Total thyroidectomy: safe and adequate treatment for papillary microcarcinoma of the thyroid gland.
CONCLUSION: Incidental PTMC is more often detected in patients that undergo surgery for multinodular goitre and Hashimoto's thyroiditis. Total thyroidectomy constitutes a safe and adequate surgical approach in patients with PTMC.
PMID: 29553616 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Laser-assisted tympanomastoidectomy for active mucosal chronic otitis media.
CONCLUSIONS: We present disease control rates favourable to other published series of active mucosal COM, supporting the use of the laser as an efficacious adjunct to tympanomastoid surgery in this context. This initial report should foster further appraisal of this approach in larger prospective studies.
PMID: 29553617 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Subannular T-tubes for the treatment of adhesive otitis: how we do it.
CONCLUSIONS: The proposed addition of a Silastic disk seems to avoid a new adhesion of the tympanic membrane to the promontory and, therefore, prevents treatment failures. A longer follow-up and a larger case series are needed to prove the efficacy of this surgical variation. Finally, the positioning of SATs can be considered as a valid and safe procedure for the treatment of adhesive otitis.
PMID: 29553618 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
The injectable filler in rhinoplasty: not a complication-free alternative.
CONCLUSIONS: Foreign body reactions are especially prevalent against permanent fillers, particularly silicone, and ideally these should be abandoned. Given that granulomas can also be provoked by temporary and semi-permanent fillers, we would advise restraint in their use, with appropriate vigilance to ensure the early recognition of complications. The increasing popularity of filler rhinoplasty will likely provoke a higher incidence of complications in the future. Intralesional steroid injections can be attempted as a treatment, although surgical resection of these "granulomas" may ultimately be required.
PMID: 29...
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Anterior Inferior cerebellar artery infarction misdiagnosed as inner ear disease.
Conclusions: We differentiated AICA from inner ear disease based on the variability in degree and frequency ange of hearing loss, the duration of vertigo, and the manifestation of nystagmus. Because cases of AICA infarction and nner ear disease may present with si'milar symptoms, a detailed examination including clinical course assessments, aboratory findings, and neurological imaging is essential for appropriate diagnosis and treatment.
PMID: 29553620 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Nasoseptal cyst after septorhinoplasty: late and unusual but preventable compliation.
Authors: Eloy P, Heylen G, de Dorlodot CI
Abstract
Nasoseptal cyst after septorhinoplasty: late and unusual but preventable complication.
INTRODUCTION: Formation if a slowly growing cyst following septorhinoplasty is a rare but serious complication. Mucous cyst is more common than foreign body inclusion cyst. Typically, these cysts present as a solitary lesion that develops in the subcutaneous pace over the nasal bone along the line of nasal osteotomy several months or years after initial surgery. Rarely, the cyst onnects with the nasal septum. Surgery is the treatment of choice and consists of eit...
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Epithelioid hemangioendothelioma of the nasal septum.
CONCLUSIONS: No recurrence was observed over 36 months of follow-up. Here we discussed this uncommon case along with a literature review.
PMID: 29553622 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Middle turbinate primary mucocele in a child masquerading as a nasal tumour.
CONCLUSION: Clinicians must be aware of less common aetiologies of nasal obstruction in order to orientate the diagnostic work-up and to propose adequate management.
PMID: 29553623 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Introduction to the annual report 2016: a joint venture in the field of Acute ENT.
Authors: Watelet JB, De Brouwer J, Van der Veken P, Idrissil HS
PMID: 29461729 [PubMed] (Source: B-ENT)
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Face and neck: airway and sensorial capacities.
Authors: Kastoer C, Leach R, Vanderveken O
Abstract
Face and neck: airway and sensorial capacities. For the assessment and the management of face and neck trauma knowledge of the neuro-anatomy and physiology of the ear, nose, throat (ENT) and head and neck (HN) region and structures is essential, as this area is particularly vulnerable to injury. Indeed, the complex anatomy and physiology in this specific area supports important basic functions. In addition, this review elaborates on upper airway and sensorial capacities. Upper airway dimensions are influenced by bony and soft tissues. Age is of fundamenta...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Emergency care in Belgium.
Authors: Hachimi-Idrissi S
Abstract
Emergency care in Belgium. Problems and objectives: Europe encompasses not only fifty or more different languages and cultures, but also a similar number of different systems of healthcare and medical practice. Each country has different medical traditions, different systems of professional registration and differing lists of medical specialties.
METHODOLOGY: Literature, Report of The European Observatory on Health Systems, as well as World Health Organization health statistics analysis Results and conclusions: In this chapter, the Belgian healthcare system will ...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
First-line attitudes in acute medicine.
Authors: Hachimi-Idrissi S, Watelet JB
Abstract
First-line attitudes in acute medicine. The often complex problems of the trauma and/or severely ill patient present many challenges to front-line emergency staff. Multiple injuries and/or systems of the body involved require careful and timely prioritization and intervention. Optimum evaluation and resuscitation involves repetitive, systematic ipproaches that are known as the "primary", "secondary" and "tertiary" surveys. The primary survey focuses in general on the ABCDE approach of "Airway, Breathing, Circulation, Disability, Expoure", and is designed to r...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Pre-hospital interventions: introduction to life support systems.
Authors: de Schoutheete JC, Hachimi Idrissi S, Watelet JB
Abstract
Pre-hospital interventions: introduction to life support systems. Crucial decisions in pre-hospital emergency care are often made; therefore, a tactical emergency medical support team (TEMS) should maintain the capacity to capture the situation instantaneously and in all circumstances. However, low exposure to severe trauma cases can be a weakness for emergency specialists, which makes pre-hospital assessment more difficult. Pre-hospital interventions (PHI) are usually classified in Western countries into BLS (basic life support) and ALS (a...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Protection of respiratory integrity and haemodynamic stabilization.
CONCLUSIONS: Appropriate and collaborative management is necessary with the "ABCDE" approach: Airway and im- mobilization of the neck; Breathing; Circulation; Disability and Exposure. A fibre-optic examination is the gold standard of airway diagnosis. Laryngeal intubation is the most effective treatment for protection of the respiratory integrity. The management of circulation includes the implementation of a venous route to initiate administration of IVFs, preferably with isotonic saline. Vasopressors and inotropes are used as second line agents. A multidisciplinary and team approach is preferred, in order to achieve diag...
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Facing coagulation disorders after acute trauma.
CONCLUSIONS: TIC appears quickly after trauma and should be anticipated and detected as soon as possible. TXA plays a central role in the management of such patients. Each institution should establish a local algorithm for the management of bleeding patients.
PMID: 29461735 [PubMed] (Source: B-ENT)
Source: B-ENT - February 23, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
