Indian Journal of Otolaryngology and Head & Neck Surgery
Biphenotypic sinonasal sarcoma (BSNS) is a rare malignant tumour of the upper nasal cavity and et... more Biphenotypic sinonasal sarcoma (BSNS) is a rare malignant tumour of the upper nasal cavity and ethmoid sinuses that presents predominantly in middle aged female patients and show a characteristic infiltrative and hypercellular proliferation of spindle cells that demonstrate a specific immunoreactivity. We present three cases with BSNS that had different presenting complaints, either sinonasal or orbital problems, underwent endoscopic surgical treatment and/or radiotherapy and have been disease free on long follow up. A systematic review of all published cases was performed to identify all BSNS cases known at present. BSNS requires prompt and correct diagnosis with accurate surgical resection as well as consideration of radiotherapy. Our three cases confirm the findings of the literature and support that BSNS is an aggressive but treatable malignant disease of the sinonasal tract.
Ulcerative necrotic supraglottitis is a rare entity of laryngeal infection leading rapidly in lar... more Ulcerative necrotic supraglottitis is a rare entity of laryngeal infection leading rapidly in laryngeal necrosis, systematic complications and potentially fatal outcomes. We present a case of a 50-year-old gentleman with ulcerative necrotising supraglottitis and no co-morbidities who presented in Ear Nose and Throat Service in the Accident and Emergency department due to dysphagia and weakness. He was treated with an emergency tracheostomy with neck exploration and washout and received appropriate supporting antibiotic regime. He improved and was eventually decannulated, able to breathe phonate and swallow appropriately. After a thorough review of the literature regarding necrotising infections of the laryngeal cavity, only 7 cases have been reported, all in immunocompromised patients with severe complications. Our case report is the first ulcerative necrotic supraglottitis in a healthy individual who was treated early and aggressively with impressive results.
To systematically review and compare the surgical outcomes of orbital decompression for dysthyroi... more To systematically review and compare the surgical outcomes of orbital decompression for dysthyroid orbitopathy. Data sources used were PubMed, EMBASE, and Cochrane search for English-language literature from January 1990 to April 2008, combined with manual review of citations within article bibliographies. Citations acquired from the targeted search were filtered independently by two researchers. Relevant articles were reviewed to obtain information including interventions and outcome measures. Articles were then assigned level-of-evidence grades as defined by the Oxford Centre for Evidence-Based Medicine. A total of 516 citations were generated from which 135 abstracts were regarded as potentially relevant. After other relevant articles identified from the bibliography and duplicate articles excluded, 56 studies were available for analysis. Fifty studies were identified as level 4 and six as level 3 evidence. A total of 2,315 patients were pooled, from which 4,176 orbits were decom...
Objectives To assess etiology, treatment, and outcome of Grisel's syndrome. Methods A Medline... more Objectives To assess etiology, treatment, and outcome of Grisel's syndrome. Methods A Medline search was performed using the terms…
In a prospective observational study, the sensitivity and specificity of an epiphora score, in pr... more In a prospective observational study, the sensitivity and specificity of an epiphora score, in predicting a patent sac washout following dacryocystorhinostomy are determined. Patients were examined in a joint otolaryngology/ophthalmology clinic for lacrimal syringing and nasal endoscopy. They completed a 0-10 visual analogue score to grade post operative symptoms. We conclude that due to the high specificity and low sensitivity of the score it is not a good predictor of patency following surgery and therefore no substitute for examining the patient.
Purpose To assess all available data regarding the comparative benefit of intracapsular coblation... more Purpose To assess all available data regarding the comparative benefit of intracapsular coblation tonsillectomy (ICT) versus extracapsular coblation tonsillectomy (ECT) in children. Methods MEDLINE, the Cochrane Library and Springerlink databases as well as other sources were searched by two independent reviewers. Controlled studies comparing ICT versus ECT in paediatric patients with obstructive sleep apnea (OSA) or recurrent tonsillitis were included. Overall postoperative pain was the primary outcome. Secondary outcomes were postoperative hemorrhage, diet and activity, duration of operation and tonsillar regrowth. In case of homogenous, processable data ( I 2 < 60%), a meta-analysis was performed. Results Six studies met the inclusion criteria. The analysis showed significant difference between the two methods in terms of late postoperative pain with the ICT being less painful (SMD − 0.78, 95% CI [− 1.03, − 0.53]). However, there was no significant difference in early postoperative pain (≤ 48 h) between the two techniques (SMD − 0.18, 95% CI [− 0.47, 0.12]). All the rest of the secondary outcomes are presented in a qualitative synthesis due to published data limitations of the included studies. Conclusion Intracapsular coblation tonsillectomy appears to be a less painful operation in comparison to extracapsular coblation tonsillectomy. This seems to occur due to prevention of late pain flare up that normally happens several days after the procedure (described as postoperative dip) and not due to reduced pain at the immediate postoperative period. However, as all studies published are small sized, high-quality, large-sample studies need to be performed in the future for more concrete conclusions.
Abu-Own, Abdusalam AbuRahma, Ali Amin, Ali Babrowski, Trissa Bandyk, Dennis Bell, Peter Bismuth, ... more Abu-Own, Abdusalam AbuRahma, Ali Amin, Ali Babrowski, Trissa Bandyk, Dennis Bell, Peter Bismuth, Jean Bornak, Arash Brewster, Luke Brunkwall, Jan Buyukbayrak, Fuat Caglar, Nail Carpenter, Jeffrey Casey, Patrick Çevirme, Deniz Chen, Lan Chuter, Timothy Comerota, Anthony Dai, Xiaohua Dalsing, Michael Dardik, Alan Darling III, R. Clement Davies, Mark de Vries, Jean-Paul Deaton, David DePalma, Ralph Dietzek, Alan Dong, Zhihui Durukan, Baris Eidt, John Emrecan, Bilgin Faries, Peter Fatima, Javariah Forbes, Thomas Fowl, Richard Garfield, Bailey Giglia, Joseph Guo, Zhenni Hershberger, Richard Hingorani, Anil Hussain, Syed Hynes, Niamh Illig, Karl Indes, Jeffrey Jackson, Benjamin Jin, Zaishun Jordan, William Kabnick, Lowell Kaisar, Jeremy Kalman, Peter Karkos, Christos Kasirajan, Karthikeshwar Kfoury, Elias Koffron, Victor Kölbel, Tilo Kolvenbach, Ralf Komori, Kimihiro Korantzopoulos, Panagiotis Kumar, Amit Lee, Cheong Liapis, Christos Lin, Peter Ma, Wang Makaroun, Michel Malinowski, Mike Manduz, Sinasi Moll, Frans Monahan, Thomas Moneta, Gregory Mousa, Albeir Mussa, Firas Naylor, A. Ross Nazzal, Munier Noble, Mark Novotny, Jan Okura, T Ouriel, Kenneth Özişik, Kanat Parodi, Frederico Parodi, Juan Passman, Marc Piazza, Michele Ren, Jun Ricotta, John Safi, Hazim Said, Harun Sarac, Timur Scher, Larry Schneider, Peter Schurink, Geert Willem Schuurmann, Richte Skelly, Christopher Smolock, Christopher Sumpio, Bauer Torsello, Giovanni Tripathi, Ramesh Valentine, R. James van der Vliet, J. Adam van Sambeek, Marc Veith, Frank Wain, Reese Wakefield, Thomas Wilmanns, Christoph Wilson, Samuel Wisselink, Willem Xia, Jiahong Yang, Xiao-Kun Vascular 2016, Vol. 24(4) 446 ! The Author(s) 2016 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1708538116655268 vas.sagepub.com
To systematically review and compare the surgical outcomes of orbital decompression for dysthyroi... more To systematically review and compare the surgical outcomes of orbital decompression for dysthyroid orbitopathy. Data sources used were PubMed, EMBASE, and Cochrane search for English-language literature from January 1990 to April 2008, combined with manual review of citations within article bibliographies. Citations acquired from the targeted search were filtered independently by two researchers. Relevant articles were reviewed to obtain information including interventions and outcome measures. Articles were then assigned level-of-evidence grades as defined by the Oxford Centre for Evidence-Based Medicine. A total of 516 citations were generated from which 135 abstracts were regarded as potentially relevant. After other relevant articles identified from the bibliography and duplicate articles excluded, 56 studies were available for analysis. Fifty studies were identified as level 4 and six as level 3 evidence. A total of 2,315 patients were pooled, from which 4,176 orbits were decom...
Objectives To assess etiology, treatment, and outcome of Grisel's syndrome. Methods A Medline... more Objectives To assess etiology, treatment, and outcome of Grisel's syndrome. Methods A Medline search was performed using the terms…
In a prospective observational study, the sensitivity and specificity of an epiphora score, in pr... more In a prospective observational study, the sensitivity and specificity of an epiphora score, in predicting a patent sac washout following dacryocystorhinostomy are determined. Patients were examined in a joint otolaryngology/ophthalmology clinic for lacrimal syringing and nasal endoscopy. They completed a 0-10 visual analogue score to grade post operative symptoms. We conclude that due to the high specificity and low sensitivity of the score it is not a good predictor of patency following surgery and therefore no substitute for examining the patient.
Objective:We present a case of a patient who had undergone embolisation and resection of a left g... more Objective:We present a case of a patient who had undergone embolisation and resection of a left glomus jugulare tumour, who presented three weeks post-operatively with magnetic resonance venography confirmed symptomatic cerebral venous sinus thrombosis.Method:We present a case report and a review of the world literature concerning glomus jugulare tumours and cerebral venous sinus thrombosis.Case report:A 42-year-old man presented with blurred vision and reduced Snellen visual acuity just three weeks after glomus jugulare tumour surgery. Fundoscopy revealed bilateral haemorrhagic optic disc oedema. Urgent magnetic resonance venography confirmed a left lateral venous sinus thrombosis. It was felt that this was responsible for inadequate cerebrospinal fluid drainage, resulting in raised intracranial pressure and papilloedema.Conclusion:To the authors' knowledge, this is the first account of a magnetic resonance venography confirmed venous sinus thrombosis and secondary papilloedema...
Objective:We present a case of a patient who had undergone embolisation and resection of a left g... more Objective:We present a case of a patient who had undergone embolisation and resection of a left glomus jugulare tumour, who presented three weeks post-operatively with magnetic resonance venography confirmed symptomatic cerebral venous sinus thrombosis.Method:We present a case report and a review of the world literature concerning glomus jugulare tumours and cerebral venous sinus thrombosis.Case report:A 42-year-old man presented with blurred vision and reduced Snellen visual acuity just three weeks after glomus jugulare tumour surgery. Fundoscopy revealed bilateral haemorrhagic optic disc oedema. Urgent magnetic resonance venography confirmed a left lateral venous sinus thrombosis. It was felt that this was responsible for inadequate cerebrospinal fluid drainage, resulting in raised intracranial pressure and papilloedema.Conclusion:To the authors' knowledge, this is the first account of a magnetic resonance venography confirmed venous sinus thrombosis and secondary papilloedema...
We present a novel method of aspirating a peritonsillar abscess in a patient with severe trismus.... more We present a novel method of aspirating a peritonsillar abscess in a patient with severe trismus. In our experience, this method is efficient, allows good access to the peritonsillar area and facilitates rapid resolution of the trismus before definitive drainage can be performed.
Indian Journal of Otolaryngology and Head & Neck Surgery
Biphenotypic sinonasal sarcoma (BSNS) is a rare malignant tumour of the upper nasal cavity and et... more Biphenotypic sinonasal sarcoma (BSNS) is a rare malignant tumour of the upper nasal cavity and ethmoid sinuses that presents predominantly in middle aged female patients and show a characteristic infiltrative and hypercellular proliferation of spindle cells that demonstrate a specific immunoreactivity. We present three cases with BSNS that had different presenting complaints, either sinonasal or orbital problems, underwent endoscopic surgical treatment and/or radiotherapy and have been disease free on long follow up. A systematic review of all published cases was performed to identify all BSNS cases known at present. BSNS requires prompt and correct diagnosis with accurate surgical resection as well as consideration of radiotherapy. Our three cases confirm the findings of the literature and support that BSNS is an aggressive but treatable malignant disease of the sinonasal tract.
Ulcerative necrotic supraglottitis is a rare entity of laryngeal infection leading rapidly in lar... more Ulcerative necrotic supraglottitis is a rare entity of laryngeal infection leading rapidly in laryngeal necrosis, systematic complications and potentially fatal outcomes. We present a case of a 50-year-old gentleman with ulcerative necrotising supraglottitis and no co-morbidities who presented in Ear Nose and Throat Service in the Accident and Emergency department due to dysphagia and weakness. He was treated with an emergency tracheostomy with neck exploration and washout and received appropriate supporting antibiotic regime. He improved and was eventually decannulated, able to breathe phonate and swallow appropriately. After a thorough review of the literature regarding necrotising infections of the laryngeal cavity, only 7 cases have been reported, all in immunocompromised patients with severe complications. Our case report is the first ulcerative necrotic supraglottitis in a healthy individual who was treated early and aggressively with impressive results.
To systematically review and compare the surgical outcomes of orbital decompression for dysthyroi... more To systematically review and compare the surgical outcomes of orbital decompression for dysthyroid orbitopathy. Data sources used were PubMed, EMBASE, and Cochrane search for English-language literature from January 1990 to April 2008, combined with manual review of citations within article bibliographies. Citations acquired from the targeted search were filtered independently by two researchers. Relevant articles were reviewed to obtain information including interventions and outcome measures. Articles were then assigned level-of-evidence grades as defined by the Oxford Centre for Evidence-Based Medicine. A total of 516 citations were generated from which 135 abstracts were regarded as potentially relevant. After other relevant articles identified from the bibliography and duplicate articles excluded, 56 studies were available for analysis. Fifty studies were identified as level 4 and six as level 3 evidence. A total of 2,315 patients were pooled, from which 4,176 orbits were decom...
Objectives To assess etiology, treatment, and outcome of Grisel's syndrome. Methods A Medline... more Objectives To assess etiology, treatment, and outcome of Grisel's syndrome. Methods A Medline search was performed using the terms…
In a prospective observational study, the sensitivity and specificity of an epiphora score, in pr... more In a prospective observational study, the sensitivity and specificity of an epiphora score, in predicting a patent sac washout following dacryocystorhinostomy are determined. Patients were examined in a joint otolaryngology/ophthalmology clinic for lacrimal syringing and nasal endoscopy. They completed a 0-10 visual analogue score to grade post operative symptoms. We conclude that due to the high specificity and low sensitivity of the score it is not a good predictor of patency following surgery and therefore no substitute for examining the patient.
Purpose To assess all available data regarding the comparative benefit of intracapsular coblation... more Purpose To assess all available data regarding the comparative benefit of intracapsular coblation tonsillectomy (ICT) versus extracapsular coblation tonsillectomy (ECT) in children. Methods MEDLINE, the Cochrane Library and Springerlink databases as well as other sources were searched by two independent reviewers. Controlled studies comparing ICT versus ECT in paediatric patients with obstructive sleep apnea (OSA) or recurrent tonsillitis were included. Overall postoperative pain was the primary outcome. Secondary outcomes were postoperative hemorrhage, diet and activity, duration of operation and tonsillar regrowth. In case of homogenous, processable data ( I 2 < 60%), a meta-analysis was performed. Results Six studies met the inclusion criteria. The analysis showed significant difference between the two methods in terms of late postoperative pain with the ICT being less painful (SMD − 0.78, 95% CI [− 1.03, − 0.53]). However, there was no significant difference in early postoperative pain (≤ 48 h) between the two techniques (SMD − 0.18, 95% CI [− 0.47, 0.12]). All the rest of the secondary outcomes are presented in a qualitative synthesis due to published data limitations of the included studies. Conclusion Intracapsular coblation tonsillectomy appears to be a less painful operation in comparison to extracapsular coblation tonsillectomy. This seems to occur due to prevention of late pain flare up that normally happens several days after the procedure (described as postoperative dip) and not due to reduced pain at the immediate postoperative period. However, as all studies published are small sized, high-quality, large-sample studies need to be performed in the future for more concrete conclusions.
Abu-Own, Abdusalam AbuRahma, Ali Amin, Ali Babrowski, Trissa Bandyk, Dennis Bell, Peter Bismuth, ... more Abu-Own, Abdusalam AbuRahma, Ali Amin, Ali Babrowski, Trissa Bandyk, Dennis Bell, Peter Bismuth, Jean Bornak, Arash Brewster, Luke Brunkwall, Jan Buyukbayrak, Fuat Caglar, Nail Carpenter, Jeffrey Casey, Patrick Çevirme, Deniz Chen, Lan Chuter, Timothy Comerota, Anthony Dai, Xiaohua Dalsing, Michael Dardik, Alan Darling III, R. Clement Davies, Mark de Vries, Jean-Paul Deaton, David DePalma, Ralph Dietzek, Alan Dong, Zhihui Durukan, Baris Eidt, John Emrecan, Bilgin Faries, Peter Fatima, Javariah Forbes, Thomas Fowl, Richard Garfield, Bailey Giglia, Joseph Guo, Zhenni Hershberger, Richard Hingorani, Anil Hussain, Syed Hynes, Niamh Illig, Karl Indes, Jeffrey Jackson, Benjamin Jin, Zaishun Jordan, William Kabnick, Lowell Kaisar, Jeremy Kalman, Peter Karkos, Christos Kasirajan, Karthikeshwar Kfoury, Elias Koffron, Victor Kölbel, Tilo Kolvenbach, Ralf Komori, Kimihiro Korantzopoulos, Panagiotis Kumar, Amit Lee, Cheong Liapis, Christos Lin, Peter Ma, Wang Makaroun, Michel Malinowski, Mike Manduz, Sinasi Moll, Frans Monahan, Thomas Moneta, Gregory Mousa, Albeir Mussa, Firas Naylor, A. Ross Nazzal, Munier Noble, Mark Novotny, Jan Okura, T Ouriel, Kenneth Özişik, Kanat Parodi, Frederico Parodi, Juan Passman, Marc Piazza, Michele Ren, Jun Ricotta, John Safi, Hazim Said, Harun Sarac, Timur Scher, Larry Schneider, Peter Schurink, Geert Willem Schuurmann, Richte Skelly, Christopher Smolock, Christopher Sumpio, Bauer Torsello, Giovanni Tripathi, Ramesh Valentine, R. James van der Vliet, J. Adam van Sambeek, Marc Veith, Frank Wain, Reese Wakefield, Thomas Wilmanns, Christoph Wilson, Samuel Wisselink, Willem Xia, Jiahong Yang, Xiao-Kun Vascular 2016, Vol. 24(4) 446 ! The Author(s) 2016 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1708538116655268 vas.sagepub.com
To systematically review and compare the surgical outcomes of orbital decompression for dysthyroi... more To systematically review and compare the surgical outcomes of orbital decompression for dysthyroid orbitopathy. Data sources used were PubMed, EMBASE, and Cochrane search for English-language literature from January 1990 to April 2008, combined with manual review of citations within article bibliographies. Citations acquired from the targeted search were filtered independently by two researchers. Relevant articles were reviewed to obtain information including interventions and outcome measures. Articles were then assigned level-of-evidence grades as defined by the Oxford Centre for Evidence-Based Medicine. A total of 516 citations were generated from which 135 abstracts were regarded as potentially relevant. After other relevant articles identified from the bibliography and duplicate articles excluded, 56 studies were available for analysis. Fifty studies were identified as level 4 and six as level 3 evidence. A total of 2,315 patients were pooled, from which 4,176 orbits were decom...
Objectives To assess etiology, treatment, and outcome of Grisel's syndrome. Methods A Medline... more Objectives To assess etiology, treatment, and outcome of Grisel's syndrome. Methods A Medline search was performed using the terms…
In a prospective observational study, the sensitivity and specificity of an epiphora score, in pr... more In a prospective observational study, the sensitivity and specificity of an epiphora score, in predicting a patent sac washout following dacryocystorhinostomy are determined. Patients were examined in a joint otolaryngology/ophthalmology clinic for lacrimal syringing and nasal endoscopy. They completed a 0-10 visual analogue score to grade post operative symptoms. We conclude that due to the high specificity and low sensitivity of the score it is not a good predictor of patency following surgery and therefore no substitute for examining the patient.
Objective:We present a case of a patient who had undergone embolisation and resection of a left g... more Objective:We present a case of a patient who had undergone embolisation and resection of a left glomus jugulare tumour, who presented three weeks post-operatively with magnetic resonance venography confirmed symptomatic cerebral venous sinus thrombosis.Method:We present a case report and a review of the world literature concerning glomus jugulare tumours and cerebral venous sinus thrombosis.Case report:A 42-year-old man presented with blurred vision and reduced Snellen visual acuity just three weeks after glomus jugulare tumour surgery. Fundoscopy revealed bilateral haemorrhagic optic disc oedema. Urgent magnetic resonance venography confirmed a left lateral venous sinus thrombosis. It was felt that this was responsible for inadequate cerebrospinal fluid drainage, resulting in raised intracranial pressure and papilloedema.Conclusion:To the authors' knowledge, this is the first account of a magnetic resonance venography confirmed venous sinus thrombosis and secondary papilloedema...
Objective:We present a case of a patient who had undergone embolisation and resection of a left g... more Objective:We present a case of a patient who had undergone embolisation and resection of a left glomus jugulare tumour, who presented three weeks post-operatively with magnetic resonance venography confirmed symptomatic cerebral venous sinus thrombosis.Method:We present a case report and a review of the world literature concerning glomus jugulare tumours and cerebral venous sinus thrombosis.Case report:A 42-year-old man presented with blurred vision and reduced Snellen visual acuity just three weeks after glomus jugulare tumour surgery. Fundoscopy revealed bilateral haemorrhagic optic disc oedema. Urgent magnetic resonance venography confirmed a left lateral venous sinus thrombosis. It was felt that this was responsible for inadequate cerebrospinal fluid drainage, resulting in raised intracranial pressure and papilloedema.Conclusion:To the authors' knowledge, this is the first account of a magnetic resonance venography confirmed venous sinus thrombosis and secondary papilloedema...
We present a novel method of aspirating a peritonsillar abscess in a patient with severe trismus.... more We present a novel method of aspirating a peritonsillar abscess in a patient with severe trismus. In our experience, this method is efficient, allows good access to the peritonsillar area and facilitates rapid resolution of the trismus before definitive drainage can be performed.
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