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International Research Journal of Otolaryngology

International Research Journal of Otolaryngology, Recent Articles

POSTOPERATIVE BLEEDING AFTER MICRODEBRIDER-ASSISTED INTRACAPSULAR TONSILLECTOMY AND EXTRACAPSULAR TONSILLECTOMY. A RETROSPECTIVE COHORT STUDY

Research Article of International Research Journal of Otolaryngology POSTOPERATIVE BLEEDING AFTER MICRODEBRIDER-ASSISTED INTRACAPSULAR TONSILLECTOMY AND EXTRACAPSULAR TONSILLECTOMY. A RETROSPECTIVE COHORT STUDY Panagiotis Saravakos, Savvas Kourtidis, Serena Preyer Department of Otorhinolaryngology, Head and Neck Surgery, ViDia Christliche Kliniken Karlsruhe, Karlsruhe, Germany Introduction: Post-tonsillectomy bleeding is one of the most common complications of tonsillectomy. The rate varies with different methods. Objective: The purpose of the study was to compare the prevalence of postoperative bleeding after total, extracapsular tonsillectomy, and after subtotal, intracapsular, microscope- and microdebrider- assisted tonsillectomy. Methods: We retrospectively analyzed patients who underwent a tonsillectomy in a period of two years. We compared two surgical methods, extracapsular tonsillectomy and microscope- and microdebrider-assisted intracapsular tonsillectomy. Results: Five hundred seventy patients were included in the study. Postoperative hemorrhage occurred in 100 patients (17.5%). By the extracapsular tonsillectomy method, postoperative bleeding was noted in 82 patients (19.7%), while by the intracapsular technique in 18 (11.7%) patients. A return-to-theatre to achieve hemostasis was required in 38 patients (9.1%) and 3 patients (1.9%), respectively. Conclusion: Our study showed a statistically significant lower incidence of post-tonsillectomy bleeding and need to perform revision surgery under general anesthesia to control bleeding after intracapsular tonsillectomy. Keywords: Tonsillectomy; Hemorrhage; Bleeding; Microdebrider; Intracapsular; Extracapsular ...
International Research Journal of Otolaryngology, Recent Articles

CLINICAL, EPIDEMIOLOGICAL, AND ORAL CANCER TREATMENT: A LITERATURE REVIEW

Review Article of International Research Journal of Otolaryngology CLINICAL, EPIDEMIOLOGICAL, AND ORAL CANCER TREATMENT:  A LITERATURE REVIEW Flávio Augusto de Moraes Palma1*; Letícia Martim1; João Vitor Oliveira Amorim1; Felipe de Jesus Silva¹; Izabela Lima Góis¹; Flavia Pardo Salata Nahsan1. 1 Federal University of Sergipe, Department of Dentistry, Lagarto, Sergipe. Objective: to identify clinical, epidemiological aspects and treatment of the oral cancer. Methods: It is a literature review, through a qualitative research, carried out by searching scientific articles in Lilacs, Scielo, Medline databases and periodical portals such as VHL and PUBMED, It was used as an inclusion criterion, articles from the last 5 years, selected based on their link with the proposed theme. Results: Mouth cancer is defined as a multifactorial chronic disease, in which male individuals over 40 years old have been the most affected, with the tongue and the floor of the mouth being the most prevalent. The characteristics commonly found in affected patients are erythroplastic, leukoplastic and ulceration spots, being generally asymptomatic. In Brazil, in 2018, there were 4,923 deaths from cancer of the oral cavity of men and 1,372 deaths of women. The most well-known risk factors include smoking and excessive alcohol consumption, among other risk factors, there is unprotected exposure to the sun. If diagnosed early and treated properly, most cases of this type of cancer (80% of them) are curable. Treatment usually involves cancer surgery and / or radiation therapy. Final Considerations: it is a multifactorial disease that mostly affects men aged 40 and being the largest number in deaths. Its main risk factors include smoking and the excessive use of alcohol, and when it is diagnosed at the beginning, 80% of them can be cured. Keywords: Oral Neoplasms. Epidemiology. Combined Therapy ...
International Research Journal of Otolaryngology, Recent Articles

DERMOID CYST ENUCLEATION IN HEARING PAVILION

Review Article of International Research Journal of Otolaryngology DERMOID CYST ENUCLEATION IN HEARING PAVILION Camilla Siqueira de Aguiar1*, Evellyn Rayane Martins de Oliveira1, Lohana Maylane Aquino Correia de Lima1, Victor Leonardo Mello Varela Ayres de Melo1, Maria Luísa Alves Lins1, Ricardo Eugenio Varela Ayres de Melo1. 1UFPE Introduction The dermoid cyst is a rare cystic malformation, classified as benign cystic teratoma.  It is bordered by an epidermal-like epithelium, containing structures attached to its wall.  These cysts originate from midline retained epithelial remains during the closure of the mandibular branchial arches and the hyoid bone.  The prevalence in the head and neck region is low.  They affect more young adults without a predilection for sex.  Clinically, it presents as a swelling, of soft consistency upon palpation because it contains keratin remnants and sebaceous secretions inside.  The lesion is usually about 2 cm in diameter.  Surgical excision is the treatment of choice, with little risk of relapse.   Objective To report the clinical case of a 16-year-old male patient who underwent cystic lesion excision in the ear region with a diagnosis of dermoid cyst. Methodology The methodology of the study was the search for articles related to the subject, organization in a brief literature review and its comparison with the case report that was described. Results A 16-year-old male patient, melanoderma, sought the Oral Maxillo Facial Surgery and Traumatology Service of the Federal University of Pernambuco of School Dentistry, reporting an increase in volume in the right postauricular region with approximately 3 years of evolution.  On clinical examination, a well-circumscribed lesion without movement, soft to palpation and painless was observed.  The patient underwent additional examinations and excisional biopsy under general anesthesia.  The access started with an incision in the post-auricular region, followed by the myocutaneous tissue division until the lesion was visualized ...
International Research Journal of Otolaryngology, Recent Articles

HALITOSIS AS AN INDICATION FOR TONSILLECTOMY IN CHRONIC HYPERTROPHY TONSILLITIS

Research Article of International Research Journal of Otolaryngology Halitosis as an indication for tonsillectomy in chronic hypertrophy tonsillitis Agata Zalewska1, Marek Bochnia2, Monika Morawska-Kochman3 1MD, PhD, Wroclaw Medical University Poland, Faculty od Dentistry Department of Otolaryngology; 2MD, PhD, Wroclaw Medical University Poland, Faculty od Dentistry Department of Otolaryngology; 3MD, PhD, Wroclaw Medical University Poland Faculty of Medicine, Clinic of Otolaryngology, Head and Neck Surgery. Main purpose: This paper aimed to confirm a relationship between chronic hypertrophic tonsillitis (CHT) and bad mouth odour. To this end, detailed identification of the microbial flora inhabiting affected tonsils was carried out. The results obtained might be helpful in specifying indications for tonsillectomy. Materials and method: From among 247 patients with clinically diagnosed CHT, 33 generally healthy individuals aged 18- 40 (10 male and 23 female) were selected. Patients in whom other causes could be the possible reason for their fetor ex ore (halitosis) were not included. Before and 2 to 3 months after tonsillectomy, organoleptic and halimeter testing was undertaken for each patient. A swab was collected from the interior of the enucleated tonsils in a sterile manner, and was inoculated onto surfaces enabling the culture of aerobic and anaerobic bacteria and fungi. A histopathological examination was subsequently performed. Results: Fetor ex ore was initially found in 95% of the patients with CHT. In 90% of cases with confirmed halitosis, after tonsillectomy a significant reduction in its intensity was observed. On average, the concentration of VSC in the patient decreased by approximately 75 ppb (62%), which was statistically significant (p < 0.0001). It was also shown that the concentration of VSC in carriers of anaerobic bacteria, compared to carriers of only aerobic bacteria, was significantly reduced (p < 0.05). The results obtained confirm the role of CHT in the pathogenesis of halitosis. Conclusions: Halitosis ...

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International Research Journal of Otolaryngology

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