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Tam AKY, Zhu XL, Chow SMW, Lee SKJ, Lai CCF, Chan KY, Chu WCW, Tong MCF. Intracranial nasofrontal dermoid cyst and a hair in the nose tip without a sinus tract identified with single-staged combined approach excision done. Clin Case Rep 2023; 11:e7414. [PMID: 37251739 PMCID: PMC10220384 DOI: 10.1002/ccr3.7414] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 04/22/2023] [Revised: 05/07/2023] [Accepted: 05/10/2023] [Indexed: 05/31/2023] Open
Abstract
This is the first reported case of intracranial nasofrontal dermoid without sinus tract, with complete excision done in single-staged combined approach frontal craniotomy and open rhinoplasty, and satisfactory nasal reconstruction.
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Affiliation(s)
- Aurora Ka Yue Tam
- Department of Otorhinolaryngology, Head and Neck Surgery, Prince of Wales HospitalThe Chinese University of Hong KongHong KongChina
| | - Xian Lun Zhu
- Department of Neurosurgery, Department of Surgery, Prince of Wales HospitalThe Chinese University of Hong KongHong KongChina
| | - Samuel Man Wai Chow
- Department of Otorhinolaryngology, Head and Neck Surgery, Prince of Wales HospitalThe Chinese University of Hong KongHong KongChina
| | - Shui Kwong John Lee
- Department of Otorhinolaryngology, Head and Neck Surgery, Prince of Wales HospitalThe Chinese University of Hong KongHong KongChina
| | - Calvin Chee Fung Lai
- Department of Otorhinolaryngology, Head and Neck Surgery, Prince of Wales HospitalThe Chinese University of Hong KongHong KongChina
| | - Kit Ying Chan
- Department of Neurosurgery, Department of Surgery, Prince of Wales HospitalThe Chinese University of Hong KongHong KongChina
| | - Winnie Chiu Wing Chu
- Department of Imaging and Interventional Radiology, Faculty of MedicineThe Chinese University of Hong KongHong KongChina
| | - Michael Chi Fai Tong
- Department of Otorhinolaryngology, Head and Neck Surgery, Prince of Wales HospitalThe Chinese University of Hong KongHong KongChina
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Au CT, Chan KCC, Lee DLY, Leung NMW, Chow SMW, Kwok KL, Wing YK, Li AM. Effect of surgical intervention for childhood OSA on blood pressure: A randomized controlled study. Sleep Med 2023; 107:9-17. [PMID: 37094489 DOI: 10.1016/j.sleep.2023.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2023] [Revised: 04/05/2023] [Accepted: 04/08/2023] [Indexed: 04/26/2023]
Abstract
OBJECTIVE To investigate the effect of surgical intervention on 24-h ABP in children with OSA. It was hypothesized that blood pressure would improve following adenotonsillectomy. METHODS This was a two-centered investigator-blinded randomized controlled trial. Non-obese pre-pubertal children aged 6-11 years with OSA (obstructive apnea-hypopnea index, OAHI >3/h) underwent 24-h ABP monitoring at baseline and 9 months after the randomly assigned intervention, i.e. Early Surgery (ES) or Watchful Waiting (WW). Intention-to-treat analysis was performed. RESULTS 137 subjects were randomized. Sixty-two (Age: 7.9y ± 1.3, 71% boys) and 47 (Age: 8.5y ± 1.6, 77% boys) participants from the ES and WW groups, respectively completed the study. Changes in ABP parameters were similar in the ES and WW groups (nighttime systolic BP z-scores: +0.03 ± 0.93 vs. -0.06 ± 1.04, p = 0.65; nighttime diastolic BP z-scores: -0.20 ± 0.95 vs. -0.02 ± 1.00, p = 0.35) despite a greater improvement in OSA in the ES group. However, a reduction in nighttime diastolic BP z-score correlated with improvements in OSA severity indexes (r = 0.21-0.22, p < 0.05), and a significant improvement in nighttime diastolic BP z-score [-0.43 ± 1.01, p = 0.027] following surgery was observed in participants with severe preoperative OSA (OAHI ≥10/h). The ES group had a significant increase in body mass index z-score after surgery [+0.27 ± 0.57, p < 0.001], which correlated with the increase in daytime systolic BP z-score (r = 0.2, p < 0.05). CONCLUSION Surgical treatment did not lead to significant improvements in ABP in OSA children except in those with more severe disease. The improvement in BP was partially masked by the weight gain following surgery. CLINICAL TRIAL REGISTRATION The trial was registered with the Chinese Clinical Trial Registry (http://www.chictr.org.cn. REGISTRATION NUMBER ChiCTR-TRC-14004131).
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Affiliation(s)
- Chun Ting Au
- Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special administrative region of China; Hong Kong Hub of Paediatric Excellence, The Chinese University of Hong Kong, Hong Kong Special administrative region of China; Laboratory for Paediatric Respiratory Research, Li Ka Shing Institute of Health Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special administrative region of China; Translational Medicine, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Kate Ching-Ching Chan
- Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special administrative region of China; Hong Kong Hub of Paediatric Excellence, The Chinese University of Hong Kong, Hong Kong Special administrative region of China; Laboratory for Paediatric Respiratory Research, Li Ka Shing Institute of Health Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special administrative region of China
| | - Dennis Lip Yen Lee
- Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special administrative region of China
| | - Natalie Moon Wah Leung
- Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special administrative region of China
| | - Samuel Man Wai Chow
- Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special administrative region of China
| | - Ka Li Kwok
- Department of Paediatrics, Kwong Wah Hospital, Hong Kong, Hong Kong Special administrative region of China
| | - Yun Kwok Wing
- Li Chun Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special administrative region of China
| | - Albert M Li
- Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special administrative region of China; Hong Kong Hub of Paediatric Excellence, The Chinese University of Hong Kong, Hong Kong Special administrative region of China; Laboratory for Paediatric Respiratory Research, Li Ka Shing Institute of Health Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special administrative region of China.
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