesia/paraesthesia or pain over the chin and area supplied by the mandibular nerve. The etiology can vary from dental pathogenesis to malignancy and neurological disorders. Here we present a case report of 18 year old female patient, who presented with numb chin syndrome and on further investigation was detected with a large vestibular schwannoma...... ReadMore

C Ndiaye*, H Ahmed, EJR Palou, E S Diom, S Maiga, MW Barry, N Pilor, A Mbaye, N Ndour and IC Ndiaye

DOI : 10.32474/SJO.2019.01.000119

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Background: The aim of this work is to study the impact of tracheostomy on peristomal recurrence in patients undergoing primary laryngectomy. Methods: This was a retrospective study from January 1, 2009 to December 31, 2013. All patients with laryngeal cancer classified T3 or T4 were included. The patients were divided into 2 groups. One group was formed by patients underwent tracheostomy then primary laryngectomy, the « T+LT » group. Second group was constituted by patients underwent primary laryngectomy « LT only ». The tracheostomy, the subglottic extension, the resection margins and the tumor stage were studied. The exact Fisher test was used to compare the variables. A value of p <0.05 was significant.Results: Ninety four patients were enrolled in this study. The «T + LT» group represented 61.7..... ReadMore

Gary Nishioka* and James Eyre

DOI : 10.32474/SJO.2019.01.000118

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Surgical management of the atrophic edentulous mandible fracture is one of the most challenging types of mandible fractures to treat. This case report reviews some of the challenges involved in management of this category of mandible fracture. Observations and recommendations are made with regards to treatment, and the potential importance of discussing treatment goals with the patient are outlined...... ReadMore

Juan Antonio Lugo Machado*

DOI : 10.32474/SJO.2019.01.000117

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The headache and neck are mediated by sensory fibers transmitted some cranial nerves, trigeminal, intermediary nerve, vagus and upper cervical spinal roots through the occipital and auricular nerves. Nerve pain may have paroxysmal quality, which is usually of maximum onset and is often described as excruciating, similar to electric shock or puncture...... ReadMore

Fatimah Albazroun*, Zahrah Almoumen and Hazim Al Eid

DOI : 10.32474/SJO.2018.01.000116

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Inner ear malformation accounts for approximately 20% of reported cases of congenital sensorineural deafness. It results from developmental arrest in different stages of embryogenesis. Aplasia of one of the semicircular canals with or without cochlear malformation is well known and has been reported in journals. However; to our knowledge, aplasia of two semicircular canals have been rarely reported, and for this reason the clinical reflection of this anomaly is poorly understood. This case will be hopefully used to gain an in-depth understanding of illness and help in the diagnosis and proper management of future cases. In this paper we present a report concerns a 2-year-old boy with no family history of hearing loss, presenting with bilateral profound sensorineural hearing loss with no other congenit..... ReadMore

Enrique Hernandez Vidal*, Juan Eugenio Salas Galicia, Enrique Hernandez Del Moral

DOI : 10.32474/SJO.2018.01.000115

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Background: The rhinoplasty techniques which are described by most authors are applied on leptorrhine-type noses and have some or no success at all in platyrrhine- and mesorrhine-type noses (Mestizo nose) as for the former reduction and removal techniques are used; whereas, in the latter, increase and elevation techniques are used. Objective. To provide an alternate surgical solution which offers proper results in patients with mesorrhine- or platyrrhine-type nose. Materials and methods: Pre- and post-operative photographic records of 200 patients were utilized in this investigation. The same surgical technique was used in all cases, with variations related to the size and severity of the case. Results: In a case in which no cardinal points were set, some loss of the nasal tip and the natural luminous points in it, as well as some upper..... ReadMore

Ibrahim J Issa*, James P Thomas

DOI : 10.32474/SJO.2018.01.000114

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Introduction: Fungal laryngitis in immunocompetent patients is an underestimated disease that is not enough studied in the literature. In this study we are presenting the largest patients’ charts data analysis up to this date. Results: Ninety three patients with fungal laryngitis are analyzed in this study. Ninety one of them were presumably immunocompetent. 69 patients (74.19%) were found to be using inhaled steroids, 15 patients (16.13) were using oral steroids, 8 patients (8.60%) were using nasal steroid sprays, 11 patients (11.83%) were on antibiotics, 13 patients (13.98) have reflux symptoms. Other risk factors like diabetes mellitus, history of intubation, vocal cord palsy, and smoking were also found and studied. Precise and detailed analysis was done for the presenting appearance of the lesions, most patients were found to pres..... ReadMore

Chiraz Halwani*

DOI : 10.32474/SJO.2018.01.000113

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Ear-Nose-Throat (ENT) manifestations are among the most frequent clinical features of systemic and rheumatologic disorders. A great variety of pathologies have been described including relapsing polychondritis, granulomatosis, sarcoïdosis and connectivities. Sometimes, ENT manifestations are less common but may be the presenting features and represent a diagnostic challenge. A close collaboration between ENT specialists, rheumatologists, and internists is mandatory to improve the diagnostic and therapeutic management of these patients...... ReadMore

Shuaib Kayode Aremu*

DOI : 10.32474/SJO.2018.01.000112

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Background: Earwax impaction removal is one of the common otolaryngological procedures performed by general practitioner and nurses worldwide. This study aimed at determined the number, methods and complications of impacted earwax removal by general practitioner. Material and method: It is cross sectional study of mode of impacted earwax removal in Lagos, Nigeria. Informed consent was obtained from the subject before enrollment. Structural questionnaire was administrated. Data obtained were statistically analyzed with SPSS version 18. Result: Out of 349 subjects enrolled only 341 submitted valid result. Majority of the general practitioner saw an average of 5 cases of earwax impaction per month. Commonest mode of earwax removal is by using ceruminolytic agent followed by ear syr..... ReadMore