gender endoscopic sinus surgery chronic sinusitis hoarseness eustachian tube dysfunction vocal dysfunction voice disorders
How to Cite this Article Borrelli M Hopp ML Desales A et al Gender-related differences in outcomes a er endoscopic sinus surgery Int Forum Allergy Rhinol -Background: There is growing evidence that chronic rhinosinusitis (CRS) affects males and females differently, but relatively few studies have focused solely on gender-specific differences in outcomes after functional endoscopic sinus surgery (FESS). Methods: To measure CRS symptom severity in males and females using several validated quality-of-life (QOL) measurements. Consecutive patients undergoing FESS for CRS were administered the 22-item Sino-Nasal Outcome Test (SNOT-22), the 7-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), and the Voice-Related Quality of Life Questionnaire (V-RQOL) pre-and postoperatively. Baseline QOL was compared between the 2 genders and the effect of FESS was measured using independent and paired t tests.Results: A total of 182 consecutive patients were enrolled. Females had worse baseline QOL measures using the
Horizontal canal fistulas are not uncommon in patients with cholesteatoma. Patients with canal wall down cavities and exposed horizontal canal fistulas develop significant dizziness with wind or suction exposure. Obliteration of mastoid cavities in patients with exposed fistulas can be challenging. We describe a patient with horizontal canal fistula and chronic dizziness from wind exposure who underwent successful mastoid cavity obliteration with preservation of hearing. Patients with horizontal canal fistulas in a canal wall down cavity can be managed with mastoid obliteration for relief of dizziness.
We present a case of a 53-year-old female patient who was treated with 5-Fluorouracil (5-FU) after postsurgical contracture. A review of the literature regarding the use of 5-FU injections as a minimally invasive way to treat contracture was performed. We describe that the use of 5-FU injections is the preferred method for the effective treatment of contracture with minimal risk to the patient.
Cochlear implants have successfully improved hearing in severe and profoundly deaf patients in addition to improving their quality of life. Implant extrusion and wound infection of a cochlear implant are one of the most common postoperative complications, although it does not occur frequently (1.5%-5% of cases). 1 , 2 We present a case of an extruding cochlear implant with dehiscence that was successfully reimplanted, a procedure of which there have been few previous reports in the literature.
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