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Large Concha Bullosa Is a Risk Factor for Chronic Sinusitis: A Case Control Study
Alexis Do Santos Zounon,
Ulrich Bidossessi Vodouhe,
Jean-Baptiste Agai,
Djibril Balde,
Sonia Adjanohoun,
Wassi Adjibabi,
Bernadette Vignikin-Yehouessi
Issue:
Volume 5, Issue 2, December 2019
Pages:
35-38
Received:
26 June 2019
Accepted:
17 July 2019
Published:
31 July 2019
Abstract: The study analyzed the correlation between the presence of concha bullosa with the presence of radiological sinus opacity and sinonasal functional symptoms. All patients whose computed tomography (CT) findings were positive for concha bullosa were included in the study. The CT parameters taken in consideration were the presence and volume of concha bullosa, the aspect of the ipsilateral maxillary sinus (normal transparency, presence of sinus opacity). Clinical parameters were sinonasal functional signs. Statistical comparisons were made using the Pearson Chi square test. Over a four years period, 2436 CTs were interpreted, 276 of which presenting a concha bullosa (prevalence of 11.33%). The average age was 33 (19 to 63). Females (204 either 74%) outnumbered men (72 either 26%). An opacification of the ipsilateral maxillary sinus seen upon CT was statistically related to the presence of a large concha bullosa (p = 0.02). On the other hand, the presence of a clinical symptomatology of maxillary sinusitis crossed with the presence of a large concha bullosa was not significant (p ˃ 0.50). This study has demonstrated a close correlation between the existence of a large concha-bullosa and an ipsilateral maxillary sinusitis seen on CT-Scan without necessarily having clinical manifestation of sinusitis. The diagnosis of sinusitis must remain primarily clinical.
Abstract: The study analyzed the correlation between the presence of concha bullosa with the presence of radiological sinus opacity and sinonasal functional symptoms. All patients whose computed tomography (CT) findings were positive for concha bullosa were included in the study. The CT parameters taken in consideration were the presence and volume of concha...
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Assess the Impact of Puberphonia in the Society
Kumaresan Muthiah,
Navin Bharath Kumaresan
Issue:
Volume 5, Issue 2, December 2019
Pages:
39-43
Received:
1 June 2019
Accepted:
18 October 2019
Published:
19 November 2019
Abstract: Puberphonia is a voice disorder which is distinguished by the habitual and continuous use of prepubertal high-pitched voice of a child even after puberty. It is not a rare disorder; it is followed by a synopsis of current approaches to treat puberphonia in males. The impact of voice disorder varies greatly from person to person, environment, occupation, family members and overall personality. These are all the variables that can affect the way voice disorder affect a particular person. In general, people with puberphonia tend to encounter problems that include emotional, psychological, social and professional difficulty. To assess the impact of puberphonia in levels of society, the study was carried out as a descriptive simple purposive sampling technique used and was able to treat 476 cases in our puberphonia clinic by using self-administered questionnaire. As investigators, we found out the impact of puberphonia. Puberphonia treatments are discussed in terms of pharyngeal resonance manipulation, fire breathing techniques and habituation. The study was analyzed for the social impact of puberphonia on marriage and job opportunity. The study was concluded that, other problems of puberphonia includes depression, loneliness, cowardice, low self-esteem and inferiority complex and thinking of suicide which would be the take home message from our long experience of 29 years in treating puberphonia. We discussed thoroughly further knowledge about puberphonia among the society and health professionals.
Abstract: Puberphonia is a voice disorder which is distinguished by the habitual and continuous use of prepubertal high-pitched voice of a child even after puberty. It is not a rare disorder; it is followed by a synopsis of current approaches to treat puberphonia in males. The impact of voice disorder varies greatly from person to person, environment, occupa...
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Clinical Presentation of Congenital Cholesteatoma of the External Auditory Canal in Goldenhar Syndrome: A Case Series
Sarah Elizabeth Hodge,
April Amber Peterson,
Brendan Powers O’Connell,
Amelia Fischer Drake
Issue:
Volume 5, Issue 2, December 2019
Pages:
44-47
Received:
27 September 2019
Accepted:
25 November 2019
Published:
6 December 2019
Abstract: Background: Goldenhar Syndrome, also called Oculoauricular Vertebral Dysplasia, includes abnormalities of the first and second branchial arches. Ear abnormalities are present in approximately 92% of those with Goldenhar Syndrome [1]. There is a wide spectrum for ear anomalies; they can range from preauricular tags and pits, microtia, external auditory canal (EAC) atresia, ossicular malformations, and facial nerve hypoplasia, which can lead to an array of clinical findings [5]. Hearing loss is an unfortunate consequence of these clinical findings, and often results in subsequent speech and language delays [4]. Despite the widely reported auricular and audiologic manifestations of this disease, a review of the literature revealed no detailed description or analysis of congenital canal cholesteatoma specifically in this patient population. Objective: This study aims to characterize congenital external auditory canal cholesteatoma as a feature of Goldenhar Syndrome. Method: A retrospective case series was conducted with patients seen at the UNC Craniofacial Center in Chapel Hill, NC. Inclusion criteria included patients with a diagnosis of Goldenhar Syndrome also found to have congenital cholesteatoma necessitating surgery. A total of three patients were identified who met inclusion criteria. Results: Three patients with Goldenhar Syndrome were identified who also had congenital external auditory canal cholesteatoma. All three patients underwent surgical management of their disease. Conclusion: Congenital external auditory canal cholesteatoma appears to be a feature of Goldenhar Syndrome not widely described in current literature. Though rare, it is a relevant disease process with significant clinical implications for both hearing as well as speech and language development. Awareness of this condition can thus help guide practitioners in the care of these patients.
Abstract: Background: Goldenhar Syndrome, also called Oculoauricular Vertebral Dysplasia, includes abnormalities of the first and second branchial arches. Ear abnormalities are present in approximately 92% of those with Goldenhar Syndrome [1]. There is a wide spectrum for ear anomalies; they can range from preauricular tags and pits, microtia, external audit...
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Prevalence of Noise-induced Hearing Loss in Cotton Ginning Factories in Parakou, North Benin
Hounkpatin Spéro Herménégilde Raoul,
Flatin Marius Claude,
Gounongbé Ahoya Christophe Fabien,
Aissi Monelle Benett Ablawa Vanessa,
Bouraima Fatiou Alabi,
Amegan Hamondji Nicolas,
Wassi Adjibabi
Issue:
Volume 5, Issue 2, December 2019
Pages:
48-52
Received:
17 November 2019
Accepted:
2 December 2019
Published:
10 December 2019
Abstract: This research work aimed to determine the prevalence of noise induced hearing loss by in an industrial area. It is was descriptive cross-sectional study which was carried out from March to May 2014 in three (03) cotton ginning factories located in the city of Parakou. It involved the workers exposed to noise, who had accepted to participate to the survey and in whom an audiometry was performed. One hundred and thirteen workers were selected, including 104 (92%) male and 9 female (8%). Their mean age was 39.3 +/-9.6 years with extremes of 18 and 54 years. During 8 hours a day, 38% of the respondents were exposed to noise levels lower than 80 dB (A), 31% to levels higher or equal to 90 dB (A) and 31% to levels between 80 and 90 dB (A). The average seniority of the workers surveyed was 7 cotton seasons with extremes of one and 31 seasons. No employee had benefitted from medical consultation or audiometry on recruitment or thereafter. And all the employees reported not using any personal protective equipment. The overall prevalence of noise induced hearing loss in the cotton ginning factories in Parakou in 2014 was estimated at 88.5% (100 out of 113 respondents). The average hearing loss (AHL) was 40.8 dB +/- 8.8 dB in the right ear and 28.9 dB +/- 11.8 dB in the left ear. Taking into account only the deafest ear, AHL was light in 44% of cases, moderate in 54% of cases and severe in 2% of cases. There was a statistically significant relationship between the degree of NIHL and seniority in the firm (p=0.012).
Abstract: This research work aimed to determine the prevalence of noise induced hearing loss by in an industrial area. It is was descriptive cross-sectional study which was carried out from March to May 2014 in three (03) cotton ginning factories located in the city of Parakou. It involved the workers exposed to noise, who had accepted to participate to the ...
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