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  • Cambridge University Press (CUP)  (4)
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  • Cambridge University Press (CUP)  (4)
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  • 1
    Online Resource
    Online Resource
    Use of intranasal corticosteroids in adenotonsillar hypertrophy
    Cambridge University Press (CUP) ; 2017
    In:  The Journal of Laryngology & Otology Vol. 131, No. 5 ( 2017-05), p. 384-390
    Details
    In: The Journal of Laryngology & Otology, Cambridge University Press (CUP), Vol. 131, No. 5 ( 2017-05), p. 384-390
    Abstract: This review examined the efficacy of intranasal corticosteroids for improving adenotonsillar hypertrophy. Method: The related literature was searched using PubMed and Proquest Central databases. Results: Adenotonsillar hypertrophy causes mouth breathing, nasal congestion, hyponasal speech, snoring, obstructive sleep apnoea, chronic sinusitis and recurrent otitis media. Adenoidal hypertrophy results in the obstruction of nasal passages and Eustachian tubes, and blocks the clearance of nasal mucus. Adenotonsillar hypertrophy and obstructive sleep apnoea are associated with increased expression of various mediators of inflammatory responses in the tonsils, and respond to anti-inflammatory agents such as corticosteroids. Topical nasal steroids most likely affect the anatomical component by decreasing inspiratory upper airway resistance at the nasal, adenoidal or tonsillar levels. Corticosteroids, by their lympholytic or anti-inflammatory effects, might reduce adenotonsillar hypertrophy. Intranasal corticosteroids reduce cellular proliferation and the production of pro-inflammatory cytokines in a tonsil and adenoid mixed-cell culture system. Conclusion: Intranasal corticosteroids have been used in adenoidal hypertrophy and adenotonsillar hypertrophy patients, decreasing rates of surgery for adenotonsillar hypertrophy.
    Type of Medium: Online Resource
    ISSN: 0022-2151 , 1748-5460
    URL: Article
    DOI: 10.1017/S0022215117000408
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2017
    detail.hit.zdb_id: 2013209-8
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  • 2
    Online Resource
    Online Resource
    A novel technique for spreader graft placement without dorsum resection during septoplasty
    Cambridge University Press (CUP) ; 2015
    In:  The Journal of Laryngology & Otology Vol. 129, No. 10 ( 2015-10), p. 1025-1027
    Details
    In: The Journal of Laryngology & Otology, Cambridge University Press (CUP), Vol. 129, No. 10 ( 2015-10), p. 1025-1027
    Abstract: This paper presents a novel method for spreader graft placement without dorsum resection in patients who have a deviated septum with a narrow internal nasal valve angle. Methods: A Killian incision was used for the endonasal septoplasty, and all spreader grafts were harvested from excised deviated septal cartilages. Procedures were conducted under general anaesthesia at the same centre by the same surgical team that performed the endonasal procedure. Successful placement of spreader grafts was achieved endonasally. Conclusion: Although the endonasal placement of spreader grafts seems to be more difficult than placement conducted by an open approach technique, an endonasal procedure has many advantages. Our technique provides surgeons with the opportunity to shorten operation time, obtain autologous septal graft material and secure the columellar architecture. Surgeons familiar with the classical (endonasal) septoplasty procedure can easily apply this technique to widen a narrow internal nasal valve angle, without corrupting nasal integrity.
    Type of Medium: Online Resource
    ISSN: 0022-2151 , 1748-5460
    URL: Article
    DOI: 10.1017/S0022215115002169
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2015
    detail.hit.zdb_id: 2013209-8
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  • 3
    Online Resource
    Online Resource
    Pyriform aperture enlargement in all aspects
    Cambridge University Press (CUP) ; 2017
    In:  The Journal of Laryngology & Otology Vol. 131, No. 6 ( 2017-06), p. 476-479
    Details
    In: The Journal of Laryngology & Otology, Cambridge University Press (CUP), Vol. 131, No. 6 ( 2017-06), p. 476-479
    Abstract: The pyriform aperture comprises the central area of facial bone structure. It is formed by the free corners of the nasal bone and the frontal processes of the maxillae, which articulate with each other at the nasomaxillary suture lines. Congenital nasal pyriform aperture stenosis might be linked to various craniofacial problems. This review presents all aspects of pyriform aperture stenosis and enlargement. Methods: A literature search was conducted. Pyriform aperture definition, nasal development, congenital nasal pyriform aperture stenosis and pyriform aperture enlargement were reviewed. Results: One of the most common abnormalities is holoprosencephaly, which is a midline developmental deficiency that may also be present in combination with facial clefting. The aetiology of nasal pyriform aperture stenosis remains unclear. When diagnosed, the choice of treatment is between non-surgical and operative methods, depending on the seriousness of the problem. Provided the sufferer can maintain a secure air passage with the help of specialised medical procedures and respiratory tract adjuvants, operative therapy may be delayed. Conclusion: The operative outcomes are extremely good, and the prognosis relies mainly on coexisting neural and endocrine problems. This paper evaluates the nasal pyriform aperture in detail.
    Type of Medium: Online Resource
    ISSN: 0022-2151 , 1748-5460
    URL: Article
    DOI: 10.1017/S0022215117000391
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2017
    detail.hit.zdb_id: 2013209-8
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  • 4
    Online Resource
    Online Resource
    Effects of indoor swimming pools on the nasal cytology of pool workers
    Cambridge University Press (CUP) ; 2014
    In:  The Journal of Laryngology & Otology Vol. 128, No. 5 ( 2014-05), p. 442-446
    Details
    In: The Journal of Laryngology & Otology, Cambridge University Press (CUP), Vol. 128, No. 5 ( 2014-05), p. 442-446
    Abstract: We aimed to evaluate the relationship between swimming pool pollutants and allergic rhinitis in swimming pool workers. Materials and methods: Twenty-seven indoor pool workers (group 1) and 49 control subjects (group 2) were enrolled in the study. A skin prick test was performed and a nasal smear was obtained from each subject to evaluate rhinitis. Results: When the groups were compared in terms of epithelial cells, group 1 had significantly more epithelial cells than group 2. When the groups were compared with regard to eosinophils, group 1 had significantly more eosinophils than group 2. The skin prick test results for both groups were not significantly different. Conclusion: Indoor pool workers showed severe symptoms of rhinitis and eosinophilic nasal cytology, likely due to chlorine. Nasal cytology is an easy-to-administer diagnostic test and can be used to follow up rhinitis in indoor pool workers, along with nasal endoscopy, a detailed clinical history and a skin prick test.
    Type of Medium: Online Resource
    ISSN: 0022-2151 , 1748-5460
    URL: Article
    DOI: 10.1017/S0022215114000784
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2014
    detail.hit.zdb_id: 2013209-8
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