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The Journal of Otology & Rhinology (JOR) promotes rigorous research that makes a significant contribution in advancing knowledge for Otology & Rhinology. JOR includes all major themes pertaining to diseases and disorders.
Journal of Otology & Rhinology is a subscription based, peer reviewed journal that provides a range of options to purchase our articles and also permits unlimited Internet Access to complete Journal content. It accepts research, review papers, online letters to the editors & brief comments on previously published articles or other relevant findings in SciTechnol. Articles submitted by authors are evaluated by a group of peer review experts in the field and ensures that the published articles are of high quality, reflect solid scholarship in their fields, and that the information they contain is accurate and reliable.
Lytic Lesion of the Clivus Following Intranasal Narcotic Abuse: First Case Report and Review of the Literature
Intranasal narcotic delivery is increasingly frequent due to avoidance of intravenous injection from fear of HIV and because of availability of prescription drugs to treat chronic pain syndromes. Extensive destruction of the midfacial structures has been reported for over a decade.This is the first reported case of clival erosion related to intranasal narcotic abuse. Radiologists and clinicians should be aware of this potential complication because delayed detection and ongoing abuse can result in progressive damage and diminished success of attempted surgical repair.
Transfusion of Aged Blood in Head and Neck Free Flap Surgery: Perioperative Outcomes Analysis
Background: Transfusion of aged red blood cells (RBCs), those that are near their expiration date, occurs commonly at tertiary medical centers and is associated with decreased tissue oxygenation. Patients who undergo microvascular free tissue reconstruction of the head and neck may be particularly sensitive to old RBCs because the anastomosis and microvasculature of the flap require smooth flow and sufficient blood flow and oxygenation, respectively.
Methods: A retrospective review of clinical and laboratory data in a series of consecutive cases of microvascular reconstruction receiving blood transfusions was performed at a tertiary academic medical center. All patients undergoing ablative surgery of the head and neck with free flap reconstruction between September 2007 and March 2011 were selected. Rates of neck infection, wound dehiscence, free flap loss, need to return to the operating room for revision surgery, infection at the free flap donor site, and mortality were assessed as was age of RBCs transfused preoperatively or postoperatively.
Cases and Medico-Legal Aspects Regarding Bilateral Iatrogenic Injury of the Recurrent Laryngeal Nerve
On the basis of the observation of 5 cases of recurrent nerve paralysis in patients undergoing surgical thyroidectomy, the authors evaluate the medicolegal implications related to the onset of this serious complication deriving from surgical operations in the thyroid gland. We describe the possible surgical techniques to preserve and not damage the RLN, in the course of a surgical procedure involving the thyroid gland. The medicolegal evaluation examines the possibility to detect, in the different cases analyzed, a surgical malpractice that might entails the existence of a professional responsibility, distinguishing this situation from cases in which the error can be defined as “excusable.” We also have considered the importance of informed consent and of the medical chart, which is the main tool to evaluate the conduct of the surgeon.
Clinical, Radiological, and Laboratory Assessment of a Family Affected by Primary Atrophic Rhinitis
Background: Atrophic rhinitis may be primary (ozena) or secondary (e.g. to radiation therapy or surgery). It manifests as widening of the nasal cavity due to atrophy of the nasal mucosa, which is covered with foul-smelling crusts. Its etiology is not clear. Objectives: To present a large family with atrophic rhinitis showing a possible dominant trait.
Material and Methods: We report the results of clinical, genetic, and immunologic examinations performed on five subjects, who were members of the same family.
Concurrent Thyroglossal Duct Cyst and Dermoid Cyst in a Pediatric Patient
Among the most frequently encountered congenital midline cervical masses in the pediatric population are thyroglossal duct cysts and dermoid cysts. While both of these entities should be considered in the differential diagnosis of an anterior midline neck mass, the two may occur simultaneously in rare instances. We present the case of a 4 year-old girl who presented with what appeared to be a single, anterior neck mass that extended into the floor of mouth on pre-operative imaging. During surgical excision, two completely separate cystic masses were identified; one in the floor of the mouth and another immediately superior to the hyoid bone. We present this case to increase awareness to the rare circumstance of a dual diagnosis in the evaluation of a pediatric neck mass and to illustrate the importance of preparing the patient and the parents for a Sistrunk procedure pre-operatively. We recommend that surgeons prepare for a Sistrunk operation when considering an excision of any mass in the midline, near midline, or floor of mouth in a pediatric patient.
Trace Elements and Idiopathic Sudden Sensorineural Hearing Loss: A Study
Background: Sudden sensorineural hearing loss is a potential medical emergency that is routinely encountered by otologists. Little is known about the mechanism of sudden hearing loss. Several factors have been postulated to elicit the etiology of (SSNHL). However, in the majority of cases of sudden sensorineural hearing loss (SSNHL), no cause is identified and it is then considered idiopathic SSNHL. The role of some trace elements disturbance has been challenged in the pathophysiology of SSNHL, trace elements are inorganic chemical elements that are necessary in extremely small or trace amounts for the living cell. Our study aims to correlate between the level of trace elements in serum and ISSNHL.
Materials and methods: In this prospective study, seventy-five patients presenting with idiopathic sudden hearing loss of 30 db or more were enrolled in study group over a 24 month period. Control group were patients who presented to the outpatient clinic of otorhinolaryngology department with no otologic complaints. All candidates (control and study group) received a through checkup, including history, physical examination, tunning fork test, hearing evaluation using pure tone audiometry and tympanometry. Blood samples were obtained and the serum level of the following trace elements: Iron, Zinc, Magnesium, Copper and selenium were measured and analyzed via Varian atomic absorption spectrophotometer.