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Marini K, Garefis K, Skliris JP, Astreinidou A, Kousoulis P, Florou V. Fibrovascular Polyp of the Tongue. Ear Nose Throat J 2022:1455613221088704. [PMID: 35417286 DOI: 10.1177/01455613221088704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Katerina Marini
- Department of ORL, Head and Neck Surgery, 69204"G. Gennimatas" General Hospital, Thessaloniki, Greece
| | - Konstantinos Garefis
- 2nd Academic ORL, Head and Neck Surgery Department, Aristotle University of Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece
| | - James Philip Skliris
- Department of Pathology, "37798G. Papanikolaou" General Hospital, Thessaloniki, Greece
| | - Anna Astreinidou
- Department of ORL, Head and Neck Surgery, 69204"G. Gennimatas" General Hospital, Thessaloniki, Greece
| | | | - Vasiliki Florou
- Department of ORL, Head and Neck Surgery, 69204"G. Gennimatas" General Hospital, Thessaloniki, Greece
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Fydanaki O, Kousoulis P, Dardiotis E, Bizakis I, Hajiioannou I. Electroacupuncture Could Reduce Motion Sickness Susceptibility in Healthy Male Adults: A Double-Blinded Study. Med Acupunct 2017; 29:377-382. [PMID: 29279732 DOI: 10.1089/acu.2017.1246] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Objective: Motion sickness is the main cause of nausea-related symptoms during passive motion in transportation. The aim of this study was to evaluate the effects of electroacupuncture (EA) for the reduction of motion sickness symptoms. Materials and Methods: Study participants were randomly assigned into three groups: Group A, therapeutic EA; Group B, sham EA; and group C, a control group. After an EA session, participants were exposed to a motion stimulus, using a rotating chair. Their symptoms were measured using the Greek version of the Gianaros Motion Sickness Assessment Questionnaire (MSAQ). Results: In this study 20 volunteers participated. All 3 groups of subjects showed increases in their motion sickness symptoms after exposure to the motion stimulus. The mean total symptom score for Group A was 59,375, for Group B it was 74,333, and in Group C was it 93,166. This difference is partially statistically significant when comparing Group A with Group C, especially in a peripheral group of symptoms, as measured by the Gianaros MSAQ. Conclusions: The results of the present study suggest that participants who received therapeutic EA prior to motion stimulation tended to have fewer motion sickness symptoms in comparison with their counterparts, who were not given any therapy.
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Affiliation(s)
- Ourania Fydanaki
- Department of Ophthalmology, 251 General Air Force Hospital, Hellenic Air Force, Athens, Greece
| | - Panagiotis Kousoulis
- 120 Flight Training Wing Medical Service, Hellenic Air Force, Kalamata, Greece
- Department of Otorhinolaryngology, 251 General Air Force Hospital, Hellenic Air Force, Athens, Greece
| | | | - Ioannis Bizakis
- Department of Otorhinolaryngology, University Hospital of Thessaly, Larisa, Greece
| | - Ioannis Hajiioannou
- Department of Otorhinolaryngology, University Hospital of Thessaly, Larisa, Greece
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Kousoulis P, Pantes A, Alevetsovitis G, Fydanaki O. Psychometric Properties of the Greek Version of the Gianaros Motion Sickness Assessment Questionnaire. Aerosp Med Hum Perform 2017; 87:954-957. [PMID: 27779955 DOI: 10.3357/amhp.4540.2016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The Motion Sickness Assessment Questionnaire (MSAQ) was developed in order to assess the multiple dimensions of the motion sickness syndrome (gastrointestinal, central nervous system, peripheral, and sopite-related symptoms). The aim of this study was to evaluate the psychometric properties of the Greek version of the MSAQ. METHODS The MSAQ was translated into Greek and then translated back into English. Minor differences between the two texts were corrected. The Greek version was then administered to male subjects before and after nauseogenic motion stimulation. With the use of a motor driven rotating chair, the subjects were exposed to Coriolis cross-coupling stimulation. A battery of statistical tests was used to evaluate the psychometric properties of the MSAQ. RESULTS There were 112 subjects who participated. Internal consistency, measured with Cronbach's alpha coefficient, was excellent for the total scale and subscales. The test-retest evaluation was done with Pearson's coefficient and Bland-Altman's plot for the total score and subscales and showed statistically significant results. Mean total MSAQ score was 19.04 before the exposure and 33.46 after the exposure, which was statistically significant. CONCLUSION Results suggest the Greek-MSAQ is a valid instrument with satisfactory internal consistency, reliability, reproducibility, validity, and responsiveness and can be used in future studies of motion sickness in Greek speaking populations. Kousoulis P, Pantes A, Alevetsovitis G, Fydanaki O. Psychometric properties of the Greek version of the Gianaros Motion Sickness Assessment Questionaire. Aerosp Med Hum Perform. 2016; 87(11):954-957.
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Hajiioannou JK, Florou V, Kousoulis P, Kretzas D, Moshovakis E. Reversible facial nerve palsy due to parotid abscess. Int J Surg Case Rep 2013; 4:1021-4. [PMID: 24096025 PMCID: PMC3825968 DOI: 10.1016/j.ijscr.2013.08.016] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2012] [Accepted: 08/26/2013] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION A facial nerve palsy combined with parotid enlargement usually suggests malignancy. It is highly unusual for facial nerve palsy to result from a benign situation such as inflammation or infection of the gland. PRESENTATION OF CASE We present a rare case of facial nerve palsy due to parotid abscess. DISCUSSION A literature search retrieved thirty-two cases of facial nerve palsy due to benign parotid lesions since 1969. Only nine reported the presence of a parotid abscess. The etiology of paralysis remains unknown although certain factors such as the virulence of the offending organisms or perineuritis, have been suggested. Best diagnostic evaluation and management are discussed. CONCLUSION In clinical practice, exclusion of malignancy is mandatory, as it represents the most common cause of facial palsy in the presence of a parotid lump.
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Affiliation(s)
| | - Vasiliki Florou
- Corresponding author at: 25 Kathigitou Rossidou St., Thessaloniki, pc 54655, Greece. Fax: +30 2310812341.
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Kousoulis P, Hajiioannou J, Florou V. Frontal Sinus Pneumosinus Dilatans Combined with Excessive Aeration of All Paranasal Sinuses and Mastoid Air Cells. Skull Base Surg 2012. [DOI: 10.1055/s-0032-1314356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kousoulis P, Delides A, Iosif D, Georgantis I, Maragoudakis P. Management of Frontal Sinus Osteomas with Osteoplastic Frontal Sinusectomy: Report of Two Cases. Skull Base Surg 2012. [DOI: 10.1055/s-0032-1314355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kousoulis P, Athanasiadis-Sismanis A, Sgouros S, Mitropoulos S, Kandiloros D, Nikolopoulos T. Complications in Acoustic Neuroma Surgery due to Excessive Use of Oxidized Regenerated Cellulose Haemostatic Product: Report of a Case. Skull Base Surg 2012. [DOI: 10.1055/s-0032-1314392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kousoulis P, Hajiioannou J, Konstandinidis G. The combined use of two RapidRhino packs instead of anteroposterior packing for the control of severe epistaxis. Laryngoscope 2011; 121:2394-5. [PMID: 21993697 DOI: 10.1002/lary.22183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2011] [Revised: 05/25/2011] [Accepted: 06/07/2011] [Indexed: 11/06/2022]
Abstract
Epistaxis is a common ear, nose, and throat emergency, and severe cases are traditionally controlled by the placement of anteroposterior nasal packing. In this article, a way of controlling severe epistaxis with the combination of two RapidRhino packs is described. Although not always successful, it is a technique that in the majority of patients can control severe bleeding faster, easier, with decreased pain, and increased patient comfort, compared to the traditional anteroposterior nasal packing.
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Affiliation(s)
- Panagiotis Kousoulis
- Department of Otorhinolaryngology, General Hospital of Nikea-Piraeus, Nikea, Piraeus, Greece.
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Hajiioannou JK, Florou V, Kousoulis P, Fragkos M, Moshovakis E. Clarithromycin induced reversible sensorineural hearing loss. B-ENT 2011; 7:127-130. [PMID: 21838098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
OBJECTIVE We present a rare case of reversible sensorineural hearing loss caused by clarithromycin. METHODS We present a case report of hearing loss following clarithromycin administration; we also review the current literature and case reports concerning macrolides and, in particular, clarithromycin induced hearing loss. RESULTS A young pregnant woman presented with sensorineural hearing loss after clarithromycin intake. The subject's hearing returned to normal limits after drug discontinuation and short-term treatment with low dose steroids. CONCLUSION Newer macrolides are considered to be safer regarding ototoxic effects, and a few cases have been previously described. The present case adds to the body of knowledge concerning clarithromycin ototoxicity. Clinicians should be aware of this rare complication and a thorough otologic history should be established prior to macrolide administration. A baseline audiogram and close observation for patients at higher risk is suggested to identify patients with prior hearing loss and serve as baseline for future reference.
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Affiliation(s)
- J K Hajiioannou
- ENT Department of General Hospital of Nikea, Piraeus, Greece
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Kousoulis P, Pantes A. Eradication of Helicobacter pylori infection aids with the outcome of motion sickness adaptation. Audiol Neurootol 2010; 16:164-7. [PMID: 20699613 DOI: 10.1159/000317103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2010] [Accepted: 06/08/2010] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Airsickness affects many aviators, especially at the beginning of their flight training. From the symptoms of airsickness, stomach awareness and nausea are among the most common and unpleasant. Helicobacter pylori infection of the gastric mucosa is a common cause of gastrointestinal symptoms in the general population, although it has seldom been associated with motion sickness in the scientific literature. METHODS A retrospective review was conducted in all cases of pilot trainees taking basic flight training who were referred to the Hellenic Air Force Aeromedical Center due to airsickness and tested for H. pylori, for the time period 1996-2005. We compared the H.-pylori-positive pilots with the uninfected ones according to their responses to the habituation sorties and subsequent completion of the basic flight training as a whole. A statistical analysis was performed using Fisher's exact test. RESULTS The findings of the study suggest that diagnosing H. pylori infection and treating it with eradication therapy increases the possibility of a pilot trainee successfully completing the habituation flights, while it does not affect success in the basic flight training as a whole. CONCLUSIONS Eradication therapy for H. pylori may provide a temporary reduction in reported nausea during flight training. The findings are not conclusive, but highly suggestive of a pathophysiologic link between H. pylori and motion sickness, needing further clarification through targeted studies.
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Kousoulis P, Skrepetis K, Efthimiou I, Ferentinos G, Diamantopoulos I, Papadopoulos G. Does G force increase the incidence of varicocele in Air Force pilot cadets? Urol Int 2010; 84:73-7. [PMID: 20173373 DOI: 10.1159/000273470] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2009] [Accepted: 03/16/2009] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Air Force pilots are subjected to acceleration (G) forces with a known effect upon the vascular system. Specific training and anti-G maneuvers are used to counteract this effect, and allow pilots to operate at the limits of human endurance. The objective of the present study is to determine whether acceleration affects the incidence of varicocele. SUBJECTS AND METHODS The incidence of varicocele during training in 234 Air Force pilots was assessed. Height, weight, BMI and testicular volume were recorded for every participant. A group of 35 pilots with an absence of varicocele, randomly selected, acted as the control group. RESULTS Left-sided varicocele was confirmed in 23 (9.8%) pilots. Affected pilots tended to be taller (p = 0.073) and had a smaller mean left testicular volume (p < 0.001) than the control group. Eight cases (35%) were grade I, 10 (43%) were grade II, and 5 (22%) were grade III. For grades I and II, there was a trend for the testicular volume to decrease (p = 0.349 and 0.067, respectively). In grade III varicocele, this difference was statistically significant (p < 0.05). CONCLUSIONS The incidence of varicocele in fighter pilots during training is not higher than in other groups of the same age. Affected individuals tend to be taller, with ipsilateral testicular hypotrophy.
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Hajiioannou J, Kousoulis P, Owens D, Whittet H. Evaluation of Anatomical Variation of the Crista Galli Using Computed Tomography. Skull Base 2009. [DOI: 10.1055/s-2009-1224481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Hajiioannou J, Kousoulis P, Bathala S, Marnane C, Moshovakis E. Case of Perilymphatic Fistula Caused by Medially Displaced Tympanostomy Tube. Skull Base 2009. [DOI: 10.1055/s-2009-1224399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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