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<title>Japan-Journal-of-Otolaryngology-ISSUE VOLUME Volume 5 ISSUE Issue 1</title>
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Japan-Journal-of-Otolaryngology: VOLUME Volume 5 ISSUE Issue 1, Jan-Dec 2024
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<title>Japan-Journal-of-Otolaryngology-ISSUE VOLUME Volume 5 ISSUE Issue 1</title>
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		<title>Evaluation-of-the-Role-of-Cone-Beam-Computed-Tomography-as-an-Adjunctive-Radiographic-Modality-to-Enhance-the-Surgical-Outcomes-in-Obstructive-Sleep-Apnoea-Patients</title>
		<pubDate>08-May-2024</pubDate>
<link>http://jjo.edwiserinternational.com/admin/uploads/9KkvE8.pdf</link>
		<author>Isaac-M-ElBeshlawy-DM-Elsobki-A-et-al-</author>
		<comments>{http://www.edwiserinternational.com/contact-us.php}</comments>
		<category>Medical Science,Clinical Science</category>
		<description>{<![CDATA[Purpose: To evaluate the integration of Cone-beam Computed Tomography (CBCT) as an auxiliary radiographic modality for airway assessment to pinpoint blockage locations and improve Obstructive Sleep Apnea (OSA) surgical results.Material and methods: Thirty-eight OSA patients were selected from the ENT outpatient clinic, Faculty of Medicine, Mansoura University, and divided into two equal groups. After performing polysomnography and recording the Apnea Hypoapnea Index (AHI), Drug-Induced Sleep Endoscopy (DISE) was carried out for both groups. CBCT imaging was performed for group (1) patients only. Afterward, the otolaryngologist selected the suitable surgical procedure for all patients. Post-surgical results were assessed six months after surgery. Another polysomnography was used to compare the postoperative AHI value to the preoperative value. At least a 50% reduction in the postoperative value was considered a conventional surgical success.Results: A significant difference in AHI values before and after the operation between both groups was shown. Group (1) reduced by 55.7% more than group (2), which reduced by 30.7%. There was no statistically significant difference between the success rates of the two groups.Conclusion: CBCT quantifies airway obstruction preoperatively, serving DISE, and thus improving OSA surgical success. Better collapse extent assessment using CBCT improves results and prospects. Future studies should explore specialists' CBCT use with larger sample sizes and a wider spectrum of OSA patients with different AHI levels. ]]>}</description>
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		<title>Cleft-lip-and-palate-surgery-in-the-Otolaryngology-and-Head-neck-surgery-department-of-a-Medical-College-Hospital-in-Bangladesh-</title>
		<pubDate>13-Sep-2024</pubDate>
<link>http://jjo.edwiserinternational.com/admin/uploads/jYsbg6.pdf</link>
		<author>Ballav-SK-Ganguly-D-Ahmed-SKFU-et-al-</author>
		<comments>{http://www.edwiserinternational.com/contact-us.php}</comments>
		<category>Medical Science,Clinical Science</category>
		<description>{<![CDATA[Background: Cleft lip and palate (CLP) are one of the most common developmental anomalies in orofacial region. CLP surgery lies in the anatomical domain of Ear Nose Throat and Head - Neck Surgery. In Bangladesh specialty of plastic surgery is still in developing stage and plastic surgeons are not easily available everywhere. ENT and Head-Neck surgeon had to take up the responsibility of some of cleft patients. This article is a retrospective analysis of a series of 200 cases of cheiloplasty and palatoplasty done in ENT and Head-Neck Surgery department of Khulna City Medical College Hospital, Bangladesh. Results were satisfactory in our, patient and parent's consideration. Objective: Our aim is to discuss the demographic profile, presentations, degree & type of cleft and outcome of CLP surgery in Otolaryngology and Head-Neck Surgery department of a Medical College Hospital of Bangladesh. We will also discuss the embryology of face & historical background of the cleft surgery.Materials and Methods: This is a retrospective analysis of CLP surgery for 200 cleft patients. We based on inclusion and exclusion criteria for selection of patients. Majority of cleft lip patients were operated following the Millard modified rotation advancement technique and isolated cleft palate patients were operated following Von Langenbeck bipedicle flap and Veau-Wardil-Kilner V-Y pushback technique in the ENT and Head-Neck Surgery Department of a Medical College Hospital.  Patients were advised for periodic follow up. Results: Total of 200 patients of CLP were operated in our department out of which male was 92 (46%) and female was108 (54%)), male and female ratio being 1:1.08. The age range was 3 months to 40 years with a mean of 8.38 years. Pre alveolar group both male and female comprised of 134 (67%) and alveolar group 66 (33%) patients and that of isolated cleft palate 7 (10.60%) patients. Pre alveolar unilateral CLP was high. The results of surgery were satisfactory in our postoperative evaluation. Patients and parents were also satisfied with the outcome. Conclusion: Majority of CLP patients dont suffer functional problem apart from facial disfigurement.  Restoration of normal anatomy, facial appearance and function can be achieved by surgery in appropriate time and age. Few cases may be associated with feeding difficulties, dental and hearing problems. Some cases are associated with other congenital anomalies and syndromes. Those cases demand team approach of different specialty.]]>}</description>
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