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Sphoorthi Basavannaiah*

DOI : 10.32474/SJO.2020.04.000192

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Introduction: Foreign body sensation in throat is one of the commonest presentations in ENT. It can be simple & easy to treat but at times can be complex & alarming. Here, is a study exploring the uncommon causes of this symptom which is taking over the charts clinically in the routine mundane of life.Aims & Objectives: To ascertain rare causes for foreign body sensation in throat in all possible mediums and how patient’s ideologies sum up to instilled seeds of cancer in their minds. Methodology: 196 patients with rare causes for foreign body sensation in the throat over a year was clinically assessed, evaluated & treated after analyzing the source for the condition. Results: Nearly 40% of new novelty causes i.e., GERD & “EpiConTon” superseded old outlook causes with female preponderance and st..... ReadMore

Akhil K Padmanabhan*, Esha Yadav, Richa S Gautam and Prabhuji ML

DOI : 10.32474/SJO.2020.04.000191

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Irritational fibroma is a common presentation on the lateral surfaces of the tongue due to irregular and sharp surfaces of the dentition. It is a reactive lesion and is benign in nature. Irritational fibroma is well managed with conventional scalpel excision techniques. Of all the techniques mentioned for excision of the lesion, laser is found to produce the best results in terms of intraoperative bleeding, recurrence, scar formation and patient comfort. This case report presents the management of irritational fibroma in a middle aged female patient with diode laser...... ReadMore

Richa S Gautam, Akhil K Padmanabhan*, Esha Yadav and Prabhuji ML

DOI : 10.32474/SJO.2020.04.000190

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Necrotizing periodontal diseases are the most severe rapidly destructive, non-communicable, periodontal infection of complex etiology. The diagnosis is based on clinical and radiological features. Necrotizing periodontal lesions are confined to periodontal tissues, including gingiva, periodontal ligament, and alveolar bone. The pathognomonic clinical characteristics are the typical punched out appearance, interproximal craters and spontaneous bleeding. The predisposing factors include host factors, such as psychological stress, immunosuppression, a smoking habit, and poor oral hygiene. If it is left untreated, it may spread laterally and apically to involve the entire gingival complex. In this case report, we presented a 24- year old male with necrotizing gingivitis and no systemic disease with a history of intense stress. The case repor..... ReadMore

Esha Yadav, Richa S Gautam, Akhil K Padmanabhan* and Prabhuji ML

DOI : 10.32474/SJO.2020.04.000189

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The present case report describes the surgical removal of mucocele in a young female patient. A thirteen year old female patient was diagnosed clinically with mucocele of lower lip. A conventional surgical procedure was performed using scalpel and the excised lesion was sent for histological investigation. Histological investigation revealed well circumscribed cystic spaces filled with mucous clearly illustrating extravasation type mucocele. Complete regression of the lesion was seen with no recurrence in 6 months follow up. Surgical excision of the lesion with the involved minor salivary gland proved to give satisfactory results...... ReadMore

Paul TE Cusack*

DOI : 10.32474/SJO.2020.04.000188

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In this paper we discuss autofellatio and its associated medical problems that can begin in adolescence and last a lifetime. The first and most obvious medical problem is with the back...... ReadMore

Elaine Cristina Ramos, Henrique Furlan Pauna*, Jyrson Guilherme Klamt and Miguel Angelo Hyppolito

DOI : 10.32474/SJO.2020.04.000187

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Introduction: Neurological injury is an important cause of morbidity and post-operatory mortality in high complexity cardiac surgery in children. The auditory brainstem response (ABR) evaluates specific areas of the brainstem. It provides useful information about the functional state of the brain during important cardiovascular procedure. Objective: To assess the progression in ABR waves as an indicator of neural integrity during controlled brain hypoxia-ischemia among children undergoing to cardiac surgery with cardiopulmonary bypass (CPB). Methods: Nine pediatric patients aged 0 to 2 years-old have were included. The electrophysiological assessment – by means of ABR – was performed at the operating room, during the following established steps of the cardiac surgery: general anesthesia (t0), CPB and hypothermia (t1), and at the ..... ReadMore

Stuti Mathur*

DOI : 10.32474/SJO.2020.04.000186

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Aims and objectives: To detect super numeracy tooth in nasal cavity. Introduction: The ectopic dentition present in intranasal area is very rare finding clinically. It is very difficult to make proper diagnosis of such condition. Teeth is present in ovaries, testes and pre-sacral regions. The presence of teeth in maxillary sinus, mandibular condyle, chin, nose and orbit in maxillofacial region is also observed. Case Report: Prospective cross-sectional study was conducted. Anterior microscopy was done; proper detection of supernumerary tooth was carried out. Result: A 21-year-old female patient presented with complaints of intermittent right sided epistaxis. She had history of occasional headache for 6 months. An anterior rhinoscopic examination revealed a hard white-mass which is peripherally surrounded by granulation tissue that lies..... ReadMore

Safinaz Nagib Azab*, Rasha A Alshareef, Heba Abd Allah Abd Elmaged and Gamal Youssef

DOI : 10.32474/SJO.2020.04.000185

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Background: The human voice is one of the most important tools in human every day. Communication and voice were probably important to human communication even before language evolved. Voice Quality can be affected in patients with thyroid disease like, loss of vocal range, low speaking fundamental frequency (especially in women), coarse and gravelly vocal symptoms, weak voice, and breathy quality, reduced Intensity and changes of the singing voice. Purpose: The aim of this work is to identify auditory perceptual voice changes and Severity in patients with thyroid and/or parathyroid disease preoperatively. Methods: 60 adult subjects their age ranged between 20 and 60 years old, both males and females, divided into two groups were included (Group A): 30 patients diagnosed with thyroid and/or parathyroid Disease preoperatively. (Group B)..... ReadMore

Ali Almomen*, Hussain Al Baharna, Abdullah A AlShakhs, Mohammed A Alfalah, Mohammed AlSaeed, Ali AlTuraifi and Njood Alaboud

DOI : 10.32474/SJO.2020.04.000184

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Objective: To present the different clinical manifestations and diagnostic strategies of isolated sphenoid non-invasive fungal sinusitis (SNIFS) in order to prevent delayed diagnosis and providing early management.Method: This study is a retrospective clinical study, conducted between January 2008 to November 2019. It was done in the ENT department of two institutes: King Fahad specialist Hospital and Qatif Central Hospital, Saudi Arabia. Only patients with sole involvement of non-invasive fungal sinusitis in the sphenoid sinus were included.Conclusion: The incidence of SNIFS is rare. However, it’s clinically important because untreated SNIFS can cause significant complications. The clinical features of SNIFS are ambiguous and nonspecific which make its diagnosis more difficult. Post-nasal discharge and headache refrac..... ReadMore

Fotini Ieridou*, Gabriel Tsiropoulos and Jannis Constantinidis

DOI : 10.32474/SJO.2020.04.000183

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Tenosynovial giant cell tumor (TSGCT) is a benign tumor that commonly presents in the upper limb joints and hands and less frequently occurs in the lower extremities. Usually they arise from synovium or tendon sheath. The aim of this article is to present an unusual location of TSGCT of the supraclavicular region in a young patient...... ReadMore

Phan Huu Ngoc Minh* and Hong Ki Hwan

DOI : 10.32474/SJO.2020.04.000182

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The incidence of radiation-induced tumors is increasing in the oncology population as a result of increased survival, with improvement in cancer treatment. Exposure to therapeutic doses of radiation has also been shown to be associated with an increased risk of a second cancer, though the precise risk remains unknown. The occurrence of sarcomas in irradiated tissues is an uncommon but well-documented long-term complication of radiotherapy. In the current study, the case of a 55-year-old man presented with maxillary osteosarcoma occurring 22 years post radiation for his maxillary lymphoma...... ReadMore

Kalpana Nagpal*, Noor Ul Din Malik, Shaili Priyamvada, and Kamal Goyal

DOI : 10.32474/SJO.2020.04.000181

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Surgical removal of ectopic lingual thyroid is indicated in symptomatic patients or in cases of suspected malignancies. An external approach is most often used but is associated with morbidity and visible scar on cervical region...... ReadMore

Petrov SM*

DOI : 10.32474/SJO.2020.04.000180

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This article presents a brief algorithm of a cochlear implant fitting from the first fitting to the end of the first session of the implant setting. Most of the articles in the bibliography were written specifically for the future “Guidelines for cochlear implant setup”. Links to the world literature are in the references to the above-mentioned articles...... ReadMore

Ahmed Houra*, Ndour Ngor, Ndiaye Ciré, Pilor Ndongo, Tall Hady, Mbaye Aminata, Sall Ahmadou Cheikhou, Ndiaye Moustapha, Diom Evelyne Siga, Ndiaye Malick and Ndiaye Issa Cheikh

DOI : 10.32474/SJO.2020.04.000179

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Introduction: Laryngeal cancer is the second most common cancer of the head and neck. It is a predominantly male cancer, its occurrence in women is rare. The purpose of this work is to present the results of the analysis of 20 cases of women with laryngeal cancer.Material and Method: Between 2009 and 2018, 20 patients were treated for laryngeal cancer in our department. We studied the socio-demographic characteristics of this population and determined the risk factors that may have influenced the occurrence of laryngeal cancer in these women.Results: This study involves 20 women with an average age of 51.2 years. In 70% of the cases they are housewives, in 15% of the shopkeepers, and in 5% of the matrons. A notion of exposure to smoking was found in 15% of cases. Exposure to wood smoke was found in 80% with an average exposure time of 30 ..... ReadMore

Nguyen Nguyen, Thanh Phu Nguyen and Kyu Sung Kim*

DOI : 10.32474/SJO.2020.04.000178

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Eagle’s syndrome was a rare condition, and it was not commonly suspected in clinical practice. The elongation of the styloid process (SP) was considered as the main cause of this syndrome. However, many patients who were incidentally found of an elongated SP were asymptomatic. This case report presented a rare case of the bilateral elongated SP with the unilateral symptom. A 59-year-old woman who had come to our attention with the complaint of pain in the right side of the neck, and intensified pain during neck rotation, swallowing and mouth opening. She also complained of pain in the angle of the mandible, the face and otalgia. The computed tomography scans and 3D reconstruction allow us to measure the angulation and length of the SP as well as evaluate the relationship between the SP and adjacent anatomical structu..... ReadMore

Bianca H de Moura*

DOI : 10.32474/SJO.2020.04.000176

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The Objective of this article is to Review current literature about performing a turbinectomy associated with Rhinoseptoplasty. Three clinical trials with level one of evidence about the issue have been published recently. All of them selected patients with nasal obstruction who were submitted to Rhinoseptoplasty. The NOSE scale to measure quality of life in these patients was used. Other tools of objective measurement as Acoustic rhinometry and rhinomanometry or subjective scales, Snot-20 WHOQOl and ROE were also explored. Each study used a different technique for turbinate reduction. All of the three found the same results discussed below. To review the scientific evidences of these articles can bring new outlook about this controversial topic...... ReadMore

Ndour Ngor*, Ahmed Houra, Ndiaye Ciré, Amelle Lokossou, Younes Hussen, Dieye Abdoulaye, Diallo Mamadou Diouldé, Niang Fallou, Ndiaye Malick, Tall Abdourahmane and Ndiaye Issa Cheikh

DOI : 10.32474/SJO.2020.03.000174

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Objectives: We report the epidemiological, clinical, paraclinical and therapeutic data of mobile tongue cancers operated in the ENT and CCF service of the University Hospital of Fann (Dakar/Senegal).Patients and methods: This were a monocentric retrospective study, conducted at the ENT and cervico-facial surgery department of the CHNU of Fann from 1 January 2009 to 31 December 2018, i.e. 10 years. All patients operated during this period with cancer of the mobile tongue with histological confirmation were included.Results: A total of 29 records were collected. They were 17 males and 12 females, for a sex ratio of 1.07. The mean age of the patients was 52 years with a median age of 49 years. Tobacco intoxication was found in 5 patients or 17.24% of cases. Isolated glossodynia was the most frequent sym..... ReadMore

Kumaresan M* and Navin Bharath

DOI : 10.32474/SJO.2020.03.000173

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Puberphonia is most often treated using voice therapy (vocal exercises) by speech-language pathologists or speech therapists that have experience in treating voice disorders. The duration of treatment is commonly one to five weeks. Indirect treatment options for puberphonia focus on creating an environment where direct treatment options will be more effective. Counseling, performed by the, a psychologist, or counselor, can help patients identify the psychological factors that contribute to their disorder and give them tools to address those factors directly. It may take long time. Patients may also be educated about good vocal hygiene and how their behavior could have long term effects on their voice. In some cases when traditional voice therapy is ineffective, surgical interventions are considered. This can occur in situations where inte..... ReadMore

Diom ES, Abi H, Ndiaye C*, Diallo BK, Tall A, Ndiaye M, Ndiaye IC, Diouf R and Diop EM

DOI : 10.32474/SJO.2020.03.000172

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Objectives: Description of epidemiology, clinical features and survival of patients undergoing laryngectomy and thyroidectomy for larynx carcinoma extending to the thyroid gland.Patients and Methods: This study concerned adult patients from ENT departments in Academic Hospitals (Aristide Le Dantec and Fann) who had a total laryngectomy and a thyroidectomy.Results: Fifty-nine (59) patients had total laryngectomy (TL) with thyroidectomy. The average age was 52 years. There were 58 men (98.3%) and one woman (1,7%). Laryngeal tumors (TNM classification) were very advanced (T3-T4) in 58 patients (98.3%). The TL was combined with a thyroidectomy in all cases. Four patients (12.5%) had invasion of the thyroid gland by the squamous carcinoma originating from the larynx. Survival was 10% at 5 years. There was no significant difference according to..... ReadMore

Evelyne S Diom*, Ciré Ndiaye, Mouhamadou Barry, Souleymane Maiga, Houra Ahmed and Pilor Ndongo

DOI : 10.32474/SJO.2020.03.000171

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Goal: The purpose of this study is a) To describe a new “system of cooperation” within the same country.b) To report the surgical activities, specialized consultations and academic teaching carried out during these missions. c) To describe the difficulties encountered during missions in rural areas and the bilateral benefits of such missions for the population, the local team and the 2 humanitarian workers.Methods: it’s a retrospective study of missions carried out by the same team, covering a period of 11 years in 13 regions of Senegal and in Guinea Conakry.Results: During the 61 humanitarian missions there were 5,702 consultations, 637 patients underwent surgery, and 10 postgraduate courses were conducted. The most common pathologies were chronic ..... ReadMore