Search

Endoscopic sinus surgery (ESS)-associated risks mainly depend on the proximity of the sinuses to the orbit and anterior skull base. Skull base injuries are usually associated with dural tears and cerebrospinal fuidleaks, which are the leading causes of ascending meningitis and even brain abscesses. A 40-year-old man has a headache that came on suddenly and is an extremely painful, continuous headache accompanied by intermittent fatigue and blurred vision. The patient underwent ESS for chronic sinusitis 2 weeks ago at another hospital. Magnetic resonance examination of the brain depicted abnormal hyperintensity within the left frontal lobe. These fndings suggested the diagnosis of brain abscesses. The patient received an antibacterial treatment for 2 months. Finally, the patient recovered well. [ABSTRACT FROM AUTHOR]

Objective: In this study, we aimed to evaluate the effects of demographic data and comorbid diseases on the prognosis and treatment diagnosed with laryngeal squamous cell cancer (LSCC). Methods: Medical records of LSCC patients treated and followed up in a single referral center between 2008 and 2019 were retrospectively reviewed. In addition to the demographic data, the results of overall survival (OS), disease-specific survival (DSS), disease-free survival (DFS), locoregional-free survival (LRFS), and factors affecting recurrence were analyzed. Results: We included 573 patients with a mean age of 60.1±9.8 years. Of the 573 patients, 94.2% (540) were men, 93.7% (537) were smokers, 40.1% had at least one comorbid disease, and 69.8% (400) presented with glottic LSCC. The five-year OS, DSS, DFS, and LRFS rates for all cases were 65.7%, 79.9%, 67%, and 74.7%, respectively. In early-stage LSCC treatment, the rates of OS (p=0.008), DFS (p=0.024) and LRFS (p=0.01) were statistically significantly higher in the endolaryngeal laser surgery (ELS) group compared with the radiotherapy (RT) group. In advanced-stage LSCC treatment, total laryngectomy had statistically significantly higher five-year DFS (p=0.003) and LRFS (p=0.002) rates compared to chemoradiotherapy. Conclusion: Our study showed that ELS provided higher rates of OS, DFS, and LRFS compared to RT in the treatment of early-stage LSCC. Recurrence was significantly higher in supraglottic tumors, advanced-stage tumors, and in patients with clinical N positivity. [ABSTRACT FROM AUTHOR]

Objective: Our study aims to determine the presence of voice disorder in religious officials and to examine the differences in temperament and personality traits between religious officials with and without voice disorder., Methods and Procedures: A total of 87 religious officials between the ages of 18 and 65 were included in the study. For the objective evaluation of the voice of all individuals, a videolaryngostroboscopic examination was performed by a specialist Ear Nose Throat physician using a rigid endoscope. For temperament and personality assessments, each participant completed the TEMPS-A Temperament Rating Scale Turkish version and the Big Five-50 Personality Test Turkish Form (B5KT-50-Tr). All individuals were divided into groups according to the presence of voice disorder., Results: Sixty-five of 87 individuals were found to have normal voice health, and 22 individuals were diagnosed with voice disorder. While there was a significant difference between the groups with and without voice disorder in terms of extraversion and emotional stability scores on the B5KT-50-Tr scale (P < 0.05), there was no significant difference in TEMPS-A temperament scale scores., Conclusions: There was no discernible disparity in the temperament traits of religious officials with and without voice disorders. It should be emphasized that religious officials who suffer from voice disorders exhibit personality traits such as low extroversion and emotional stability. The improvement of more effective intervention strategies can be boosted by considering the temperament and personality traits of these individuals while planning the voice assessment and therapy processes of these religious officials., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Objectives: This study aimed to determine the impact of different types of masks on the voices of healthcare professionals who had to wear masks for an extended amount of time during the pandemic period and had a healthy voice., Methods: Our research included 41 healthcare workers. The participants were separated into two groups: surgical (n = 21) and N95 mask users (n = 20). Healthcare workers evaluated masks before and after wearing them for at least 8 hours throughout the workday. All subjects had a videolaryngoscopic examination; the Voice Handicap Index-10 (VHI-10), GRBAS, acoustic voice analysis (F0, jitter%, shimmer%, noise/harmonic ratio, relative average perturbation [RAP]), aerodynamic measures (maximum phonation time, MPT), and blood oxygen saturation were evaluated., Results: Although both groups' VHI-10 scores increased after using the mask, this rise was not statistically significant in our research. According to the GRBAS classification, voice quality deterioration was identified in 9.6% (mild-moderate) of the group using surgical masks and 15% (mild) of the group wearing N95. Only the jitter and RAP values of individuals wearing both surgical and N95 masks were determined to be statistically significant. There was no significant change in MPT following mask wear in either group. Both the surgical and N95 mask-using groups showed a substantial drop in blood oxygen saturation before and after mask usage., Conclusion: There was no change in voice quality between healthcare workers wearing surgical and N95 masks. It has been noticed that voice perception and quality are affected by the mask's barrier effect rather than the kind of mask., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)