Caudal septal deviation is an important cause of nasal obstruction and is a major cause of nasal septal surgery. Although reinforcing and straightening the deviated nasal septum with bone fragment or cartilage is known to be quite effective, such procedure is complicated and time-consuming as it consists of three steps; ‘separation,’ ‘correction,’ and ‘reposition and fixation.’ In this article, we introduce a new technique that can reliably position the caudal septum along the midline and simplify the surgical process into two steps: ‘separation’ and ‘correction and fixation.’
This study reports on patients with severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) presenting with sudden sensorineural hearing loss (SSNHL) during the coronavirus disease 2019 (COVID-19) pandemic. The study included four adult patients who presented with the complaint of unilateral SSNHL after testing positive for SARS-CoV-2 by RT-PCR from January to April 2022. Of the four patients, only one young adult recovered his hearing following a combination of oral and intratympanic steroid therapy. It is a challenge to confirm evidence of association between COVID-19 and SSNHL. Nevertheless, the early screening and diagnosis for SSNHL following COVID-19 enables prompt treatment with steroids, which offers the best chance of hearing recovery.
Objectives:We evaluated hearing recovery rates in sudden sensorineural hearing loss (SSNHL) according to a delay from onset to treatment. Materials and Methods: 281 subjects with SSNHL, who received steroid combination treatment as an initial treatment, were included in this study. We divided the patients into groups of the delay from onset to treatment: ≤48 hours, ≤7 days, ≤14 days, ≤21 days, ≤30 days, and 31-60 days groups. Results: Complete recovery (CR) rates were 21.2% in ≤48 hours group, 25.3% in ≤7 days group, and 7.9% in ≤14 days group. The CR was not found in groups with treatment delayed group after 14 days. The CR rate in ≤14 days group had 0.019fold (95% CI: 0.051-0.769) decreased odds than the ≤48 hours group. Meaningful hearing recovery (MR) rates were 36.9%-47.1% in groups that received treatment within 14 days, and those of 17.7%-21.1% were observed in groups with a delay between 14 and 30 days. Of patients with treatment delays more than 31 days, hearing recovery of any type was not found. The MR rate in ≤30 days group had 0.234-folds decreased odds than ≤48 hours group (95% CI 0.061-0.906). Conclusions: Hearing recovery rates according to the delay of initial steroid treatment in SSNHL patients were identified. Clinicians can provide patients with information for hearing outcomes of delayed initiation of steroid treatment. Shared information facilitates better making decision with regard to their treatment plan.
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