RESUMEN
Chronic rhinosinusitis is a common debilitating condition characterized by inflammation of the nose and paranasal sinuses. Osteitis is an associated finding but it is not clear whether it is cause or effect. This review will report on studies that have examined the role of osteitis in CRS, with the ultimate aim of clarifying the definition, pathogenesis and clinical implications of this relatively new clinical entity. Literature searches of Medline, EMBASE and CENTRAL using the search terms osteitis, rhinosinusitis, sinusitis, rhinitis, chronic disease, and recurrence were performed. 21 articles were identified and reviewed. The papers highlighted key pathological features including periosteal thickening, new woven bone formation, bone resorption, fibrosis and inflammatory cell infiltration. Radiological grading systems and basic science research into the role of matrix metalloproteinases and P-glycoprotein were also identified and reviewed.
Asunto(s)
Osteítis/complicaciones , Rinitis/etiología , Sinusitis/etiología , Miembro 1 de la Subfamilia B de Casetes de Unión a ATP/metabolismo , Remodelación Ósea , Enfermedad Crónica , Humanos , Metaloproteinasas de la Matriz/metabolismo , Osteítis/diagnóstico por imagen , Osteítis/metabolismo , Osteítis/patología , Radiografía , RecurrenciaRESUMEN
OBJECTIVES: This study aims to assess the safety of daycase cochlear implant surgery. METHODS: A retrospective review was conducted on all patients who underwent cochlear implant surgery at a teaching hospital in Oxford, UK between September 2008 and February 2012. RESULTS: One hundred and sixteen patients underwent cochlear implant surgery. This included 73 adults and 43 children. Twenty-six patients underwent the procedure as a daycase procedure. There were no readmissions. DISCUSSION: The demand 'to do more with less' has led to increasing drives for efficiency and cost-effectiveness. Therefore, the role of daycase surgery is becoming increasingly widespread. Daycase surgery has been shown to be advantageous for both patients and hospitals. CONCLUSION: Daycase cochlear implant surgery is feasible and can be safely conducted in a select group of patients.
Asunto(s)
Procedimientos Quirúrgicos Ambulatorios/estadística & datos numéricos , Implantación Coclear/estadística & datos numéricos , Implantes Cocleares/estadística & datos numéricos , Sordera/cirugía , Adulto , Procedimientos Quirúrgicos Ambulatorios/economía , Niño , Implantación Coclear/economía , Implantes Cocleares/economía , Ahorro de Costo , Estudios de Factibilidad , Humanos , Lactante , Tiempo de Internación/economía , Auditoría Médica , Selección de Paciente , Estudios Retrospectivos , Resultado del Tratamiento , Reino UnidoRESUMEN
OBJECTIVE: To report a case of varix of the retromandibular vein within the parotid gland. METHODS: Case report, and discussion of the appropriate selection and use of radiological investigation techniques. RESULTS: A 64-year-old lady who presented with unilateral tinnitus underwent a magnetic resonance imaging scan to exclude a vestibular schwannoma. The magnetic resonance scout images revealed an incidental finding of a hyperechoic mass within the parotid gland. The mass was most consistent with a pleomorphic adenoma. Ultrasound-guided fine needle aspiration cytology was arranged; the ultrasound identified the mass as a varix of the retromandibular vein and fine needle aspiration cytology was not performed. CONCLUSION: A varix of the retromandibular vein is a very rare cause of a parotid mass. Appropriate radiological investigations can prevent unnecessary invasive investigations or procedures.