objectiv evalu children inner ear malform follow cochlear implant tertiari pediatr hospit singapor identifi factor influenc outcom after method this retrospect cohort studi children age 0 18 year who had between 2000 2013 demograph inform data risk factor type inner ear malform iem age implant speech pre postimplant durat followup were collect from clinic record operat detail audiolog outcom were also analyz result total 70 children underw 83 surgeri the mean age patient 405 317 year rang 118 year twenti patient 2857 had abnorm scan find csf gusher occur 15 out 26 5769 group iem nine out twenti patient 4500 had poor itmais score prior implant the averag preoper itmais score children anomal inner ear anatomi 141 the older patient 320 1500 mean age 833 year rang 710 year were most refer persist unclear speech follow hear aid eleven patient 5500 had good speech aid hear threshold within speech limit after were elig reintegr mainstream school five patient 2500 had improv speech continu receiv educ special school four patient 2000 had poor progress after surgeri conclus the presenc absent cochlear nerv electrod fold under neurolog disord seem associ poorer outcom

Sok Yan Tay

Rosslyn Anicete

Kun Kiaang Henry Tan

A Ten-Year Review of Audiological Performance in Children with Inner Ear Abnormalities after Cochlear Implantation in Singapore

sensorineur hear loss main acquir affect estim 13 billion human worldwid relat age nois infect ototox drug genet defect essenti identifi revers prevent caus abl reduc burden diseas inflammat involv most caus lead tissu injuri through vasospasmassoci ischemia vasospasm revers this review summar evid link inflammationinduc vasospasm sever form acquir sensorineur hear loss the link between vasospasm sensorineur hear loss direct evid subarachnoid haemorrhag which involv releas vasoconstrictioninduc cytokin like interleukin1 endothelin1 tumour necrosi factor these proinflammatori cytokin can also releas respons infect autoimmun diseas acut chronic increas inflamm age organ presbyacusi noiseinduc cochlear injuri evidenc vasospasm hear loss has also been discov bacteri mening brain injuri resolut inflammationinduc vasospasm has been associ improv hear autoimmun diseas involv overproduct interleukin1 from inflammasom there main indirect evid vasospasmassoci sensorineur hear loss most form system injuri infectioninduc local vascular inflamm this open avenu prevent treatment vascular system inflamm well vasospasm itself way prevent treat most form acquir sensorineur hear loss futur research need investig intervent antagonis vasospasm vasospasminduc proinflammatori cytokin product randomis control trial prevent treatment acquir sensorineur hear loss prime candid intervent herebi inflammasom inhibitor vasospasmreduc drug like nitric oxid donor rhokinas inhibitor magnesium which have potenti reduc sensorineur hear loss mening exposur nois brain injuri arteriosclerosi advanc agerel autoimmun diseaserel inflamm

Michael Eisenhut

Evidence Supporting the Hypothesis That Inflammation-Induced Vasospasm Is Involved in the Pathogenesis of Acquired Sensorineural Hearing Loss

background grommet insert one most common perform minor surgic procedur otolaryngolog practic for minor procedur outpati local anaesthet prefer even more adult especi grommet insert this studi describ our experi use phenol local anaesthet agent grommet insert adult method phenol use local anaesthet agent appli topic grommet insert adult patient outpati procedur between januari septemb 2018 two tertiari hospit data collect were analyz use statist packag social scienc spss ibm version 230 comput softwar result nineteen ear drum were oper patient age between 20 52 year pain discomfort report 895 947 had bleed there vertigo all case complet procedur conclus this preliminari result show use phenol topic local anesthet simpl safe effect especi resourcelimit environ

AbdulAkeem Adebayo Aluko

Use of Phenol as a Local Anaesthetic for Adult Grommet Insertion in Resource-Limited Settings: A Preliminary Report

aim preoper decongest moffett solut routin practic sinonas procedur provid ideal oper field anecdot relat postop throat pain yet quantit relationship has been establish compar incid sever postop throat pain after applic moffett solut against cophenylcain decongest methodolog total thirti patient from two consult were recruit the intervent arm twenti decongest moffett solut control arm ten cophenylcain the primari outcom selfreport postop throat pain measur visual analogu scale vas 2 hour 4 hour 6 hour next morn result there signific higher vas throat pain patient decongest moffett solut earli postop period 2 hour 003 4 hour 004 conclus moffett solut associ greater sever transient postop throat pain compar topic cophenylcain recommend further studi identifi mean minimis side effect clinic trial registr this paper has been regist australian new zealand clinic trial registri under registr number actrn12619000772145

Dominic Ku

Kartik Vasan

Eugene Wong

Evan Tseros

Narinder Pal Singh

Moffett&#x2019;s Solution Causes Significantly Greater Postoperative Throat Pain Compared to Cophenylcaine in Sinonasal Surgery

context this case seri discuss surgic manag esophag perfor occur follow cervic spine hardwar placement purpos 1 determin present symptom esophag perfor after anterior cervic spine hardwar placement 2 discuss surgic manag result esophag perfor complic design set case seri six patient tertiarycar academ medic center patient sampl six patient pharyngoesophag perfor follow anterior cervic spine surgeri acss outcom measur date acss indic acss level hardwar locat esophag pharyng injuri symptom present surgic intervent type reconstruct flap wound cultur flora antibiot choic method retrospect review patient esophag hypopharyng injuri set prior acss manag otolaryngolog servic tertiari academ center between januari 2015 januari 2019 result six patient who experienc pharyngoesophag perfor follow acss includ studi rang present two week eight year follow initi hardwar placement five patient present abscess all had evid perfor initi esophagram all patient underw repair sternocleidomastoid flap two patient eventu requir addit pectorali myofasci flap persist esophag leak five patient eventu attain abil toler oral nutrit algorithm detail surgic reconstruct manag propos conclus esophag perfor set prior acss challeng clinic problem face otolaryngologist consider should given earli drainag abscess spine surgeri evalu spinal hardwar remov recommend whenev possibl utiliz pedicl muscl flap reinforc primari closur allow coverag vertebr boni defect nutrit thyroid replet culturedirect antibiot necessari optim esophag perfor repair

Thomas S. Lee

Eric N. Appelbaum

Derek Sheen

Reintine Han

Benjamin Wie

Esophageal Perforation due to Anterior Cervical Spine Hardware Placement: Case Series

purpos chronic rhinosinus crs patient often complain nasal obstruct which may caus sleep impair them the goal studi investig influenc function endoscop sinus surgeri fess sleep relat outcom crs patient materi method crs patient who receiv fess were includ studi prior fess 3 month after surgeri patient were ask about sever nasal obstruct complet 20item sinonas outcom test snot20 along epworth sleepi scale ess questionnair endoscop examin acoust rhinometri polysomnographi were perform all patient they were divid four group accord preoper apnea hypopnea index ahi score nonobstruct sleep apnea syndrom nonosas mild osas moder osas sever osas result total 96 subject complet studi the score sleep domain snot20 ess decreas all ahi group except sever osas group after fess reduct ahi less than 5 achiev 9 patient 132 after fess conclus our result show fess improv sleep qualiti crs patient except those sever osas preoper lower ahi onli signific predictor postfess osas outcom

Rong-San Jiang

Kai-Li Liang

The Influence of Functional Endoscopic Sinus Surgery on Sleep Related Outcomes in Patients with Chronic Rhinosinusitis

design set retrospect studi conduct all 2ww referr made our tertiari head neck centr 12month period method sensit specif ppv present complaint cancer diagnosi use excel statist packag spss result the sensit specif 2005 nice guidelin detect cancer were 912 59 respect ppv 9 the sensit specif 2015 nice guidelin were 754 71 respect ppv 103 eight out 85 patient who present unilater sore throat more than 4 week without otalgia normal otoscopi had cancer ppv 95 conclus although 2015 nice guidelin have high rate detect cancer consider reinclud unilater sore throat referr criteria might necessari

Ahmed Allam

Hazem Nijim

Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE

background tonsillectomi one most common perform surgic procedur children perform sleepdisord breath infect symptom despit advanc instrument periop care posttonsillectomi haemorrhag pth remain signific complic which should audit regular method retrospect case seri all tonsillectomi perform patient 15 year old auckland region dure 2017 perform demograph clinic surgic data were extract analys univari analysi perform compar patient without pth result total 2177 tonsillectomi were perform dure studi period 64 public hospit 36 privat hospit the overal pth rate 36 023 occur within first 24 hour primari 34 after 24 hour secondari mean time pth 66 3 day rang 116 day 90 pth occur within first 10 day 99 14 day return theatr requir 28 case repres 1 all tonsillectomi there were death major complic cohort the onli differ observ between patient pth those without were children pth had smaller tonsil 0004 were less like have associ ome 0001 conclus import report institut tonsillectomi outcom associ complic these result show pth rate auckland remain within accept limit accord literatur

Andrés Alvo

Andrew Hall

James Johnston

Murali Mahadevan

Paediatric Posttonsillectomy Haemorrhage Rates in Auckland: A Retrospective Case Series

background otiti media effus ome adult less preval than pediatr popul still caus consider morbid has been suggest laryngopharyng reflux lpr may have role aetiolog adult ome reflux advanc laryngopharynx subsequ other region head neck oral caviti nasopharynx nasal caviti paranas sinus even middl ear clinic manifest be asthma sinus otiti media objectiv determin preval ratio otiti media effus laryngopharyng reflux method observat analyt cross section design result 9 28 subject experienc ome lpr group 2 28 subject nonlpr group statist signific differ between two group pvalu 002 95 confid interv rang 106618990 conclus the preval ratio otiti media effus laryngopharyng reflux group 45 time nonlaryngopharyng reflux group

Mahastini Karyanta

Siswanto Satrowiyoto

Dian Paramita Wulandari

Prevalence Ratio of Otitis Media with Effusion in Laryngopharyngeal Reflux

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International Journal of Otolaryngology&nbsp;publishes original research articles, review articles, and clinical studies in all areas of otolaryngology-head and neck surgery.

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International Journal of Otolaryngology