Mayo 22, 2013

Artículos

Nasopharyngeal tuberculosis presenting as massive cervical lymphadenopathy and hearing loss

Ozcan C, Vaysoglu Y, Güçlütürk T, Apa DD, Görür K; Journal of Craniofacial Surgery 23 (4), 341-3 (Jul 2012)
ABSTRACT: Lymphadenitis is the most common form of tuberculosis in the head and neck region, but it can be seen in the other areas of the head and neck. Nasopharyngeal tuberculosis is a rare condition without pulmonary and systemic involvement. The majority of patients present with neck mass.

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A Novel Technique to Repair Moderate-Sized Nasoseptal Perforations

Raol N, Olson K; Archives of Otolaryngology - Head and Neck Surgery 1-3 (Jul 2012)
OBJECTIVES To describe a novel technique for closure of moderate-sized nasoseptal perforations and to review the current literature on various techniques for closure of nasoseptal perforations.

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Perspectives of pharmacological treatment in otosclerosis

Liktor B, Szekanecz Z, Batta TJ, Sziklai I, Karosi T; European Archives of Oto-Rhino-Laryngology (Jul 2012)
To review our current knowledge of the pathologic bone metabolism in otosclerosis and to discuss the possibilities of non-surgical, pharmacological intervention.

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New aspects of HPV-positive head and neck cancer : Highlights from the 2011 ASCO Congress

Kofler B, Uecker FC, Muenscher A, Knecht R; Hals-Nasen-Ohrenheilkunde (HNO) 60 (5), 404-9 (May 2012)


HPV-positive head and neck carcinoma is significantly different than tobacco- and alcohol-induced cancer. Between 30% and 50% of oropharyngeal cancers are associated with human papillomavirus (HPV). Studies still show an increasing incidence. HPV-positive head and neck cancer patients have a better prognosis due to a better response to therapy. Especially patients with gene overexpression of immunological proteins in the antigen presentation are suggested to benefit from radiotherapy. A current retrospective study shows better outcomes for patients treated with radiotherapy in combination with biological targets compared to radiochemotherapy.
 

Reduction of Tinnitus Severity by the Centrally Acting Muscle Relaxant Cyclobenzaprine: An Open-Label Pilot Study

Coelho C, Figueiredo R, Frank E, Burger J, Schecklmann M, Landgrebe M, Langguth B, Elgoyhen AB; Audiology & Neuro-Otology 17 (3), 179-188 (Jan 2012)


Tinnitus, the phantom perception of sounds, is a highly prevalent disorder. Although a wide variety of drugs have been investigated off label for the treatment of tinnitus, there is no approved pharmacotherapy. We report an open-label exploratory pilot study to assess the effect of muscle relaxants acting on the central nervous system on tinnitus patients. Cyclobenzaprine at high (30 mg) and low doses (10 mg), orphenadrine (100 mg), tizanidine (24 mg) and eperisone (50 mg) were administered to a maximum of 20 patients per group over a 12-week period. High-dose cyclobenzaprine resulted in a significant reduction in the Tinnitus Handicap Inventory (THI) score between baseline and week 12 in the intention-to-treat sample. On the other hand, other treatments were not effective. These results were confirmed in an explorative analysis where baseline corrected THI and Clinical Global Impression scores at week 12 were compared between groups. The present open trial presents a new promising pharmacotherapy for tinnitus that should be validated in placebo-controlled double-blind trials.
 

Acute bilateral blindness as a presenting symptom of Non-Hodgkin's lymphoma

 Emami N, Daniel SJ; International Journal of Pediatric Otorhinolaryngology (Mar 2012)

NHL usually presents with lymphadenopathy or symptoms related to compression by the primary tumor of surrounding structures. While the head and neck region is a common site of involvement, blindness is rarely a presenting symptom. We report here the case of a child who presented to the emergency room with acute bilateral loss of vision and no other symptoms. Cranial imaging studies revealed a solid mass of the skull base with compression on optic nerves. Diagnosis of Burkitt's lymphoma was confirmed after biopsy. The patient had partial vision improvement two days after optic nerve decompression which was done immediately at the night of presentation.
 

 

 

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Lemierre syndrome

Wright WF, Shiner CN, Ribes JA; Southern Medical Journal 105 (5), 283-8 (May 2012)

 

ABSTRACT: Lemierre's syndrome is an uncommon complication of pharyngitis in the United States and caused most commonly by the bacterium Fusobacterium necrophorum. The syndrome is characterized by a history of recent pharyngitis followed by ipsilateral internal jugular vein thrombosis and metastatic pulmonary abscesses and is a disease for which patients will seek medical care and advice. As most patients are admitted to the hospital under internal medicine, practitioners should be familiar with the usual signs and symptoms of Lemierre's syndrome along with its diagnosis and treatment. Controversy involves the choice and duration of antimicrobial therapy used for treatment and anticoagulation therapy for internal jugular vein thrombosis. As the diagnosis and management of this syndrome has generated controversy, an updated review of the literature and treatment recommendations may be helpful for providing optimal care for patients with this often unrecognized and confusing infection.
 

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