The Annals of otology, rhinology, and laryngology
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Ann. Otol. Rhinol. Laryngol. · May 2021
Olfactory and Gustatory Dysfunctions as a Clinical Manifestation of Coronavirus Disease 2019 in a Malaysian Tertiary Center.
To investigate the prevalence of olfactory and gustatory dysfunction among patients with COVID-19 infection and the recovery rate. ⋯ Olfactory and gustatory dysfunction is a pertinent manifestation of COVID-19. Most of the affected patients achieve rapid and complete recovery. Sudden onset of olfactory and gustatory dysfunction should be recognized as a major symptom of COVID-19 as we implore to contain this pandemic.
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Ann. Otol. Rhinol. Laryngol. · May 2021
Case ReportsUse of Adenosine to Facilitate Localization and Repair of Internal Carotid Artery Injury during Skull Base Surgery: A Case Report and Literature Review.
Internal carotid artery (ICA) injuries represent a rare, potentially fatal complication of endoscopic endonasal skull base surgery (EESBS). The use of adenosine to induce transient hypotension and facilitate management of high-flow, high-pressure arterial lesions has been well-documented in neuro-endovascular literature. A similar setting in which adenosine-induced hypotension may prove beneficial is during the management of major vascular injury encountered during EESBS. ⋯ Prompt repair of ICA injury during EESBS is crucial, but often limited by poor visualization. Adenosine-induced hypotension has demonstrated great efficacy as an adjuvant in neurovascular clipping of intracranial aneurysms and remains a valuable tool for the endoscopic skull-base surgeon as well. In cases with high risk for ICA injury, adenosine should be readily available.
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Ann. Otol. Rhinol. Laryngol. · May 2021
Case ReportsConsiderations in Management of Acute Otitis Media in the COVID-19 Era.
To present the otologic findings of a patient with COVID-19 and complicated acute otitis media, evaluate for the presence of SARS-CoV-2 in middle ear fluid, and assess whether suctioning of middle ear fluid may be aerosol- generating. ⋯ The case of a patient with active COVID-19 presenting with complicated acute otitis media in whom middle ear fluid was sampled to evaluate the etiology of the infection and the potential middle ear predilection of SARS-CoV-2 is described. This study has implications for the clinical management of patients with both known and unknown SARS-CoV-2 infection who present with ear disease. While middle ear suctioning may not be aerosol-generating, the risk of coughing or prolonged close contact requires heightened precautions during otologic procedures in patients with suspected or confirmed COVID-19.
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Ann. Otol. Rhinol. Laryngol. · May 2021
Case ReportsRecurrent Hemoptysis: A Bronchial Dieulafoy's Lesion in a Pediatric Patient.
This paper presents a case of a bronchial Dieulafoy's lesion in a pediatric patient with recurrent hemoptysis. ⋯ While rare, especially in pediatric patients, bronchial Dieulafoy's lesions may cause severe hemoptysis and should be considered in the differential diagnosis when the etiology for hemoptysis is unclear.
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Ann. Otol. Rhinol. Laryngol. · Apr 2021
Head Over Wheels: Traumatic Head and Neck Injuries Secondary to Mountain Biking.
The popularity of mountain biking (MTB) in the United States has risen in recent years. We sought to identify the prevalence and distribution of MTB associated head and neck injuries presenting to emergency departments across the U.S. and identify risk factors for hospital admission in this patient population. ⋯ 4.