D., Wormald P.J. - Chronic rhinosinusitis assessment using the Adelaide Disease Severity Score. J Laryngol Otol., 2013;127(Suppl 2):S24-8. 3. Rizk H.G., Ferguson B.J. - Categorizing Nasal Polyps by Severity and Controller Therapy. Arch Otolaryngol Head Neck Surg., 2012;138(9):846-53. 4. Lund V.J., Mackay I.S. - Staging in rhinosinusitis. Rhinology, 1993;107:183-4. 5. Moghadasi H., et al. - Association bBetween Clinical Symptoms and CT Findings in Chronic Rhinosinusitis. Iran J Radiol., 2008
Amalia Neagu and Codrut Sarafoleanu
Ionut Tanase, Claudiu Manea and Codrut Sarafoleanu
for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med., 2012;8(5):597-619. doi: 10.5664/jc.sm.2172. 32. Bonnet M.H., Carley D.W., Carskadon M.A., Easton P.A., et al. - EEG arousals: scoring rules and examples. A preliminary report from the Sleep Disorders Atlas Task Force of the American Sleep Disorder Association. Sleep, 1992;15(2):174–184. 33. Guyatt G.H., Feeny D
Mihai Saulescu and Codrut Sarafoleanu
In the international literature, there is no consensus on patient selection for turbinate surgery. Surgery is usually indicated to the patients on the basis of subjective complaint of nasal obstruction and surgeon´s clinical examination. Although most surgical techniques demonstrate a subjective and objective improvement in postoperative nasal airflow and subjective scores, it is hard to say which technique is best suited for treating inferior turbinate enlargement. Inferior turbinate reduction for nasal obstructive symptoms caused by enlarged turbinates is a useful procedure and is reserved for patients who are not responding to medical treatment or in whom the medical management is contraindicated.
Frodita Jakimovska, Marina Davceva Cakar and Dejan Dokic
BACKGROUND. Septal deviations are usually diagnosed by a patient’s subjective complaint of nasal stuffiness and a physical examination by the otorhinolaringologist. The decision for surgery is not always based on objective measurements. Acoustic rhinometry and rhinomanometry are objective tools for assessment of nasal patency but is still a controversial subject. In our populations, there are no general accepted methods for screening patients for septal surgery.
OBJECTIVE. To analyse the effectiveness of acoustic rhinometry and rhinomanometry in predicting the outcomes of septoplasty and rhinoseptoplasty and their usefulness in preoperative screening of septal deviations.
MATERIAL AND METHODS. 69 patients were included in this prospective study. Acoustic rhinometry and rhinomanometry were performed before and one year after surgery for the investigation of nasal obstruction. Several parameters were analysed before and after decongestion of the nasal mucosa. VAS (visual analogue scale) was also included for evaluation of the subjective symptom score pre- and postoperatively. After surgery, a short questionnaire was applied to investigate patients’ postoperative satisfaction.
RESULTS. The mean subjective scores of nasal patency improved significantly after surgery with 77%. Several parameters of acoustic rhinometry and rhinomanometry were analysed with binary logistic regression, to evaluate the predictive values on the postoperative satisfaction. The preoperative decongested overall MCA (minimal cross-sectional area) on the deviation side, the decongested bilateral MCA and the decongested Flow ratio had significantly the highest impact on the postoperative satisfaction (p<0.001).
CONCLUSION. Acoustic rhinometry and rhinomanometry as objective tools can serve as objective evidence for the efficacy of septoplasty and rhinoseptoplasty. The parameters of rhinomanometry and anterior rhinometry are useful in the preoperative screening for septal deviations and in predicting postoperative satisfaction between different degrees of nasal septal deviations.
Mohammed Khalid Alruzayhi, Muath Salman Almuhaini, Akrm Ibrahem Alwassel and Osama Mansour Alateeq
The current study aims to investigate the effect of smartphone usage on the upper extremity performance among Saudi youth. A goniometer to measure the Range of Motion (ROM), the Smartphone Addiction Scale (SAS), McGill Pain scale and Chattanooga stabilizer were used to perform the current study on a sample of 300 university students from Al-Imam Mohammed Bin Saud University. The results have shown that smartphone addiction is negatively correlated to the elbow flexion, shoulder flexion, shoulder extension, shoulder abduction, shoulder adduction, and both shoulder internal and external rotation. Furthermore, the results have shown that McGill pain scores were positively correlated to elbow flexion, shoulder flexion, shoulder extension, shoulder abduction, shoulder adduction, and both shoulder internal and external rotation. The study has concluded that smartphone usage among Saudi youth negatively affects the upper extremity and causes a significant increase in the pain intensity. The study has recommended that there is an urgent need for a significant awareness campaign to warn the community regarding the impact of using smartphones for long periods of time.
Vlad Budu, Tatiana Decuseara, Bogdan Mocanu, Raluca Baican, Mihai Tusaliu, Diana Cojocaru and Ion Bulescu
E., Smirnov G., Seppa J., et al. - Validation of a symptom-score questionnaire and long term results of endoscopic dacryocystorhinostomy. Rhinology, 2014;52:84-89. 8. Erkan A.N., Yilmazer C., Altan - Yaycioglu R., Akkuzu B., Aktaș L. - Bicanalicular silicone tubes versus otologic T-tubes in endonasal dacryocystorhinostomy. B-ENT., 2008;4(3):135-139. 9. Kao C.S., Liao C.L., Tseng J.H., Chen M.S., Hou P.K. - Dacryocystorhinostomy with intraoperative mitomycin C. Ophthalmology, 1997;104(1):86-91. 10. Bașal Y., Güleç G
Nicoleta Dumitrescu and Codrut Sarafoleanu
with hypersomnia obstructive sleep-apnea syndrome. Laryngoscope. 1978;88(8 Pt 1):1310–3. 8. Croft CB, Pringle M. Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea. Clin Otolaryngol Allied Sci. 1991;16(5):504–9. 9. Hessel NS, de Vries N. Diagnostic work-up of socially unacceptable snoring. II. Sleep endoscopy. Eur Arch Otorhinolaryngol. 2002;259(3):158–61. 10. den Herder C, van Tinteren H, de Vries N. Sleep endoscopy versus modified Mallampati score in sleep apnea and snoring. Laryngoscope. 2005
Anca Delia Vereanu, Manuela Andra Savu, Elena Patrascu and Codrut Sarafoleanu
;55:936-939;discussion 940. 17. Sarafoleanu C. - Rinologie. Editura Medicala, Bucuresti, 2003;pp.83-103. 18. Manea C., Iosif C., Sarafoleanu D. - The value of histopathologic score as predictive factor in choosing the optimal surgical treatment for chronic rhinosinusitis. Romanian Journal of Rhinology, 2012;2(6):90-95. 19. Sarafoleanu C. - Examenul endoscopic al nasului si sinusurilor paranazale. In: sub red. Sarafoleanu D. - Explorarea paraclinica si functionala in Otorinolaringologie. Vol I. Editura didactica si Pedagogica, Bucuresti
Dorin Sarafoleanu and Raluca Enache
-396479.pdf . 30. Clinical guidelines for best practice management of acute and chronic whiplash associated disorders: Clinical resource guide. TRACsa: Trauma and Injury Recovery, South Australia. Adelaide 2008. Available from: http://implementationcentral.com/doc/Whiplash-Clinical-Guidelines_practitioner.pdf . 31. Scott W, Wideman TH, Sullivan MJ. Clinically meaningful scores on pain catastrophizing before and after multidisciplinary rehabilitation: a prospective study of individuals with subacute pain after whiplash injury. Clin J Pain. 2014;30(3):183-90. DOI
Nicoleta Dumitrescu, Raluca Enache and Codrut Sarafoleanu
. Liistro G., Rombaux Ph., Belge C., Dury M., Aubert G., Rodenstein D. - High Mallampati score and nasal obstruction are associated risk factors for obstructive sleep apnea. Eur Respir J., 2003;21:248-252. 11. De Vito A. - The importance of nasal resistance in obstruction sleep apnea syndrome: a study with positional rhinomanometry. Sleep Breath, 2001;5:3-11. 12. Ohki M., Usui N., Kanazawa H., Hara I., Kawano K. - Relationship between oral breathing and nasal obstruction in patients with obstruction sleep apnea. Acta Otolaryngol Suppl., 1996