Text Box: Highlight: Before Surgery for Cholesteatoma 97% routinely performed PTA, against 45% for Speech audiometry and 34% for tubal function assessment 93% perform routine CT, against 58% who performed CT only for complicated cholesteatoma, 52% in only hearing ear, and 48% for revision cases only Before Stapedectomy Commonest diagnostics are PTA (99%) and Speech audiometry (71%) Only 48% perform routine CT scan. Before simple tympanoplasty Commonest diagnostics performed are PTA (91%), Speech Audiometry (46%), Tubal Function testing (36%) Only 36% perform routine CT scan 48 - 56% give antibiotics for infected ears only (48% preop, 56% periop, 55% postop) Only 26 - 29% of otologists in the survey use facial nerve monitoring for non-malformation ear surgery with mastoidectomy 77% prefer fascia graft for simple tympanoplasty, against 60% for cholesteatoma, while 65% prefer cartilage graft for cholesteatoma, against 45% for simple tympanoplasty.  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Text Box: Aug  13 2007

Text Box: Otorhinolaryngology News

Text Box: Inside This Issue · LigControversies in Otology - EU Survey..? · IMTM Perf & Topical Insulin...? · TinHigh BP & IHD...? *     Case of the Week

Case Review Clinical Scanograph of The Week
A 30 year old female presented with 1 year history of tinnitus and 2 days history of left jaw swelling and right neck swelling. She experienced slight fever just before onset of swellings. Examination revealed tender diffuse left parotid swelling, and right tender, enlarged submandibular salivary gland. She had no antecedent oral, dental or throat symptoms. Her hearing was OK. US Scan of salivary glands revealed the feature displayed here >>>>

 

What is the Diagnosis ?

 
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1.    16th Annual general meeting and scientific conference of otorhinolaryngological society of Nigeria (ORLSON), November 21 - 24, 2007. See Here For details.

2. . Further Conference Announcement? Click Reed our Feed or Check the Conference Announcement Page

 

 

 

 
 

Text Box: TM Perforation & Topical Insulin...?

The recent paper from Mexico ( Esparza CM et al, Clin. Otolaryngol. 2007, 32, 173–178) examined the relationship between cochlear dysfunction and systemic arterial hypertension and concluded that patients with systemic arterial hypertension may have cochlear dysfunction associated with the vascular disease caused by hypertension, which could be silent and without clear evidence of vestibular dysfunction.


Abstract:

Objective: To assess the association between inner ear dysfunction and retinal vascular changes related to systemic arterial hypertension. Design: A comparative, cross-sectional and observational study. Setting: Primary care. Main outcomes measures: Hearing and vestibular symptoms evaluated by a standardized questionnaire; cochlear function evaluated by audiometry and distortion product otoacoustic emissions; vestibular function evaluated by oculomotor and bithermal caloric tests and vascular retinal compromise evaluated by ophthalmoscopy (according to the modified Scheie classification). Results: Forty-two subjects participated in the study, 21 with and 21 without arterial hypertension, age and sex matched; with no history of diabetes mellitus and with normal glucose levels and normal blood lipids. Although patients with hypertension reported vertigo more frequently than control subjects, conventional oculomotor and bithermal caloric tests showed no difference between the two groups. Patients with hypertension showed deterioration of hearing thresholds at 8 kHz and, compared with normotensive subjects, a higher frequency of abnormal otoacoustic emissions (P ¼ 0.01). According to Scheie classification, 43% (95% CI: 33–53%) of the patients showed second degree retinal vascular compromise and 24% (95% CI: 15–33%) of them showed first degree compromise. The degree of the vascular retinal compromise was significantly correlated with the hearing thresholds at 8 kHz (Spearman’s correlation coefficient 0.45, P ¼ 0.002) and it was also consistent with the absence of otoacoustic emissions at frequencies between 4 and 8 kHz. Conclusion: The results of this preliminary study suggest that patients with systemic arterial hypertension may have cochlear dysfunction associated with the vascular disease because of hypertension, which could be silent and without clear evidence of vestibular dysfunction.

     Journal Watch : Changes of Oral Trigeminal Sensitivity in Patients After Middle Ear Surgery, Just, Steinner, Strenger & Pau, 2007

 1.   The otolaryngologyinafrica.net resident's page has been re-designed. The current forum page is now separated from the archive page. FEEL FREE  to view the new design and recommend to your residents

 2.  From  http://www.otolaryngologyinafrica.net/grandround/  is a new addition - a recent conference poster presentation. This presentation is available at http://www.otolaryngologyinafrica.net/grandround/archive.htm .

 3.   DODA has been redesigned. Take time to view the new look of this program at the DODA Images Page... You may also download DODA Video, mobile devices edition, which can be installed on your cell phone (Note:  a multimedia cell phone is required).

 4.  Otolaryngologyinafrica.net is experimenting with use of SMS notification of newsletter release. Feel free to air your view on this issue by emailing orl-mailer@otolaryngologyinafrica.net .

 Till Next Week, Welcome to 2007!

 Biodun

 
 

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