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Basal Cell Adenocarcinoma (BCAC) is a rare subtype of carcinoma of salivary glands. It accounts for 1.6% of all salivary gland neoplasms and 2.9% of malignant salivary gland neoplasms. BCAC is especially rare in parotid glands. The biological behavior of BCAC is invasive and destructive, with perineural and vascular invasion. Th.. Read More
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The Silent Sinus Syndrome (SSS) is a rare phenomenon originally described in 1964 by Montgomery, which often occurs unilaterally in the maxillary sinus with opacification and collapse. It is characterized by ipsilateral enophthalmos and hypoglobus or mistakenly as an exophthalmos of the contralateral eye. The pathophysiology is .. Read More
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Dymista© Nasal Spray with Multifocal Analysis of its Impact on the Rhinitis Disease Experience
Background: Rhinitis is a prevalent condition both in primary care and in specialist centres. It has been shown to significantly impact on quality of life. Treatment is often best managed on combined therapies. Dymista© nasal spray is filling a niche for an ‘all in one’ treatment of allergic rhinitis. Method: Th.. Read More
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Background: Hearing Loss (HL), which affects disproportionally children in low income countries, is increasing worldwide. HL could be associated with a range of speech, language and cognitive problems in children. In Albania the information about this condition is largely outdated. In this context, the aim of this paper was to a.. Read More
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Objective: To investigate the applicability of 3DMIA1 software to upper airway modeling in children with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods: A total of 30 children diagnosed with OSAHS by polysomnography were included in this study. Data regarding upper airway structure were collected via spiral CT whil.. Read More
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Onodi Cell Mucocele: Case Report
Onodi cells represent a type of posterior ethmoid cells in the sphenoid sinus; here, Pneumatisation occurs as a result of posterolateral. In the case reported, a 37-year-old Male patient was referred to our clinic with complaints of approximately 4-5 years of Headaches, nasal congestion and snoring. Paranasal sinus computed tomo.. Read More
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Surgical Management of Head and Neck Merkel Cell Carcinoma, are we doing Enough?
A case series and critical review of the current understanding and guidelines in management of Merkel cell carcinoma are presented. Merkel Cell Carcinoma of the head and neck is highly aggressive and has less predictable lymphatic drainage that that of the trunk and limbs. Variable surgical management strategies exist for the no.. Read More
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Foreign body ingestion is a common problem encountered in clinical practice. One of the rare complications of a swallowed foreign body is its migration from the site of entry into the subcutaneous tissues of neck. We report the case of a 57-year old woman who was admitted to our otolaryngology outpatient clinic with a cervical n.. Read More
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Believing that the attack of Ménière's Disease (MD) resulted from overpressure of the endolymphatic fluid, Georges Portmann introduced a surgery on the endolymphatic sac for the control of vertigo through releasing the endolymphatic hydrops in 1927. Since then, different types of ES surgery have been sued to treat .. Read More
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Perineural Invasion of Skin Cancers in the Head and Neck: An Uncommon Phenomenon Revisited
Objective: The purpose of this article is to describe the epidemiology, imaging findings, pathogenesis, and clinical impact of perineural invasion of skin cancers in the head and neck. Conclusion: Perineural invasion in head and neck skin cancer can be microscopic disease discovered on pathology or gross perineural spread that .. Read More
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Heterotopic Epiglottic Lymphoid Tissue (HELT) Causing Recurrent Epiglottitis
Problem: A unique case of recurrent infectious epiglottitis in an immunocompetent, fully immunized, non-syndromic 23 year old female. Method: Case report Results: Patient was successfully managed with an endoscopic partial epiglottectomy at two years of follow-up. Pathology revealed what appears to be sub-mucosal germinally-ac.. Read More
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LemierreâÃâ¬Ãâ¢s Syndrome in an Adult: A Case Review
Lemierre’s syndrome (postanginal septicaemia/human necrobacillosis) was first defined and described in 1936 by Lemierre, a French Physician and Professor in Microbiology, although the first case report of human necrobacillosis was published in 1900 by Courmont and Cade [1,2]. Lemierre’s syndrome has come to be known .. Read More
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Background and study aims: To assess the usability of high resolution fiberscope which has equivalent image quality to that of the esophageal and gastric video endoscopes Patients and methods: Image resolution of this endoscope was estimated by the United States Air Force (USAF) resolution test chart. Clinical application was.. Read More
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Supraglottic Obstruction in an Adult with Inspiratory Arytenoid Cartilage Prolapse
Laryngomalacia (LM) has become the default diagnostic term for any patient who might struggle with stridor and dyspnea secondary to floppy, insufficient, hypotonic, or passively collapsing supraglottal tissue characteristics. Despite the increasing incidence of this diagnosis, the etiology, work-up, and pathophysiology of LM rem.. Read More
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Synchronous HPV-Positive Squamous Cell Carcinoma of the Bilateral Base of the Tongue
Although there have been several reports of synchronous Human Papillomavirus (HPV)-associated tonsillar carcinoma, no reports have shown synchronous HPV-associated Base of The Tongue (BOT) carcinoma. Here we discuss a case of synchronous HPV-associated BOT carcinoma and review the literature concerning HPV-associated second prim.. Read More
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Tensor Tympani Muscle: A (Voluntary) Impedence Modulator In Mammals?
At the present time, the function of the Tensor Tympani Muscle (TTM) remains unknown. It seems to share many movements in common with the Tensor Veli Palatini (TVP) muscle, so one of the main hypotheses accredited in the literature interprets the TTM as a muscle that, together with the TVP, produces internal deflection of the ty.. Read More
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Guide Wire Augmented Nasofrontal Sinusotomy (GWANS)
Endoscopic frontal sinus surgery remains as a very challenging technique with potential for serious morbidity and even mortality. The close proximity of orbital contents, the cribriform plate and the anterior skull base pose serious challenges in performing this operation safely. The frontal recess anatomy is even more treachero.. Read More
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Utilizing Dehydrated Human Amnion/Chorion Membrane Allograft in Transcanal Tympanoplasty
Objective: To evaluate the utility and effectiveness of dehydrated Human Amnion/Chorion Membrane (dHACM) in transcanal tympanoplasty. Patients: A retrospective analysis of 14 patients (8 adults and 4 children) with stable tympanic membrane perforations for greater than 6 months. Intervention: Transcanal tympanoplasty performed.. Read More
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Technique of Harmonic Focus In Tracheostomy
Objectives: The purpose of the present study was to show the technique of the Harmonic FOCUS® Cured Shears (HF) in tracheostomy in the shortest possible period of time. Methods: Patients were 10 individuals who had undergone tracheostomy at Tokyo Medical University Hachioji Medical Center. HF was used in the all 10 patients.. Read More
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Advanced Bionics® Cochlear Implants in Patients with Prelingual Hearing Loss
Introduction: Cochlear Implants (CI) have become standard in the treatment of prelingual, postlingual and perilingual deafness in children. Bilateral implants are considered standard for bilaterally affected children. Studies also find that the CI provides better access to speech for most children, and this access results in imp.. Read More
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