Nasal dermoid sinus cysts (NDSCs) are rare neoplasms in the median line of the nasofrontal area. Unlike other dermoid cysts, a NDSC can manifest as a cyst, sinus, or fistula, and may extend intracranially. Nasal dermo...Nasal dermoid sinus cysts (NDSCs) are rare neoplasms in the median line of the nasofrontal area. Unlike other dermoid cysts, a NDSC can manifest as a cyst, sinus, or fistula, and may extend intracranially. Nasal dermoid cysts usually present at birth and are commonly diagnosed by 3 years of age. An incidentally detected nasal dermoid cyst in an adult patient is extremely rare. In this case, a 23-year-old female with a history of intermittent serous thick discharge from a pit in the nasal columella since early childhood. Examination of the nasal cavity showed mild septal deviation to the left side, dorsal hump, wide nasal bone, a small pit-sinus at the columella, over projected nose, and wide bulbous down rotated nasal tip. The findings were suggesting nasal dermoid cyst, so a magnetic resonance imaging (MRI) was done for the patient to confirm the diagnosis. The MRI findings showed that there are 3 small cysts at the nasal septum anteriorly with a small fistula connecting the anterior inferior 2 cysts with no involvement to the intracranial cerebrospinal fluid (CSF) space. During the surgery, an open rhinoplasty approach was used. The trans-columellar incision was made around the fistula, and the tract was identified using a lacrimal probe and methylene blue. The dissection around the tract was continued until the sac was identified in the area of the membranous septum, and it was removed and sent for histopathology. The surgery then continued in a regular full rhinoplasty fashion. In conclusion, dermoid cyst of the nasal septum is a rare congenital lesion, especially in adults. After a thorough history taking and physical examination, a preoperative high-resolution axial and coronal CT and/or MRI is essential for diagnostic and operative planning. The treatment of choice for nasal dermoid cysts is complete surgical excision with clear margins. Surgical strategies usually depend on the location and extent of the lesion. Recurrence is uncommon and often easily managed.展开更多
Coronavirus disease 2019(COVID-19)is a highly infectious disease and was designated a pandemic by the World Health Organization(WHO)on March 11,2020.There are no classical manifestations of the disease.The most preval...Coronavirus disease 2019(COVID-19)is a highly infectious disease and was designated a pandemic by the World Health Organization(WHO)on March 11,2020.There are no classical manifestations of the disease.The most prevalent symptoms include fever,cough,dyspnea,myalgia and headache.The main route of transmission of the severe acute respiratory syndrome coronavirus-2 is through the upper respiratory tract.Therefore,it is not strange to find different ear,nose and throat(ENT)symptoms in individuals infected with this virus.Olfactory dysfunction is a common feature of COVID-19;either it is the only presenting symptom or it accompanies other manifestations of the disease.Other otolaryngological features such as sudden sensorineural hearing loss(SSNHL),dysphonia,nasal obstruction,sore throat,etc.are less frequent manifestations of COVID-19.These features,in addition,to being presented early in the disease process,certain long-standing symptoms like parosmia,dysphonia,and persistent deafness,are other characteristics of the disease.Geographical variation in otorhinolaryngological prevalence is another problem with this debilitating disease.Local and systemic adverse effects(local site injection pain,fever,myalgia,headache,and others)of the COVID-19 vaccines are more frequent than otolaryngological side effects(anosmia,hyposmia,Bell’s palsy,SSNHL,etc.).We aimed in this review to summarize the early and persistent ENT symptoms of COVID-19 or after the various COVID-19 vaccines.展开更多
Background:Academic productivity is believed to be correlated with years of experience and departmental rank,yet there is a paucity of granular academic data between rhinology faculty regarding departmental rank and i...Background:Academic productivity is believed to be correlated with years of experience and departmental rank,yet there is a paucity of granular academic data between rhinology faculty regarding departmental rank and industry engagement,and how these relate to experience.Objective:To examine the interrelationships between experience,department rank and reputation,funding,industry engagement,and academic output of rhinology faculty.Methods:Demographics,academic metrics(publications,citations,h-index,National Institutes of Health[NIH]funding),program rankings,and industry compensation for academic U.S.rhinologists through June 2022 were collected and compared between academic rank and years of experience.Results:A cohort of 278 rhinologists were included.Full professors had greater academic metrics(allp<0.001)and industry compensation(allp<0.05)than associate professors,assistant professors,and private practice rhinologists.Full professors were also more likely to receive NIH funding than other groups(p<0.001).Years of experience and industry compensation positively correlated with each other and with academic metrics(allp<0.001)with significant jumps between the 5th-9th and 10th-14th years of practice(p<0.001).However,early career(≤8 years)rhinologists published more articles per year than later career(>8 years)rhinologists(p<0.001).Rhinologists at Doximity top 10 and 25 residency programs by reputation and research output and top 50 U.S.News and World Report departments had significantly greater academic metrics and NIH funding compared to those who were not(p<0.001).Top 10 and 25 reputations was associated with increased industry compensation(p=0.024).Conclusions:Although early career rhinologists published more frequently,ascending professorial rank,years of experience,and affiliation with top-ranked departments were associated with total academic productivity.Industry engagement was linked to reputation and years of experience.展开更多
Objectives:Balloon sinuplasty(BSP)and functional endoscopic sinus surgery(FESS)have undergone changes in utilization over time.This study investigates national trends in BSP and FESS and postoperative outcomes over th...Objectives:Balloon sinuplasty(BSP)and functional endoscopic sinus surgery(FESS)have undergone changes in utilization over time.This study investigates national trends in BSP and FESS and postoperative outcomes over the last decade as well as the impact of Corona Virus Disease 2019(COVID-19)on these trends.Methods:The TriNetX database was queried for patients undergoing either FESS or BSP from 1/1/2011 to 5/4/2024.Data were collected on patient demographics,diagnoses,and postoperative outcomes.Results:A total of 1738 patients underwent BSP and 90,311 underwent FESS.A greater proportion of FESS patients had diabetes(p=0.001),hypertension(p<0.001),and chronic pulmonary disease,p=0.001)compared to BSP whereas a similar proportion of patients for both cohorts had a history of ischemic heart disease(p=0.73).Body mass index was higher for patients undergoing FESS(28.6±6.5)compared to BSP(28.1±6.578;p=0.02).Overall postoperative complications were similar between BSP and FESS(odds ratio[OR]=0.80,95%confidence interval[CI]=0.58-1.09)with similar rates of epistaxis(OR=0.77,95%CI=0.53-1.12)and cerebrospinal fluid(CSF)leak(OR=0.14,95%CI=0.01-2.25).Overall revision rate was higher for FESS(OR=0.34,95%CI=0.21-0.57).Thirty-day readmission(OR=0.44,95%CI=0.29-0.66)and Emergency Department visits(OR=0.51,95%CI=0.28-0.92)were less common in patients who received BSP.Surgical volume consistently increased over time for both cohorts but at a more rapid pace for BSP(425.64%)compared to FESS(274.19%)and a dramatic decrease in volume by 44.85%and 22.28%,respectively,at the onset of COVID-19.Conclusion:Overall,BSP and FESS surgical volume have steadily increased over time with a drastic reduction following the COVID-19 pandemic.BSP and FESS carry different complication profiles emphasizing the importance of patient selection and preoperative counseling.展开更多
In a medical setting,such as the treatment of post-operative nosebleeds,nasal packing,including the use of nasal packs,nasal plugs or nasal tampons(NTs),is widely used to temporarily control anterior epistaxis.Althoug...In a medical setting,such as the treatment of post-operative nosebleeds,nasal packing,including the use of nasal packs,nasal plugs or nasal tampons(NTs),is widely used to temporarily control anterior epistaxis.Although some literature has documented the use of NTs as a quick,easy and temporary solution to deal with anterior epistaxis in sports-induced nasal injuries,additional research is needed to appreciate on-field versus off-field efficacy,as well as the efficiency of different brands of NTs and packing materials.展开更多
文摘Nasal dermoid sinus cysts (NDSCs) are rare neoplasms in the median line of the nasofrontal area. Unlike other dermoid cysts, a NDSC can manifest as a cyst, sinus, or fistula, and may extend intracranially. Nasal dermoid cysts usually present at birth and are commonly diagnosed by 3 years of age. An incidentally detected nasal dermoid cyst in an adult patient is extremely rare. In this case, a 23-year-old female with a history of intermittent serous thick discharge from a pit in the nasal columella since early childhood. Examination of the nasal cavity showed mild septal deviation to the left side, dorsal hump, wide nasal bone, a small pit-sinus at the columella, over projected nose, and wide bulbous down rotated nasal tip. The findings were suggesting nasal dermoid cyst, so a magnetic resonance imaging (MRI) was done for the patient to confirm the diagnosis. The MRI findings showed that there are 3 small cysts at the nasal septum anteriorly with a small fistula connecting the anterior inferior 2 cysts with no involvement to the intracranial cerebrospinal fluid (CSF) space. During the surgery, an open rhinoplasty approach was used. The trans-columellar incision was made around the fistula, and the tract was identified using a lacrimal probe and methylene blue. The dissection around the tract was continued until the sac was identified in the area of the membranous septum, and it was removed and sent for histopathology. The surgery then continued in a regular full rhinoplasty fashion. In conclusion, dermoid cyst of the nasal septum is a rare congenital lesion, especially in adults. After a thorough history taking and physical examination, a preoperative high-resolution axial and coronal CT and/or MRI is essential for diagnostic and operative planning. The treatment of choice for nasal dermoid cysts is complete surgical excision with clear margins. Surgical strategies usually depend on the location and extent of the lesion. Recurrence is uncommon and often easily managed.
文摘Coronavirus disease 2019(COVID-19)is a highly infectious disease and was designated a pandemic by the World Health Organization(WHO)on March 11,2020.There are no classical manifestations of the disease.The most prevalent symptoms include fever,cough,dyspnea,myalgia and headache.The main route of transmission of the severe acute respiratory syndrome coronavirus-2 is through the upper respiratory tract.Therefore,it is not strange to find different ear,nose and throat(ENT)symptoms in individuals infected with this virus.Olfactory dysfunction is a common feature of COVID-19;either it is the only presenting symptom or it accompanies other manifestations of the disease.Other otolaryngological features such as sudden sensorineural hearing loss(SSNHL),dysphonia,nasal obstruction,sore throat,etc.are less frequent manifestations of COVID-19.These features,in addition,to being presented early in the disease process,certain long-standing symptoms like parosmia,dysphonia,and persistent deafness,are other characteristics of the disease.Geographical variation in otorhinolaryngological prevalence is another problem with this debilitating disease.Local and systemic adverse effects(local site injection pain,fever,myalgia,headache,and others)of the COVID-19 vaccines are more frequent than otolaryngological side effects(anosmia,hyposmia,Bell’s palsy,SSNHL,etc.).We aimed in this review to summarize the early and persistent ENT symptoms of COVID-19 or after the various COVID-19 vaccines.
文摘Background:Academic productivity is believed to be correlated with years of experience and departmental rank,yet there is a paucity of granular academic data between rhinology faculty regarding departmental rank and industry engagement,and how these relate to experience.Objective:To examine the interrelationships between experience,department rank and reputation,funding,industry engagement,and academic output of rhinology faculty.Methods:Demographics,academic metrics(publications,citations,h-index,National Institutes of Health[NIH]funding),program rankings,and industry compensation for academic U.S.rhinologists through June 2022 were collected and compared between academic rank and years of experience.Results:A cohort of 278 rhinologists were included.Full professors had greater academic metrics(allp<0.001)and industry compensation(allp<0.05)than associate professors,assistant professors,and private practice rhinologists.Full professors were also more likely to receive NIH funding than other groups(p<0.001).Years of experience and industry compensation positively correlated with each other and with academic metrics(allp<0.001)with significant jumps between the 5th-9th and 10th-14th years of practice(p<0.001).However,early career(≤8 years)rhinologists published more articles per year than later career(>8 years)rhinologists(p<0.001).Rhinologists at Doximity top 10 and 25 residency programs by reputation and research output and top 50 U.S.News and World Report departments had significantly greater academic metrics and NIH funding compared to those who were not(p<0.001).Top 10 and 25 reputations was associated with increased industry compensation(p=0.024).Conclusions:Although early career rhinologists published more frequently,ascending professorial rank,years of experience,and affiliation with top-ranked departments were associated with total academic productivity.Industry engagement was linked to reputation and years of experience.
文摘Objectives:Balloon sinuplasty(BSP)and functional endoscopic sinus surgery(FESS)have undergone changes in utilization over time.This study investigates national trends in BSP and FESS and postoperative outcomes over the last decade as well as the impact of Corona Virus Disease 2019(COVID-19)on these trends.Methods:The TriNetX database was queried for patients undergoing either FESS or BSP from 1/1/2011 to 5/4/2024.Data were collected on patient demographics,diagnoses,and postoperative outcomes.Results:A total of 1738 patients underwent BSP and 90,311 underwent FESS.A greater proportion of FESS patients had diabetes(p=0.001),hypertension(p<0.001),and chronic pulmonary disease,p=0.001)compared to BSP whereas a similar proportion of patients for both cohorts had a history of ischemic heart disease(p=0.73).Body mass index was higher for patients undergoing FESS(28.6±6.5)compared to BSP(28.1±6.578;p=0.02).Overall postoperative complications were similar between BSP and FESS(odds ratio[OR]=0.80,95%confidence interval[CI]=0.58-1.09)with similar rates of epistaxis(OR=0.77,95%CI=0.53-1.12)and cerebrospinal fluid(CSF)leak(OR=0.14,95%CI=0.01-2.25).Overall revision rate was higher for FESS(OR=0.34,95%CI=0.21-0.57).Thirty-day readmission(OR=0.44,95%CI=0.29-0.66)and Emergency Department visits(OR=0.51,95%CI=0.28-0.92)were less common in patients who received BSP.Surgical volume consistently increased over time for both cohorts but at a more rapid pace for BSP(425.64%)compared to FESS(274.19%)and a dramatic decrease in volume by 44.85%and 22.28%,respectively,at the onset of COVID-19.Conclusion:Overall,BSP and FESS surgical volume have steadily increased over time with a drastic reduction following the COVID-19 pandemic.BSP and FESS carry different complication profiles emphasizing the importance of patient selection and preoperative counseling.
文摘In a medical setting,such as the treatment of post-operative nosebleeds,nasal packing,including the use of nasal packs,nasal plugs or nasal tampons(NTs),is widely used to temporarily control anterior epistaxis.Although some literature has documented the use of NTs as a quick,easy and temporary solution to deal with anterior epistaxis in sports-induced nasal injuries,additional research is needed to appreciate on-field versus off-field efficacy,as well as the efficiency of different brands of NTs and packing materials.
