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  • ISSN: 2379-948X
    Volume 3, Issue 2
    Case Report
    Augusto Cattaneo*, Stefano Zorzi, Valeria Navach and Mohssen Ansarin
    Chondrosarcoma, a sub mucosal hard, slow growing and local aggressive tumor, is the most frequent mesenchymal neoplasm of the larynx. Diagnosis is supported both by clinical appearance and radiological evaluation, even because a biopsy is not always easy to obtain, due to its hardness. Laryngeal chondrosarcomas are histologically differentiated as low-, intermediate- and high-grade lesions and total laryngectomy was considered the common treatment, even if nowadays, conservative open neck or endoscopic surgery, especially for low-grade lesions, is reported in several studies published in the literature.
    We discuss seven cases of laryngeal chondrosarcoma treated at our institution with different types of conservative surgery. The aim of this article is to assess the role of conservative treatments regarding the management of laryngeal chondrosarcomas, based upon personal experience and reviewing the literature data.
    Fatih A, Yusuf D* and Ahmet U
    Objective: Rhinolith in children is very rare cause of halitosis.
    Case Report: We are presenting a case report of rhinolith with a complaint of halitosis. Patient had a history of long standing halitosis that accompanied by social problems. Nasal endoscopic examination was revealed with a posterior rhinolith that was removed with an endoscopic approach. Halitosis and social regression were improved after the operation.
    Conclusion: Clinical value and diagnostic techniques of rhinolith were discussed.
    Ziya Salturk*, Kamil Akdağ, Yavuz Atar, Yavuz Uyar, Mehmet Önder Doğan, Muzaffer İnan, Yusuf Öztürkçü
    Amyloidos is defined a sex tracellular deposition of fibrillary protein material. It is generally a sytemic disease but localized form can be seen. Sinonasal region is an a typical localization for amyloidosis. We describe a 53 years old male patient who presented with unilateral middle ear effusion and diagnosed as nasopharyngeal amyloidosis. Our patient was treated by surgical excision.
    Research Article
    Amer Sabih Hydri* and Fatima Siddiqui
    Objective: To document change in hearing threshold due to cerumen impaction, in patients having normal hearing.
    Study Design: Quasi-experimental study.
    Place and Duration of Study: Department of Otorhinolaryngology/Head and Neck Surgery, PNS SHIFA, Karachi; from Nov 2014 to Apr 2015.
    Methodology: Initial pure tone audiometry (PTA) of patients with impacted cerumen in either one or both ears was performed. Frequencies 250, 500, 1000,2000,4000,6000 & 8000 Hertz (Hz) were tested. The consistency of cerumen i.e. wet and dry was documented; as was the amount of cerumen within the external auditory canal (EAC). After removal of the cerumen, PTA was repeated over the same frequencies and improvement if any, noted. Data of only those patients, who had normal hearing threshold after removal of cerumen, was consolidated.
    Results: Wet cerumen caused considerably more hearing loss in all grades of occlusion compared to dry cerumen. Conclusion: To standardise the results of further studies on this topic, a uniform classification of the grade of external ear canal occlusion needs to be developed.
    Short Communication
    Twigg Victoria*, Carr SD, Harrison L and Quraishi MS
    Objectives: In order to keep up to date it is imperative that medical professionals partake in continuing medical education (CME). This study aims to assess the current activity relating to CME amongst trainees and Consultants.
    Methods: Electronic survey distributed to ENT UK members of continuing medical education activity.
    Results: There were 152 respondents of 1634 invited to participate, giving a response rate of 9.3%. Seventy-six percent were Consultants. Paper journals were the most popular method of CME with a mean of 12.6 papers being read per annum. Seventy-seven percent (n=85) used e-journals.
    Conclusion: There was no demonstrable difference in the results between this survey and a similar survey performed in 1994. Revalidation has not had an impact in the number of meetings attended, publications achieved or new skills learnt. There has been an increase in the available modalities to access CME.
    Yossi Dux, Anna Lazutkin, Abraham Ben-Yaacov, Lois Gordon, Meir Brezis and Ron Eliashar*
    Background: Post-tonsillectomy bleeding is life threatening. A previous study found that 30% of patients who suffered from post-operative bleeding did not seek medical assistance although instructed to do so. We therefore compiled a new list of instructions and a colorful illustrated booklet written in 4 languages.
    1. To assess comprehension of the post-operative instructions for tonsillectomy
    2. To evaluate the utility of the booklet
    Methods: 110 patients were prospectively studied. After detailed explanation of the post-operative instructions, the patients were randomly divided into 2 groups. One received an additional information booklet. A telephone questionnaire was conducted on the 10th post-operative day. The amount of correctly answered questions was noted and compared between the two groups. Cases with post-operative bleeding were compared to the previous study.
    Results: Fifteen patients suffered from post-tonsillectomy bleeding; 1 early and 14 late. Of the late bleeders, 13 (92.8%) sought medical assistance compared to 70% in the previous study. In the “booklet receivers” group there was a total of 90% correct answers compared to 68% in the “non-receivers” group (p=0.0123).
    Conclusions: A structured discharge letter increases awareness and to some extent compliance. Adding a booklet significantly increases comprehension regarding many aspects of post-tonsillectomy behavior. We thus recommend adding such a booklet.
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