Πέμπτη 3 Δεκεμβρίου 2020

Mucous membrane pemphigoid: When the mouth can give a clue to the diagnosis of an esophageal stenosis of unknown origin

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O. Corral-Magaña, D. Morgado-Carrasco, X. Fustà-Novell, P. Iranzo
Actas Dermosifiliogr. 2020;111:792-4

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Abdominal Pseudohernia Due to Herpes Zoster

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N. Setó-Torrent, M. Iglesias-Sancho, J. Arandes-Marcocci, M. Salleras Redonnet
Actas Dermosifiliogr. 2020;111:790-2

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Erythema Papulosa Semicircularis Recidivans

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E. Bernia, C. Requena, B. Llombart
Actas Dermosifiliogr. 2020;111:788-90

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Allergic Contact Dermatitis Due to Tea Tree Oil

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N. Martínez Campayo, J.J. Goday Buján, E. Fonseca Capdevila
Actas Dermosifiliogr. 2020;111:787-8

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Turnover Flap of the Nasal Dorsum Combined With a Rotation Advancement Flap to Reconstruct a Full-Thickness Defect of the Nasal Tip and Wall

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M. Azcona Rodríguez, L. Loidi Pascual, J. Aróstegui Aguilar, M.E. Iglesias
Actas Dermosifiliogr. 2020;111:785-6

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Hyperpigmentation of the Distal Portion of the Fingers in a White Infant

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D. Nieto Rodríguez, A.I. Rodríguez Bandera, M. Feito Rodríguez
Actas Dermosifiliogr. 2020;111:784

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Dorsal Pterygium and Onycholysis Associated With Bullous Pemphigoid

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H. Iznardo, C. García-Melendo, J.F. Mir-Bonafé
Actas Dermosifiliogr. 2020;111:783

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Skin Hyperpigmentation and Melanonychia Due to Hydroxychloroquine

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L. Cristián Fischer, M. Matías Sanhueza
Actas Dermosifiliogr. 2020;111:771-2

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Combined preoperative HRCT parameters for prediction of round window visibility in pediatric cochlear implant patient.

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Combined preoperative HRCT parameters for prediction of round window visibility in pediatric cochlear implant patient.

Int J Pediatr Otorhinolaryngol. 2020 Nov 26;:110521

Authors: Rashad Ghoneim MM, Ghonim MR, Mohamed Badawy AA, Abdel Razek AAK, Salam Hafez MA, Hamad MS, Salem MA

Abstract
OBJECTIVE: To evaluate the add value of combined analysis of high resolution computed tomography (HRCT) temporal bone parameters in accurate prediction of round window (RW) visibility through posterior tympanotomy.
PATIENTS AND METHODS: a retrospective observational study was held in a tertiary center, conducted on 45 cochlear implant pediatric candidates between January 2017 and September 2019. Candidates were referred for CT temporal bone. They were classified into fully visible RW cases and partially or non-visible RW cases. Radiological measurements were compared between the two groups for prediction of RW visibility separate and in combination.
RESULTS: 45 patients were included in the study (26 males (57.8%) and 19 females (42.2%)). Their median age was 4 years (2-12 years). There were 38 (84.4%) fully visible and 7 (15.6%) partially or non-visible RW cases. Kashio posterior line (n:32/3), fascial recess width (FRW) (mean: 4.9 (3.5-7.5)/4.2 (4-4.7) mm) and round window location (RWL) (3 (1-4)/2.8 (1-3)mm) measurements significantly differentiated between the two groups; (P value 0.034, 0.012 & 0.025 respectively). Posterior kashio line and cut off values of ≥4.75 mm of FRW & 2.95 mm of RWL were showed sensitivity 84.2%, 63.2% & 65.8%, and accuracy 80%, 68.9% &68.9% in prediction of RW visibility respectively. Combination of Kashio prediction line with cut off value ≥ 7.45 mm (sum of FRW & RWL) showed P value 0.003 with further improve in the sensitivity and overall accuracy in prediction of RW visibility from 84.2% to 80% up to 91.4% and 88.6% respectively.
CONCLUSION: combined parameters using Kashio line with FRW and RWL increases sensitivity and overall accuracy in prediction of RW visibility rather than single parameter.

PMID: 33257023 [PubMed - as supplied by publisher]

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Acquired subglottic cysts in children:

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Acquired subglottic cysts in children: A rare and challenging clinical entity. A systematic review.

Int J Pediatr Otorhinolaryngol. 2020 Nov 26;:110523

Authors: Soloperto D, Spinnato F, Di Gioia S, Di Maro F, Pinter P, Bisceglia A, Marchioni D

Abstract
INTRODUCTION: Subglottic cysts (SGCs) are a rare cause of laryngeal stenosis that mainly seem to affect preterm infants with an intubation history.
PURPOSE: To review the related literature and compare different management protocols for patients presenting SGCs, as well as briefly report our clinical case treated at Verona University Hospital by Pediatric Airways Team.
METHODS: The articles resulting from a PubMed and MEDLINE search were analysed and selected using previously established criteria. A systematic review of the selected papers was conducted following PRISMA guidelines.
RESULTS: The search yielded 571 related articles; cross-checking of articles led to the identification and exclusion of 239 duplicates. The remaining 332 papers were screened according to previously established eligibility criteria. The final number of selected articles was 13.
CONCLUSIONS: Well-planned teamwork, with active collaboration between the ENT specialists, pediatricians and anesthesiologists, is the key to achieve multidisciplinary management of patients diagnosed with SGCs. Long-term follow-up is crucial considering the high recurrence rate of this disease.

PMID: 33261859 [PubMed - as supplied by publisher]

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Intercarotid artery distance in the pediatric population: Implications for endoscopic transsphenoidal approaches to the skull base.

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Intercarotid artery distance in the pediatric population: Implications for endoscopic transsphenoidal approaches to the skull base.

Int J Pediatr Otorhinolaryngol. 2020 Nov 25;:110520

Authors: Li L, Carrau RL, Prevedello DM, Yang B, Rowan N, Han D, London NR

Abstract
OBJECTIVE: Comprehensive quantitative evaluation of the intercarotid artery distance (ICD) in the pediatric population has not been sufficiently explored. This study aims to measure the minimal ICDs at multiple levels of the skull base to assess changes in the ICD during development.
METHODS: Measurement of the ICDs between the paired paraclival, parasellar, and paraclinoid segments of the internal carotid artery (ICA) was performed on coronal MRI from 540 patients ranging from 0 to 17 years old (n = 30 for each age). Comparison of these indices in the very young (0-5 years, Group 1) and young (6-17 years, Group 2) patients, and assessment of the degree of sphenoid sinus pneumatization was employed.
RESULTS: The narrowest ICD was located at the paraclinoid ICAs in the vast majority of cases (89.44%). When comparing the ICDs in very young age patients with the ICDs of 17 years old subjects, a statistically significant difference was found at the paraclival (ages 0-5), parasellar (ages 0-2), and paraclinoid (ages 0-4) ICDs (p < 0.05). Comparison of the ICDs between the intergroups (Group 1 and 2) also demonstrated a statistically significant difference (p < 0.0001). Pneumatization of the sphenoid sinus was initially noted to start at 3 years of age, and there were no patients with a non-pneumatized sphenoid sinus identified after 7 years of age in our cohort.
CONCLUSION: Measurement of ICDs at multiple levels provides a valuable reference for EEA procedures in the pediatric population. While the ICD may be largely stable in the pediatric population after 5 years of age, additional anatomic factors may restrict transsphenoidal access in very young patients (0-5 years).

PMID: 33261860 [PubMed - as supplied by publisher]

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Management of stapes footplate fistula in inner ear malformations.

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Management of stapes footplate fistula in inner ear malformations.

Int J Pediatr Otorhinolaryngol. 2020 Nov 26;140:110525

Authors: Sennaroglu L, Bajin MD

Abstract
BACKGROUND: Certain inner ear malformations have stapes footplate fistula which may cause meningitis during otitis media. This may result in fatality. It is the responsibility of the otolaryngologist to diagnose and treat the condition to prevent further attacks of meningitis.
MATERIALS AND METHODS: Surgical findings of the 17 patients who have inner ear malformations with oval window fistula were retrospectively analyzed. Inner ear malformations were classified according to Sennaroglu classification. Different stages of stapes footplate fistula are classified.
FINDINGS: Seventeen patients had spontaneous stapes footplate fistula at the oval window. No patient had spontaneous leakage at the round window site. Proper sealing of the leakage area with fascia in a dumbbell fashion is mandatory. Keeping the stapes in place and lumbar drainage are the two most important factors in the successful management of fistula. Particularly important is the simultaneous fistula repair and cochlear implantation where combined postauricular-transcanal approach provides the best method. Vaccination is important but not sufficient to prevent meningitis in inner ear malformations unless repair of the fistula is performed.
CONCLUSION: If the patient has a history of meningitis in the presence of inner ear malformation, particular attention should be given to oval window area to look for an opacity, cyst or a leaking lesion at the stapes footplate. Immediate surgical exploration and repair of the leak is mandatory to prevent further attacks of meningitis. Surgeon should not leave the operation without fully controlling the leak.

PMID: 33264678 [PubMed - as supplied by publisher]

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