Volume 1 Issue 2
Occult Aspiration of Chicken Wishbone Lodged in the Larynx
Usama F Kamel* MD, FRCSEd, PGCPCE, MBBCh Dr James W Rudd MBBS, Prof Henry Pau MD, FRCS
A 22 years old man presented to emergency department with progressive shortness of breath and stridor over a three months period. He had no history of foreign body ingestion or chocking. He is a well articulate athletic Down’s syndrome. He had a repair for ventricular septal defect at 3 months age. Fibreoptic naso-laryngeal endoscopy showed granulation tissue on his vocal cords with foreign body appearance between the cords. CT scan of his neck and chest showed a wishbone foreign body appearance at his larynx. Tracheostomy and micro-laryngobronchoscopy were performed.
A Novel Procedure for Salvaging a Tracheosophageal Puncture in Patients With a Speaking Valve
Max Cunnane* , Mr Andrew Moore
Loss of a speaking valve is a medical emergency1. Without a valve in place the trachea-oesophageal fistula can close within a matter of hours with serious medical and psychological implications for the laryngectomy patient. Unless the fistula can be salvaged, these patients who often have multiple co-morbidities are rendered voiceless and facing a general anaesthetic in order re-insert the speaking valve. Primary trachea-oesophageal puncture under local anaesthetic is only performed in selected tertiary centre where specialist equipment sets are available.
A Rare Cause of Transient Unilateral Visual Loss-Spontaneous Reflex of Air in The Nasolacrimal Duct
Max Cunnane* , Mr Andrew Moore
Orbital emphysema and visual loss is usually associated with facial trauma. We present a case of transient visual loss secondary to reflux of air up the nasolacrimal duct in a patient without a history of acute trauma. Nasolacrimal duct air reflux should be considered as a rare differential diagnosis for transient visual loss and orbital pain.
Correlation between The Visual Analogue Scale and The Olfactory Test in The Detection of Smell Disorders
Kouassi* YM, Kouassi-Ndjeundo JE, Koffi YJ, Badou KE, Tanon-Anoh MJ, Kouassi KB
Olfactory sense (smell) has a chemical sense, based on this, a progress of series events follows a contact with certain known odorant molecules with specific receptors localized in the olfactory neuroepithelium.
Numb Chin Syndrome and Metastatic Lung Adenocarcinoma: A Prolonged Outcome and Propensity for Younger Age
Eric M Sugihara*, James P Dworkin-Valenti, Jamie G Taweel, Prasad J Thottom
Numb chin syndrome (NCS) is a rare neurological condition characterized by hypoesthesia distributed by the mental nerve in the absence of local or dental pathology and may represent a manifestation of systemic malignancy with metastasis to the mandibular subsystem. A 48-year-old patient presented with unilateral chin numbness. Initial imaging with panaromic jaw radiography, head and neck MRI/MRA, and maxillofacial CT were negative for local pathology. Further workup revealed bony metastasis involving the axial skeleton, which led to the underlying diagnosis of lung adenocarcinoma.
Prevalence of Benign Paroxysmal Positional Vertigo Among Motocross Racers: A Case-Control Study
Huseyin Altun*, Deniz Hanci
Benign paroxysmal positional vertigo (BPPV) is characterized by periods of vertigo triggered by a sudden change in the position of a person’s head. It is the most common vestibular disorder; epidemiological studies showed that in the general adult population, the lifetime prevalence of BPPV is 2.4%, and the one-year prevalence is 0.6%. BPPV leads to significant morbidity, decrease in quality of life, depression, and medical costs. Patients with BPPV were usually diagnosed and treated lately or inappropriately.
Right Ear Trauma From Foreign Bodies By Firearm
Kacouchia NB*, N’gattia KV, Kouassi-Ndjeundo J, Vroh BTS, Adjé YA, Mpessa EM, Koffi W
The lessons of the ear by firearm are rare in the civilian population. They are more frequent in military practice. They include injuries related to bullets and acute acoustic trauma. The later only injures the inner ear. The first can cause damage not only on the three parts of the ear but also to all organs of the head and neck region. The efficient treatment to restore hearing should be done after careful surgical exploration of auricular lesions. The objective of this study was to describe and discuss the diagnostic and therapeutic management of ear trauma by firearm bullets.