Text Box: This study from Hungary & Austria (Gerlinger et al, 2007, Clinical Otolaryngology Volume 32 Issue 6 Page 465-470, December 2007 ) described an interesting technique of septal reconstruction using polydioxanone foil.

Text Box: Editor’s choice :  nsr & pds Foil...?

Text Box: PNS Dimension & AOM Risk...?

Text Box: This report from Finland (Renko M et al, J Laryngol Otol. 2007 Sep;121(9):853-6) reported significant nasopharyngeal dimension measured on MRI appears smaller in children with recent AOM than in other children .

Text Box: otolaryngologyinafrica.net Text Box: otolaryngologyinafrica.net Text Box: January 3 2008

Text Box: Vol 7, No 6

Text Box: Otorhinolaryngology news

Text Box: In this issue · NSR & PDS FOIL…? · PNS dimension & AOM Risk…? · AMI to replace ABI · Cases of The Week

Text Box: Biodun Olusesi  Newsletter Editor View Page in FrenchText Box: Journal Watch: Auditory brainstem implants, Schwartz MS et al, 2008    1. Mobile Edition of otolaryngologyinafrica launched . For details, click HERE 2.    A new forum for ENT patients and clinicians launched, For Details, click HERE 3. Receive the latest newsletter info. On your cell phone. Simply point your phone browser HERE 4. Papers delivered at the 16th ORLSON Scientific Meeting held November 21—24, 2007 can be viewed  HERE 5. Forum topic : Cochlear Implant in Africa. Read the preview HERE    Till Next Week,  Biodun

Text Box: Highlight:  · Conventional septoplasty cannot be the answer to all types of septal deviation. ·  · Indications of extracorporal septal reconstruction with polydioxanone (PDS) foil: (i) selected cases of very high septal deviations, (ii) post-traumatic and (iii) extremely pronounced congenital septal deviations and/or aesthetic deformities.   · Polydioxanone foil facilitates the incorporation of a newly implanted septal graft without significant postoperative complications and is absorbed within 25 weeks. ·  · The surgical technique is described in detail, and the early postoperative functional and aesthetic results (mean follow-up: 11 months) on 16 patients (mean age: 42 years) are reported. Overall, 88% of the patients responded positively to the question of whether they would choose to undergo the same procedure again, knowing the postoperative result. ·  · The procedure is easy to learn and has already proved to be an excellent combination of modern functional and aesthetic nasal surgery.  

Text Box: © Copyright Dr 'Biodun Olusesi,  2005 - 2007

Otolaryngology in Africa FeedText Box: Reed Our Feed

Text Box: Abstract: BACKGROUND: We have previously found by lateral cephalometry an association between nasopharyngeal anatomy and the risk of acute otitis media (AOM). We evaluate here the association of nasopharyngeal dimensions in magnetic resonance imaging (MRI) with the occurrence of AOM in otherwise healthy children. METHODS: Sixty-one healthy children (mean age 5.7 years, range 3.9-6.9) were recruited from child care centres. The parents filled in a questionnaire on the child's history of ear infections and adenoidectomy. MRI was performed with a 4 mm slice thickness during an upper respiratory infection. Five dimensions and two angles expressing the structure of the bony nasopharynx were measured in sagittal images. RESULTS: The dimension from the caudal edge of the septum to the midpoint of the sella, reflecting the height of the nasopharynx, was on average 2.2 mm smaller in the children who had had AOM attacks during the last 12 months than those without attacks (95% confidence interval (CI) 0.9 to 3.4, p=0.001) and the  nasal base angle was on average 2.1 degrees smaller (95% CI 0.7 to 3.5, p=0.004).These differences remained significant after adjustment for age, sex and previous adenoidectomy in the logistic modelling. A history of adenoidectomy did not have any effect on the dimensions. CONCLUSIONS: The nasopharynx was smaller in the children with AOM attacks during the last year. The value of this finding for predicting susceptibility to recurrent AOM and directing preventive procedures should be evaluated.

Text Box: Cases of The Year—Guess & Win

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