Infected Lymphangioma Tongue Presenting as Macroglossia – A Case Report

 

Introduction

Lymphangioma is a benign hamartomatous hyperplasia of lymphatic vessels, with three-fourths of all cases occurring in the head and neck region [1-4]. Lymphangioma was first described by Redenbacher in 1828 and Lymphangioma of the tongue was first described by Virchow in 1854 [2].

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Use of Temporoparietal Flap and Split Skin Grafting of Donor Area to Salvage Cochlear Implant – Novel Experience from A Tertiary Hospital in India

 

Abstract

The management of cochlear implant exposure can be very challenging especially in the pediatric population where reconstructive options are limited. Various techniques comprising conservative and surgical methods have been used to prevent explanation with variable success rates. We describe the use of the temporoparietal fascial flap (TPFF) for this purpose due to its wide coverage and tension-free closure. We present the case of a child who had implant exposure 3 months after the surgery. He was managed conservatively initially. When this failed restoring of the wound was done. However, this also was not successful. Then we tried coverage with TPFF and split-thickness skin grafting of the TPFF donor site which succeeded. Our experience provides evidence that TPFF can be used for the coverage of post aural wound in cases of implant exposure and when combined with a splitthickness skin graft (STSG) of the donor site, it can further increase the success rates. The STSG of the donor site ensures a tensionfree closure in comparison with primary closure which would put further pressure on the TPFF.

Keywords:TPFF: Temporoparietal Fascial Flap; STSG: Split-Thickness Skin Graft

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Digestive Problems & Autofellatio

 

Abstract

In this paper, we consider the injuries incurred from autofellatio that cause digestive problems. The esophagus is put on a mathematical basis and the force necessary to allow for the bolus to enter the stomach.

Keywords:Digestion; autofellatio; spine; Bernoulli’s equation

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Hyperacusis In Nigeria: A Scoping Review

 

Abstract

Introduction: Hyperacusis is the sensitivity or intolerance to some everyday sound in such a way that it causes significant distress to the person, and impairs their social, recreational, occupational and day to day life. Most patients have a normal or nearnormal pure tone hearing threshold, with a decreased loudness discomfort level. Cognitive behavioural therapy (CBT) has been reported to be effective in relieving the distress caused by hyperacusis in patients. There is a rarity of data on hyperacusis in Nigeria, probably being submerged in the general perception as incidents of delusive tendency. This scoping review aimed to examine the range and nature of available research on hyperacusis in Nigeria and to identify the research gap in the literature to aid conception of future hyperacusis research in Nigeria.

Method: A systematic widespread internet-based search of available literature on “Hyperacusis in Nigeria” was carried out using Medline, Scopus, Google Scholar, Embase, Ecosia, UCL Web of Science, African Index Medicus Database, and outcome of search reported. GOOGLE NGRAM was used to depict history of literature on hyperacusis.

Results: Seven search engines applied, Scopus and African index medicus database found one article each for ‘hyperacusis in Nigeria’. Google NGRAM showed that hyperacusis was first reported in the 19th century.

Conclusion: The paucity of research on hyperacusis in Nigeria is a reveille to scholarly researchers to take a deep dive into the swirling pool of hyperacusis research. The onus is not just otorhinolaryngologists, but also on audiologists, psychotherapists, mental health physicians, family physicians and others allied professionals to have a high index of suspicion and to report cases of hyperacusis to build up research database.

Keywords: Hyperacusis; sound sensitivity; tinnitus; misophonia; recruitment; Nigeria

Abbreviations: LDLs: Loudness Discomfort Levels; ULLs: Uncomfortable Loudness Levels; CBT: Cognitive Behavioural Therapy

 

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