Oral antibiotics and the management of chronic sinusitis: what do we know?

 2014 Feb;22(1):22-6. doi: 10.1097/MOO.0000000000000022.


Abstract

PURPOSE OF REVIEW:

Chronic rhinosinusitis affected 12.5% of the general population in the United States, making it one of the most common causes for patients to seek medical care. Despite a lack of compelling evidence, antibiotics are the most frequently prescribed class of medications for the treatment of chronic sinusitis, demonstrating a deeply rooted belief that bacteria are in some way responsible for the disease.

RECENT FINDINGS:

Despite the high prevalence of sinusitis, the cause of chronic rhinosinusitis remains elusive despite multiple attempts to determine the underlying cause. Theories have come and gone throughout the years with fungi, bacteria, host immunological defects, allergy, structural and functional defects, gastroesophageal reflux disease, environmental chemicals, and bacterial biofilms being blamed for this chronic inflammatory state of the sinonasal mucosa. Recent literature has continued to explore these various theories.

SUMMARY:

To date, there is no high-quality evidence that antibiotic therapy has any effect on the long-term management of chronic rhinosinusitis. No randomized placebo-controlled studies evaluating the utility of antibiotics have as yet been conducted. There remains an urgent need for a high-quality, prospective clinical trial to determine the proper role of antibiotics in the treatment of chronic rhinosinusitis.
PMID:
 
24322657
 
[PubMed - in process]

Preventing progression of allergic rhinitis: the role of specific immunotherapy

Arch Dis Child Educ Pract Ed. 2011 Jun;96(3):91-100. doi: 10.1136/adc.2010.183095. Epub 2010 Nov 3.
 Preventing progression of allergic rhinitis: the role of specific immunotherapy.
 Fiocchi A, Fox AT. Author information

Abstract Allergic rhinitis and asthma are examples of allergic airways disease. Despite their differing symptomatology, both disorders affect the mucosal lining of the respiratory tract and are linked by common underlying cellular processes, thus, using the 'united airways' approach, they can be considered part of the same allergic disease. The conditions are often comorbid, and there is evidence to suggest that allergic rhinitis in children is a significant risk factor for subsequent development of asthma. Management strategies that target the underlying cause of allergic rhinitis in children have the potential to offer additional symptom control above that of symptomatic medications, and prevent disease progression. Specific immunotherapy (SIT) is the only currently available treatment that is proven to target the disease in this way. SIT affects the underlying cause of allergic rhinitis, producing changes in antibody responses to allergens. It has been shown to be effective in the reduction of allergic rhinitis symptoms in both children and adults, with effects being sustained for several years after treatment completion. Furthermore, a number of trials provide evidence that SIT may prevent the development of new sensitisations and asthma in children and adults with allergic rhinitis. One such open-label, randomised controlled study in children/adolescents (the Preventive Allergy Treatment Study) showed that significantly fewer patients who received 3 years of SIT for grass/birch pollen-induced allergic rhinitis had developed asthma 10 years after treatment initiation versus controls. Some clinical guidelines acknowledge this potential asthma preventive effect in children and the need for additional data from double-blind, placebo-controlled trials to support these findings.
 PMID: 21047834 [PubMed - indexed for MEDLINE]

Iatrogenic cholesteatoma in children with OME in a training program.

Int J Pediatr Otorhinolaryngol. 2006 Oct;70(10):1683-6. Epub 2006 Jul 5.Al Anazy FH.


Abstract

PURPOSE:

To report the occurrence of cholesteatoma following myringotomy and insertion of ventilating tube (VT) in a residency training program.

MATERIALS AND METHODS:

Nine hundred and eighty-four children who were operated for grommet insertion with or without adenotonsillectomy during the year 1999-2003 were included in the study. Children were divided into two groups: group 1 (648 children) operated by residents and group 2 (305 children) operated by consultant. All procedures were carried out under general anesthesia using Ziess operating microscope. Shah ventilating tubes were used in most cases and Goody T tube in some others.

RESULTS:

Nine ears developed cholesteatoma, six with perforation and three with pearl cholesteatoma cyst and intact tympanic membrane. The rate of iatrogenic cholesteatoma occurrence was 0.62% when done by residents (group 1) and 0.33% when operated by consultants (group 2). The overall prevalence was 0.48%.

CONCLUSION:

Iatrogenic cholesteatoma occuring as a complication following VT insertion is not uncommon. It occurs more often following surgery done by inexperienced surgeons. Excessive manipulation may cause meatal wall and drum surface epithelium injury. This epithelium might be pushed with the VT into the middle ear.
PMID:
16822553
[PubMed - indexed for MEDLINE]

Surgery beats chemotherapy for tongue cancer, U-M study finds

EurekAlert!, 01/03/2014
Patients with tongue cancer who started their treatment with a course of chemotherapy fared significantly worse than patients who received surgery first, according to a new study from researchers at the University of Michigan Comprehensive Cancer Center. This is contrary to protocols for larynx cancer, in which a single dose of chemotherapy helps determine which patients fare better with chemotherapy and radiation and which patients should elect for surgery. In larynx cancer, this approach, which was pioneered and extensively researched at U–M, has led to better patient survival and functional outcomes. But this new study, which appears in JAMA Otolaryngology Head and Neck Surgery, describes a clear failure.

The laryngology volume, part of a 6 volume of otorhinolaryngology- head and neck surgery

Otolaryngoloy Update is now www.entindia.info Please subscribe it by mail again as the old subscription will not work

10th Annual National ENT Masterclass 24-26th Jan 2014, from the Royal College of Surgeons, London

We have a free webcast of the 10th Annual National ENT Masterclass 24-26th Jan 2014,
from the Royal College of Surgeons, London. It is the most popular ENT course in UK.
Weblink:
http://www.entmasterclass.com/webcast.htm
Best wishes

Regards

Shahed

Mr M Shahed Quraishi FRCS, FRCS (ORL, H&N)
Consultant Otolaryngologist, Thyroid and Parathyroid Surgeon,
Clinical Director for Head & Neck and Special Surgery,
Hon Senior Lecturer in Surgical Oncology, University of Sheffield
Doncaster Royal Infirmary

NHS PA: 01302 647231
Private rooms: Shelton House 01302 323489
E-mail:  Muhamad.Quraishi@dbh.nhs.uk
            shquraishi@entmasterclass.com

SRI SATHYA SAI ENT HOSPITAL,N.R.Peta,KURNOOL. AP 10TH Hands on Temporal Bone Dissection and live surgery Work Shop – 25th & 26th Jan 2014 In association with AOI AP state branch


Dear colleague,
  Greetings from Kurnool…
I personally thank all my teachers, colleagues, friends, AOI officer bearers, delegates and sponsors who made our previous Micro Ear Surgery & hands on Temporal Bone Dissection Courses a grand success. Unfortunately we could not provide dissection facility to all candidates due shortage of time and limited dissection stations.
We are humbled and as well as inspired by your support and the demand and therefore we have decided to conduct such courses on more regular basis. We are organizing our Next Hands on Temporal Bone Dissection course on25th & 26th Jan 2014. This Includes Temporal Bone Dissection demonstration by eminent faculty and Followed by dissection by the candidates.
 Course is organized only for 12 Candidates to provide ample time and opportunity to have hands-on experience and discussion with the faculty. Another attraction of this work shop is we are planning to provide dummy cochlear implants to the delegates so that they can even practice cochleostomy, posterior tympanotomy and implant insertion. Second day we have live demonstration of basic otological surgeries also. However, interested colleagues can participate as observers. We look forward for your continued patronage and motivation.
Thanking you,
                                                                   -Course Director: Dr.B. Jayaprakash Reddy
Course Coordinators: Dr.D.Kabir, Dr. Nadeem, Dr. Kumar chowdary,Dr. Srinivas Kishore,
Dr. Srinivasulu, Dr. PraveenKumar Reddy, Dr.Govindaraj , Dr.Manjunath,Dr.G.S.N murthy
Dr.Mahendrakumar.M
Venue & Workshop Secretariat:
Sri sathya sai ENT hospital
N.R.Peta, KURNOOL. Andra Pradesh
PH: 9440293940; 08518-224910.
E-mail: entjpreddy@gmail.com
PROGRAMME
Day 1
7 am-10.30 am- Demonstration of temporal bone dissection
10.30 am- 1 pm- Hands on dissection by 1st batch
1 pm to 2 pm – Lunch
2 pm -6 pm- Hands on dissection by 1st batch
Day 2
7 am to 10.30- Live micro ear surgery demonstration
10.30 am- 1 pm- Hands on dissection by 2nd batch
1 pm to 2 pm – Lunch
2 pm -6 pm- Hands on dissection by 2nd batch
Note:
During hands on dissection one microscope will be allotted to two Persons While one is doing dissection other person will be assisting.
 Fee Particulars:
PG’s 5,000 rupees-      Consultants 6,000/- Foreigner-300 USD
 Limited seats first come first serve basis, Please pay after confirmation by course director
DD must be made in favor of SRI SATYASAI ENT HOSPITAL payable at Kurnool
Online payment- karur vysys bank, IFSC Code-KVBL0001405  Name of account-satya sai ENT hospital
Ac.no-1405135000003006

3D otology workshop 2nd to be held at Dr.Manoj's ENT superspeciality institute and research centre on March 22 and 23rd ,2014

REGISTRATION 

Dear colleagues,

We request the pleasure of your participation in the first ever 3D otology workshop 2nd  to be held at Dr.Manoj's ENT superspeciality institute and research centre   on March 22 and 23rd   ,2014.Please book your seats early as seats are limited.

Venue -: Dr.Manoj's ENT superspeciality institute and

             Research centre,East HillCalicut,Kerala
International Faculty - Dr Erwin Officiers

National faculty -Dr.Ameet Kishore, Prof Nellam Vaid And Dr. Manoj Manikoth


Last date : 28th February ,2014
e mail: academics@drmanojsent.com
Phone: +919526011133,04952386060

Is nasal steroid spray bottle contamination a potential issue in chronic rhinosinusitis?

Is nasal steroid spray bottle contamination a potential issue in chronic rhinosinusitis? The Journal of Laryngology & Otology, 12/24/2013 Clinical Article Tana NCW, et al. –

Intranasal steroids are the first line of treatment for chronic rhinosinusitis. Although contamination of adjunctive devices (e.g. irrigation bottles) has been much investigated, little is known about nasal contamination of the metered–dose spray bottles used to deliver intranasal steroids, and the potential influence on disease chronicity. Nasal steroid spray bottle tips can become contaminated with sinonasal cavity bacteria. Simple sterilisation methods can eliminate this contamination. Patient education on this matter should be emphasised.

Role of subtotal tonsillectomy (tonsillotomy) in children with sleep disordered breathing

Role of subtotal tonsillectomy (tonsillotomy) in children with sleep disordered breathing The Journal of Laryngology & Otology, 12/24/2013 Clinical Article Wooda JM, et al. –

 Sleep disordered breathing in children causes disturbance in behaviour and also in cardiorespiratory and neurocognitive function. Subtotal tonsillectomy (‘tonsillotomy’) has been performed to treat sleep disordered breathing, with outcomes comparable to established therapies such as total tonsillectomy or adenoidectomy. This review critically assesses the role of subtotal tonsillectomy in a paediatric setting. In children, subtotal tonsillectomy is associated with fewer post–operative complications whilst having a comparable effect in improving sleep disordered breathing, compared with total tonsillectomy.

10TH Hands on Temporal Bone Dissection and live surgery Work Shop – 25th & 26th Jan 2014 In association with AOI AP state branch

                  SRI SATHYA SAI ENT HOSPITAL,N.R.Peta,KURNOOL. AP
   10TH Hands on Temporal Bone Dissection and live surgery Work Shop – 25th & 26th Jan 2014
                                 In association with AOI AP state branch
Dear colleague,
  Greetings from Kurnool…
I personally thank all my teachers, colleagues, friends, AOI officer bearers, delegates and sponsors who made our previous Micro Ear Surgery & hands on Temporal Bone Dissection Courses a grand success. Unfortunately we could not provide dissection facility to all candidates due shortage of time and limited dissection stations.
We are humbled and as well as inspired by your support and the demand and therefore we have decided to conduct such courses on more regular basis. We are organizing our Next Hands on Temporal Bone Dissection course on25th & 26th Jan 2014. This Includes Temporal Bone Dissection demonstration by eminent faculty and Followed by dissection by the candidates.
 Course is organized only for 12 Candidates to provide ample time and opportunity to have hands-on experience and discussion with the faculty. Another attraction of this work shop is we are planning to provide dummy cochlear implants to the delegates so that they can even practice cochleostomy, posterior tympanotomy and implant insertion. Second day we have live demonstration of basic otological surgeries also. However, interested colleagues can participate as observers. We look forward for your continued patronage and motivation.
Thanking you,
                                                                   -Course Director: Dr.B. Jayaprakash Reddy
Course Coordinators: Dr.D.Kabir, Dr. Nadeem, Dr. Kumar chowdary,Dr. Srinivas Kishore,
Dr. Srinivasulu, Dr. PraveenKumar Reddy, Dr.Govindaraj , Dr.Manjunath,Dr.G.S.N murthy
Venue & Workshop Secretariat:
Sri sathya sai ENT hospital
N.R.Peta, KURNOOL. Andra Pradesh
PH: 9440293940; 08518-224910.
E-mail: entjpreddy@gmail.com
PROGRAMME
Day 1
7 am-10.30 am- Demonstration of temporal bone dissection
10.30 am- 1 pm- Hands on dissection by 1st batch
1 pm to 2 pm – Lunch
2 pm -6 pm- Hands on dissection by 1st batch
Day 2
7 am to 10.30- Live micro ear surgery demonstration
10.30 am- 1 pm- Hands on dissection by 2nd batch
1 pm to 2 pm – Lunch
2 pm -6 pm- Hands on dissection by 2nd batch
Note:
During hands on dissection one microscope will be allotted to two Persons While one is doing dissection other person will be assisting.
 Fee Particulars:
PG’s 5,000 rupees-      Consultants 6,000/- Foreigner-300 USD
 Limited seats first come first serve basis, Please pay after confirmation by course director
DD must be made in favor of SRI SATYASAI ENT HOSPITAL payable at Kurnool
Online payment- karur vysys bank, IFSC Code-KVBL0001405  Name of account-satya sai ENT hospital
Ac.no-1405135000003006

Temporal Bone Dissection Course,AIIMS,Delhi, Jan 17-19,2014


CLICK IMAGE

Temporal Bone Workshop 18th and 19th January,2014,, Erode,Tamilnadu,India,

 BROCHURE

Temporal Bone Workshop 18th and 19th January,2014,
at Annai ENT and Head & Neck Care Centre,
Erode,Tamilnadu,India,
Course Director-Dr.C.N.Raja,
Contact Dr.Karthikeyan-80123 71484