• Contact Us
  • Indexing
  • Submit Manuscript
  • Open Access
  • Journals
  • Home
  • ISSN: 2379-948X
    Volume 2, Issue 6
    Review Article
    Stuart G. MacKay and Nicholas W. Stow*
    Abstract: Following the publication of a randomized controlled trial (RCT) of adenotonsillectomy (TA) for obstructive sleep apnea (OSA) in 464 children aged 5 to 9 years [1], some discussion has been inaccurately negative in regards to interpretation of the study's findings [2]. This commentary seeks to explore the misinterpretations and highlight the critical strengths and limitations of the RCT in question.
    L. Califano*, F. Salafia, MG. Melillo and S. Mazzone
    Abstract: Benign paroxysmal positional vertigo (BPPV) is the most common vestibular syndrome. It is characterized by short lasting spelling of vertigo when patient change his/her head position in the space. The putative pathogenesis is the dislodgement of otoliths from the utricular macula to semicircular canals. The most frequent form is posterior canal BPPV, whereas lateral canal BPPV is reported in about 20% of cases. Various forms of lateral canal BPPV are reported: geotropic variant, apogeotrophic variant and, more recently, a Direction-fixed nystagmus variant, which is the rarest form. Mechanisms other than canalar lithiasis could be involved in the pathogenesis of lateral canal BPPV, namely situations of "heavy cupula'' and "light cupula". Liberatory therapy is very effective and the shift from an apogeotrophic form to a geotropic form is considered useful for a better outcome. Aim of the paper is to present a review of current pathophysiological hypothesis about lateral canal BPPV, its assessment and therapeutic options.
    Case Report
    Tan SN, Ramli R and Primuharsa Putra SHA*
    Abstract: Ranulas are uncommon cystic type of lesion which resulted from mucus filled cavity in the floor of the mouth that is unique to the sublingual gland. This article highlights a case report on management of sublingual ranula in a 16-year-old male with emphasis on the effective method of surgical removal.
    M. Silva*, JC. Ribeiro, J. Romão and A. Paiva
    Abstract: Orbital Apex Syndrome is a very rare clinical diagnosis presented to ENT surgeons. Intraorbital extramedullary plasmacytoma is extremely rare and there are a few cases reports in the literature. Very unusually it develops a secondary leukemic transformation to a plasma cell leukemia which is a very rare and aggressive type of acute leukemia (in our tertiary hospital, Hematology Department had previously 3 cases in the last fifteen years).
    Orbital apex syndrome is a rare but potentially fatal situation rarely seen initially by ENT surgeons. We report an even rarer case of an intraorbital extramedullary plasmacytoma that caused orbital apex syndrome, initially masqueraded by a complicated pansinusitis.
    An immunosuppressed 78-year-old female presented with a progressive left side reduced best corrected visual acuity, pansinusitis and orbital involvement, imaging showed opacification of all paranasal sinuses, cavernous sinus involvement and left intraorbital mass lesion. After an initial improvement with antibiotics, sudden clinical deteriotion occurred. Biopsy of the intraorbital mass showed a monoclonal lymphoid neoplasm and laboratory findings led us to the diagnosis of plasma cell leukemia.
    We advocate for a multidisciplinary approach ab initio in all cases of complicated rhinosinusitis to minimize or prevent deterioration of vision and optimize clinical outcomes.
    Original Research
    André Silva Luca1, Devandir Antonio de Souza Júnior, Rui Celso M Mamede*, Maria Célia Jamur
    Introduction: Knowledge of the structural features of the vocal fold and the ventricular fold may help to understand the phonation process, and consequently may facilitate the use of the ventricular fold in phonation after laryngeal damage. Objective: To compare the histology and the distribution of collagen and elastic fibers between the ventricular folds and the vocal folds.
    Methods: Hemilaringes from 14 male cadavers were collected, processed for histology, sections stained for collagen and elastic fibers and analyzed.
    Results: The major part of the ventricular fold was lined with pseudostratified ciliated columnar epithelium containing goblet cells. In the ventricular folds the collagen fibers are homogeneously distributed in layers. In contrast, in the vocal fold the collagen fibers are unorganized and have a heterogeneous distribution. The percent of total collagen and of type I and type III collagen is similar between the vocal fold and the ventricular fold. However, the percent of type I collagen is increased in the ventricular fold in comparison to type III collagen. In the ventricular fold the elastic fibers are found in all layers of lamina propria, while in the vocal fold these elastic fibers are preferentially found in the deep layer of the lamina propria. The percent of elastic fibers is similar between the vocal folds and the ventricular folds.
    Conclusion: The percentage of collagen fibers and elastic fibers is similar between the vocal fold and the ventricular fold. However, in the ventricular fold the percentage of type I collagen is greater than type III collagen.
  • JSciMed Central Blogs
  • JSciMed Central welcomes back astronaut Scott Kelly and cosmonaut Mikhail Kornienko.

    Wonder Women Tech not only disrupted the traditional conference model but innovatively changed the way conferences should be held.

    JSciMed Central Peer-reviewed Open Access Journals
    10120 S Eastern Ave, Henderson,
    Nevada 89052, USA
    Tel: (702)-751-7806
    Toll free number: 1-800-762-9856
    Fax: (844)-572-4633 (844-JSCIMED)
    E-mail: otolaryngology@jscimedcentral.com
    1455 Frazee Road, Suite 570
    San Diego, California 92108, USA
    Tel: (619)-373-8720
    Toll free number: 1-800-762-9856
    Fax: (844)-572-4633 (844-JSCIMED)
    E-mail: otolaryngology@jscimedcentral.com
    About      |      Journals      |      Open Access      |      Special Issue Proposals      |      Guidelines      |      Submit Manuscript      |      Contacts
    Copyright © 2016 JSciMed Central All Rights Reserved
    Creative Commons Licence Open Access Publication by JSciMed Central is licensed under a Creative Commons Attribution 4.0 International License.
    Based on a work at https://jscimedcentral.com/. Permissions beyond the scope of this license may be available at https://creativecommons.org/.