MyMedR

Although some form of temporal bone holder is in use in virtually all ENT postgraduate teaching departments, a paucity of information in the literature may cause problems in selecting the most appropriate model to those responsible for equipping temporal bone laboratories. The bone holder which we describe is based on existing designs but incorporates a built-in irrigation system which offers considerable advantages to the unassisted operator.

Matched MeSH terms: Otolaryngology/instrumentation*

Abstracts of the 10th Asia-Oceania ORL Head and Neck Congress. 22-26 February 2004, Kuala Lumpur, Malaysia

Med J Malaysia, 2004 Feb;59 Suppl A:1-257.

PMID: 15307243

Matched MeSH terms: Otolaryngology*

The undergraduate ENT medical curriculum: past, present and future

Gendeh BS

Med J Malaysia, 2002 Dec;57 Suppl E:23-6.

PMID: 12733188

The strong international demand for admission into medical schools make medical education a "seller's market", and increasingly a global market. Teaching of Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) has two primary goals. Firstly, a firm grasp of basic principles, recognition and treatment of common disorders, initial management of ORL-HNS emergencies and indications for specialist referral. Secondly, to provide sufficient exposure to the specialty to assist in career planning. Good communicative skills for optimal patient care are essential in the selection criteria of medical students. Proficiency in English is essential to obtain a disproportion share of opportunities in the new economy. The examination evaluation needs to be standardized between the various medical schools and the recommended lecturer-student ratio is maintained. The Joint National Evaluating Board has a very essential role to play in the maintenance of medical educational standards in Malaysia.

Matched MeSH terms: Otolaryngology/education*

Fulltext Transnasal oesophagoscopy: the feasibility and potential impact on service provision of an office based procedure for upper gastrointestinal disorders in Malaysia

Philip R, Junainah S, Maharita AR

Med J Malaysia, 2014 Aug;69(4):162-5.

PMID: 25500843 MyJurnal

A Health Technology Assessment (HTA) was conducted in 2011 to evaluate whether transnasal oesophagoscopy (TNE) should be made available at otorhinolaryngology (ORL) clinics in the Ministry of Health facilities. The safety, efficacy or effectiveness and economic implication of using transnasal oesophagoscopy (TNE) were reviewed. This review provides a summary of the HTA and an updated literature review as well as how this technology might potentially affect services in the Ministry of Health.

Matched MeSH terms: Otolaryngology

Fulltext Pathophysiology of Subjective Tinnitus: Triggers and Maintenance

Haider HF, Bojić T, Ribeiro SF, Paço J, Hall DA, Szczepek AJ

Front Neurosci, 2018;12:866.

PMID: 30538616 DOI: 10.3389/fnins.2018.00866

Tinnitus is the conscious perception of a sound without a corresponding external acoustic stimulus, usually described as a phantom perception. One of the major challenges for tinnitus research is to understand the pathophysiological mechanisms triggering and maintaining the symptoms, especially for subjective chronic tinnitus. Our objective was to synthesize the published literature in order to provide a comprehensive update on theoretical and experimental advances and to identify further research and clinical directions. We performed literature searches in three electronic databases, complemented by scanning reference lists from relevant reviews in our included records, citation searching of the included articles using Web of Science, and manual searching of the last 6 months of principal otology journals. One-hundred and thirty-two records were included in the review and the information related to peripheral and central mechanisms of tinnitus pathophysiology was collected in order to update on theories and models. A narrative synthesis examined the main themes arising from this information. Tinnitus pathophysiology is complex and multifactorial, involving the auditory and non-auditory systems. Recent theories assume the necessary involvement of extra-auditory brain regions for tinnitus to reach consciousness. Tinnitus engages multiple active dynamic and overlapping networks. We conclude that advancing knowledge concerning the origin and maintenance of specific tinnitus subtypes origin and maintenance mechanisms is of paramount importance for identifying adequate treatment.

Matched MeSH terms: Otolaryngology

Fulltext A rare cause of otalgia and otorrhagia: alive leech in the ear

Mohd Syafwan Mohd Soffian, Irfan Mohamad, Norasnieda Md Shukri

Malaysian Journal of Medicine and Health Sciences, 2016;12(2):44-45.

MyJurnal

Leech infestation in otolaryngology is sporadically seen in
remote area of tropical countries, but the cases are usually not
scientifically reported. We are reporting an unusual case of a
land leech removal from external auditory canal (EAC).

Matched MeSH terms: Otolaryngology

Comprehensive management and classification of first branchial cleft anomalies: An International Pediatric Otolaryngology Group (IPOG) consensus statement

Heilingoetter AL, See GB, Brookes J, Campisi P, Cervantes SS, Chadha NK, et al.

Int J Pediatr Otorhinolaryngol, 2024 Nov;186:112095.

PMID: 39278130 DOI: 10.1016/j.ijporl.2024.112095

OBJECTIVE: First branchial cleft anomalies are rare congenital head and neck lesions. Literature pertaining to classification, work up and surgical treatment of these lesions is limited and, in some instances, contradictory. The goal of this work is to provide refinement of the classification system of these lesions and to provide guidance for clinicians to aid in the comprehensive management of children with first branchial cleft anomalies.

MATERIALS AND METHODS: Delphi method survey of expert opinion under the direction of the International Pediatric Otolaryngology Group (IPOG) was conducted to generate recommendations for the definition and management of first branchial cleft anomalies. The recommendations are the result of expert consensus and critical review of the literature.

RESULTS: Consensus recommendations include evaluation and diagnostic considerations for children with first branchial cleft anomalies as well as recommendations for surgical management. The current Work classification system was reviewed, and modifications were made to it to provide a more cogent categorization of these lesions.

CONCLUSION: The mission of the International Pediatric Otolaryngology Group (IPOG) is to develop expertise-based recommendations based on review of the literature for the management of pediatric otolaryngologic disorders. These consensus recommendations are aimed at improving care of children presenting with first branchial cleft anomalies. Here we present a revised classification system based on parotid gland involvement, with a focus on avoiding stratification based on germ layer, in addition to guidelines for management.

Matched MeSH terms: Otolaryngology

Fulltext Metallic foreign body penetrating the carotid sheath: a case report

Vamanshankar H, Nair AB, Rajan N

Malays J Med Sci, 2011 Jan;18(1):72-5.

PMID: 22135577

Foreign bodies are a common problem seen in otolaryngological practice. Of the reported foreign bodies, metallic foreign bodies are a rare entity. One of the least common complications of foreign body ingestion is penetration and migration. We describe a case of a migrating metallic foreign body in a 50-year-old woman with a history of accidental ingestion causing odynophagia. In the present case, the foreign body migrated extraluminally into the carotid sheath. Our review of literature revealed that few such cases have been reported.

Matched MeSH terms: Otolaryngology

Tissue engineering research in developing countries, the significant and differences as compared to the developed countries

Aminuddin BS, Ruszymah BH

Med J Malaysia, 2008 Jul;63 Suppl A:47-8.

PMID: 19024977

The emergence of tissue engineering and stem cell research has created a tremendous response amongst scientist in Malaysia. However, despite the enthusiastic to embark on the research we have to carefully divert the research towards our needs. This is due to our responsibility to address the mounting problem of communicable diseases here and a very limited funding. As commercialization is a key objective the combination of products towards treating or diagnosing communicable and non-communicable diseases in the developing country is another important factor. The discussion here is mainly on the evolution of tissue engineering in Malaysia and taking a model of tissue engineering in otolaryngology.

Matched MeSH terms: Otolaryngology*

Fulltext Comparative study of plain-film radiographs of maxillary sinuses between radiologists and clinicians

Krishnan G

Med J Malaysia, 1992 Sep;47(3):190-3.

PMID: 1491644

Maxillary sinuses plain film radiographs of 59 patients were reviewed and reported by both clinicians or Radiologists at the University Hospital, Kuala Lumpur. There was agreement in 52 reports of the plain film radiographs however there was partial differences in about seven cases. This gave an impression that the ENT specialist and the Radiologist were both capable of reporting plain film radiographs of maxillary sinuses, even though the radiologist has no opportunity of doing detail clinical examination of the patient.

Matched MeSH terms: Otolaryngology*

The way we teach otolaryngology in an integrated problem-based curriculum

Elango S, Arumainayagam GC, Palaniappan SP

Med Teach, 1991;13(1):63-6.

PMID: 1865800

The University Science Malaysia, Penang, the third medical school in Malaysia, is following an integrated curriculum. In this curriculum, the students are taught the subject of otolaryngology from the second year of their course unlike the traditional schools where they are taught in the fourth or fifth year. This paper describes how otolaryngology is introduced in this integrated, problem-based curriculum.

Matched MeSH terms: Otolaryngology/education*

Fulltext Recommendations on otorhinolaryngology procedural-based services during covid-19 pandemic

Sobani Din, Fadzilah Ismail, Teh, Carren Sui Lin, Raudha Ezaty Ruslan, Shiraz Qamil Muhammad Abdul Kadar, Azuin Izzati Arshad

Borneo Journal of Medical Sciences, 2021;15(1):67-71.

MyJurnal

The current COVID-19 pandemic has forced many clinical disciplines to evolve to function safely and still provide the necessary care. Otorhinolaryngology (ORL) is a field that has been greatly affected by this highly transmissible viral pathogen. Aerosolizing procedures, proximity examination and other common procedures must be revamped to suit current time. The usual norm ORL procedures need also be altered to incorporate safeguards to protect both patient and healthcare workers. This recommendation for current practices aims to give a practical approach to modify current practices to maintain safety during the pandemic. These recommendations are the consensus amongst ORL practitioners in Hospital Sungai Buloh which is the designated COVID-19 centre for Malaysia’s central region and is currently being practised.

Matched MeSH terms: Otolaryngology

Fulltext Facial subcutaneous emphysema as a rare complication of tonsillectomy

Mark Paul, Najihah Hanim Asmi, Rohaida Ibrahim, Eshamsol Kamar Omar, Irfan Mohamad

International Medical Journal Malaysia, 2017;16(2):121-124.

MyJurnal

Tonsillectomy is a very common procedure in Otolaryngology practice. Common complications include
bleeding, which can be primary or secondary due to infection of the tonsillar bed. Subcutaneous emphysema
after a tonsillectomy is very rare. We report a 19-year-old girl who developed cervicofacial subcutaneous
emphysema several hours after tonsillectomy with successful conservative treatment outcome.

Matched MeSH terms: Otolaryngology

Fulltext Intra-aural tick resulting in facial nerve paresis

Rajinder S, Nik Adilah NO

Malays Fam Physician, 2017;12(3):25-27.

PMID: 29527276 MyJurnal

The presence of a tick in the ear is an uncommon problem encountered by the department of otorhinolaryngology. A tick infestation in the ear can be a traumatising experience for the patient. Here, we report a case of a woman who presented with left facial weakness due to the presence of a tick in the external auditory canal.

Matched MeSH terms: Otolaryngology

Workforce Considerations, Training, and Diseases of the Asia-Pacific Region

Smith JD, Tan KL

Otolaryngol. Clin. North Am., 2018 Jun;51(3):659-665.

PMID: 29482921 DOI: 10.1016/j.otc.2018.01.010

The Asia-Pacific region has 60% of the world's population. There is a huge variability in ethnic groups, geography, diseases, and income. The otolaryngology workforce depends on the number of medical graduates, training programs, scope of practice, and available employment. Training has been influenced by the British, Russian, and US training systems, and by local influences and experience. Otolaryngologic diseases are similar to those seen in the United States but with ethnic and regional differences. There are opportunities for humanitarian service but the most sustainable projects will include repetitive visits with transfer of knowledge.

Matched MeSH terms: Otolaryngology/education*; Otolaryngology/manpower*

Fulltext Epiphora as the primary initial presentation for a huge sino-nasal osteoma: a rare presentation

Nadia Yaacob, Adil Hussein

Journal of Biomedical and Clinical Sciences, 2018;3(2):26-28.

MyJurnal

Sino-nasal osteoma is a common benign tumour of paranasal
sinuses and usually asymptomatic. Here, we presented a case of a huge sinonasal osteoma. Despite the large size of the tumour, the only presentation
was epiphora. There were no headache, facial pain or diplopia. Nasal
obstruction only occurred after involvement of the nasal cavity. In diagnosing
aetiology of the epiphora, sino-nasal pathology needed to be ruled out after
excluding ocular causes. Multidisciplinary approach between otolaryngology
(ORL) team and ophthalmology team was essential in managing the case.
The tumour was successfully removed surgically via endoscopic approach;
and dacryocystorhinostomy (DCR) was performed to alleviate the epiphora.

Matched MeSH terms: Otolaryngology

Fulltext Sudden sensorineural hearing loss: A missed opportunity for treatment

Ali AH, Salahuddin Z, Salim R

Malays Fam Physician, 2018;13(3):29-30.

PMID: 30800231 MyJurnal

Sudden sensorineural hearing loss (SSNHL) is an otology emergency and carries significant morbidity if the diagnosis is missed. It can present to any specialty but in our local setting the patient usually presents to primary care as it is easily accessible. We present a case of SSNHL that was initially presented to a primary care centre and the patient was reassured without any investigation being carried out. SSNHL has many causes thus making diagnosis difficult. However, with knowledge of its possible, a diagnosis can be made and appropriate management can be advocated to the patient. Hence, we discuss the three main causes of SSNHL, while emphasizing the immune system-mediated mechanism as the main cause in this case.

Matched MeSH terms: Otolaryngology

Displaying publications 1 - 20 of 45 in total