Introduction: Aspergillus fumigatus and Candida albicans are the most common pathogenic fungi found in Vietnam. Fungal laryngitis has yet to be thoroughly investigated due to the rarity of the disease. This study aimed to describe the clinical, endoscopic and stroboscopic imaging characteristics among patients with fungal laryngitis. Methods: A cross-sectional study was performed on 48 patients diagnosed with fungal laryngitis at the Endoscopy Department of the National Ear- Nose-Throat Hospital of Vietnam from August 2019 to March 2020. Clinical, endoscopic and stroboscopic imaging characteristics among patients with fungal laryngitis were reported. Results: The rate of fungal laryngitis was higher in men compared to women (men/women ratio: 2.2/1). All patients had dysphonia (100%), while other symptoms included coughing (64.6%) and foreign body sensation (50%). In laryngeal endoscopy, fungal pseudo-membrane was thick with white layer (56.3%) on the vocal cords (100%). In laryngeal stroboscopy, less than half of patients had mucosal wave formation (47.9%). The success rate of fungal culture identification was not high (41.7%), with Aspergillus fumigatus as the main pathogenic fungus (90%). Conclusions: Patients with fungal laryngitis in our setting developed prolonged dysphonia. By using endoscopic imaging and stroboscopic imaging, layers of fungal pseudo-membrane on the vocal cords could be observed and extracted for diagnosis.

Abstracts: Introduction: studying the percentage of display and dimensions of the middle cerebral artery and some related arteries on on  256 MSCT data. Methods: A cross-sectional study, with sample size of 261. Results: The percentage of display of middle cerebral artery is 100%; the posterior artery is 76.4; Internal Carotid Artery is 100%. The average diameter, average length are (mm) M1T respectively: 3.25 ± 0.43 and 19.98 ± 6.10; M1 P: 3.26 ± 0.46 and 19.68 ± 6.28; M2T left 2.10 ± 0.48 and 22.85 ± 13.18; M2T right 2.09 ± 0.49 and 23.42 ± 11.89; M2D left 2.48 ± 0.49 and 31.73-16.36; M2D  right 2.55 ± 0.49 and 29.11 ± 15.31. PCoA T 1.29 ± 0.63 and 11.87 ± 4.87; PCoA P 1.26 ± 0.66 and 14.02 ± 9.13; Conclusions: The size of the middle cerebral artery and some related  arteries were accurately evaluated in the study, the image of vascular anatomy was display clearly. Keywords Middle cerebral artery, cerebral angiography, multi-slices computed tomography ... References [1] H.V. Cúc. To the study of arterial blood supply vessels for Vietnamese adults, Ministry of Health research project, Hanoi Medical University, Hanoi, Vietnam (2000) (in Vietnamese).[2] H.M.Tú. To the study of cerebral artery anatomy on MSCT 64 image, Master's thesis in Medicine, Hanoi Medical University, Hanoi, Vietnam (2011) (in Vietnamese).[3] Ogeng'o, J.A. Geometric features of Vertebrobasilar arterial system in adult Black Kenyans, Int. J. Morphol, 36(2) (2018) 544 - 50. [4] KrzyżewsKi, R.M.. Variation of the anterior communicating artery complex and occurrence of anterior communicating artery aneurysm: A2 segment consideration, Folia medica cracoviensia, LIV (1) (2014) 13 - 20.[5] Jiménez-Sosa, M.S. Anatomical variants of Anterior cerebral arterial circle. A study by Multidetector computerized 3D tomographic angiography, Int J. Morphol 35(3) 1121 – 28.[6] Hamidi, C. (2013). Display with 64-detector MDCT angiography of cerebral vascular variations, Surg Radiol Anat 35 (2017) 729 – 36.[7] Dimmick, S.J., et al. Normal variations of the cerebral circulation at multidetector CT angiography, Radiographics 29(4) (2009) 1027 – 43.[8] P.T.Hà. To the study of Willis polygonal anatomy on MSCT 128 image of patients with cerebral aneurysm, Specialish level 2 thesis in Hanoi Medical University, Hanoi, Vietnam.[9] Saha, A. (2013). Variation of posterior communicating artery in human brain: a morphological study, Gomal Journal of Medical Sciences 11(1) (2018). 42 – 6.[10] Gullari, G. K. The branching pattern of the middle cerebral artery: is the intermediate trunk real or not? An anatomical study correlating with simple angiography, J.Neurosurg, 116 (2012) 1024 - 34.[11] Canaz, H., el al Morphometric analysis of the arteries of Willis Polygon, Romanian Neurosurgery, XXXII (1) (2018) 56 - 64.[12] Pedroza, A. (1987). Microanatomy of the Posterior Communicating Artery, Neurosurgery 20(2) (2018) 229 – 35.[13] Keeranghat, P. P., et al. Evaluation of normal variants of circle of Willis at MRI, Int.J. Res Med Sci, 6(5) (2018) 1617 - 22.[14] Tao, X., Yu, et al. Microsurgical anatomy of the anterior communicating artery complex in adult Chinese heads, Surgical Neurology 65 (2006) 155 – 61.[15] Krejza, J., et al. Carotid artery diameter in Men and Women and the relation to body and neck size, Stroke, 37 (2006) 1103 - 5.[16] Masatoukawashima. Microsurgical anatomy of cerebral revascularization. Part I: Anterior circulation, J.Neurosurg, 102 (2005) 116 – 31.[17] Jeyakumar.R., et al, Study of Anatomical Variations in Middle Cerebral Artery, Int.J.Sci Stud 5(12) (2018) 5-10. [18] Brzegowy, P, et al Middle cerebral artery anatomical variations and aneurysms: a retrospective study based on computed tomography angiography findings, Folia Morphol, 77(3) (2018) 434 – 40.[19] Rohan, V., et al, Length of Occlusion predicts recanalization and outcome after intravenous thrombolysis in middle cerebral artery stroke, Stroke, 45 (2014) 2010 - 17.[20] Vijaywargiya, M., et al. Anatomical study of petrous and cavernous parts of internal carotid artery, Anat Cell Biol, 50 (2017) 163 - 70.[21] Bouthillier, et al Segments of the internal carotid artery: a new classification, Neurosurgery, 38(3), (1996) 425 - 32.

This paper aims to describe the similarities and differences in fungal laryngitis’ clinical characteristics, endoscopic, and stroboscopic imaging between patients with positive and non-positive fungal identification results. The study enrolled 48 patients diagnosed with fungal laryngitis by the Endoscopy Department in the National ENT Hospital of Vietnam from August 2019 to March 2020. The study results show that the patients in both groups had dysphonia (100%), with insignificant difference in the severity. However, the patients in the Positive group were more likely to go to hospital right in the first month of the symptom (55%), whereas the patients in the Non-positive group usually waited for more than 3 months (57.1%), (p<0.05). In endoscopic imaging, fungal pseudomembrane could be found mainly on the vocal cords in both groups, with instances spreading to the subglottis (15%) and trachea (5%) in the Positive group (p<0.05). The tissue layer of the patients in the Positive group was mostly inflamed, meanwhile the patients in the Non-positive group were more prone to swelling tissue (67.9%), (p<0.05). In stroboscopic imaging, the difference was minimal. The patients in the Positive group were more likely to lose the mucosal wave formation (60%) than in the Non-positive group (46.4%). There were also insignificant differences in the mucosal wave’s characteristics: asymmetry (50% in the Positive group; 66.7% in Non-positive group), diverse periodicity (50% in the Positive group; 33.3% in the Non-positive group). The paper concludes that there were differences between the two groups of patients and the clinical, endoscopic and stroboscopic findings, fungal identification should be further implemented for definitive diagnosis in patients with fungal laryngitis.   Keywords Fungal laryngitis, dysphonia, endoscopic imaging, stroboscopic imaging, fungal identification. References [1] G.D. Brown, D.W. Denning, N.A.R. Gow, and S.M. Levitz, Hidden killers: Human fungal infections. SciTransl Med (4) (2012) 1-6. https://doi.org/10.1126/scitranslmed.3004404 [2] M. Pal, Veterinary and medical mycology. 1st ed. New Delhi: Indian Council of Agricultural Research, 2007.[3] H. Luong, Diagnosis and treatment in patients with fungal laryngitis, Doctoral thesis, Hanoi Medical University, 2004.[4] D. Thai, D. Nguyen, Diagnosis and treatment in fungal laryngitis, Ho Chi Minh Med 15(1) (2011) 222-227.[5] J. Guinea, and M. Torres - Narbona, Pulmonary aspergillosis in patients with chronic obstructive pulmonary disease: incidence, risk factors, and outcome. Clin Microbiol Infect. 16 (7) (2010) 870-877. https://doi.org/10.1111/j.1469-0691.2009.03015.x[6] J.M. Wood, Theodore Anthanasiadis, and Jacqui Allen. 2009. Laryngitis. BMJ (349) (2009) 5827. https://doi.org/10.1136/bmj.g5827.[7] A. Chindamporn, A. Chakrabarti, and R. Li, Survey of laboratory practices for diagnosis of fungal infection in seven Asian countries: An Asia Fungal Working Group (AFWG) initiative, Med Mycol 56 (2018) 416 - 425. https://doi.org/ 10.1093/mmy/myx066 [8] R. Pribuisiene, V. Uloza, and P Kupcinskas, Perceptual and acoustic characteristics of voice changes in reflux laryngitis patients. J Voice 20 (1) (2006) 128 - 136. https://doi.org/10.1016/j.jvoice.2004.12.001.    

This study describes clinical and subclinical features of 30 patients with airway foreign body at the Endoscopy Department, National Otorhinolaryngology Hospital of Vietnam from August 2018 to February 2020. The study results show that airway foreign body was commonly found in patients aged over 18 (43.33%); male-female ratio was 1.7:1; cough and shortness of breath were two common symptoms with 96.67% and 73.33%, respectively; penetration syndrome was the common clinical symptom with 93.33%; 20% of the airway foreign body cases were detected by X-ray; 100% of the airway foreign body cases were diagnosed by endoscopy; 53.33% of the cases were cured in one day; and 93.33% of the cases showed good treatment results. The study concludes that airway foreign bodies can be detected in all ages with more men than women; penetration syndrome with cough and shortness of breath suggests symptoms of airway foreign bodies; and endoscopy of bronchial airways is the leading method to diagnose and remove airway foreign bodies. Keywords Airway foreign body, clinical, subclinical. References [1] V.T. Quang, Otorhinorarynology Textbook, Vietnam National University Press, Hanoi, 2017 (in Vietnamese).[2] A.M. Salih, M. Alfaki and D.M. Alam-Elhuda, Airway foreign bodies: A critical review for a common pediatric emergency, National Central for Biotechnology Information, 2016, 7: 5-12. http://doi.org/10.5847/wjem.j.1920 8642.2016.01.001 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4786499/[3] D.D. Tuoc, Forgotten airway foreign body, The Second Degree Specialist Graduation Thesis, Hanoi Medical University, 1978 (in Vietnamese).[4] N.D. Khang, N.N. Lien, Airway foreign body cases in National Otorhinolarygology Hospital of Vietnam from 1998 to 2001, The Second Degree Specialist Graduation Thesis, Hanoi Medical University, 2001 (in Vietnamese).[5] V.L. Phuoc, Airway foreign bodies in Otorhinorarygology Department at Hue Central Hospital, The Second Degree Specialist Graduation Thesis, Hue University of Medicine and Pharmacy, 2003 (in Vietnamese). [6] L.S. Can, P.K. Hoa, Airway foreign body, in: L.S. Can, Otorhinorarynology Emergency, Medical Publishing House, Hanoi, 1991, pp 32-38 (in Vietnamese).[7] C.Y. Chiu, K.S. Wong, S.H. Lai, S.H. Hsia, C.T.Wu. Factors predicting early diagnosis of foreign body aspiration in children. Polish Journal of Otolaryngology 21 (2005) 161–164. https://doi.org/10.5604/00306657.1184544    

A prospective descriptive study was conducted from August 2021 to September 2021 to describe the clinical and subclinical characteristics of COVID-19 patients at the field hospital of Dong Thap Community College. The study collected epidemiological data of 240 subjects. The results indicated that the male/female ratio was 1.2/1; the mean age was 29.2±15.1 (1- 65 years old). The most typical clinical symptoms of the disease are cough (45.8%), fever (45%), stuffy nose (21.7%), anosmia (13.8%), ageusia (12.9%), and shortness of breath (4.6%). Most patients have mild symptoms and a high recovery rate. This study contributes to a general assessment of clinical, subclinical factors, treatment results of COVID-19 patients in general and COVID-19 subjects at the field hospital of Dong Thap Community College in particular, which is the basis for better disease prevention measures. Keywords: COVID-19, clinical features, Ct index, treatment results. References [1] H. A. Rothan, S. N. Byrareddy, The Epidemiology and Pathogenesis of Coronavirus Disease (COVID-19) outbreak, J. Autoimmun, Vol. 109, 2020, https://doi.org/10.1016/j.jaut.2020.102433.[2] D. Cucinotta, WHO Declares COVID-19 a Pandemic, Acta Biomed, Vol. 91, No.1, 2020, pp. 157-160, https://doi.org/10.23750/abm.v91i1.9397.[3] WHO Coronavirus (COVID-19) Dashboard, Global Situation, https://covid19.who.int/ ( accessed on: January 19th, 2022).[4] Y. Xie, Z. Wang, Epidemiologic, Clinical, and Laboratory Findings of the COVID-19 in the Current Pandemic: Systematic Review and Meta-analysis, BMC Infectious Diseases, Vol. 20, 2020, pp. 640, https://doi.org/10.1186/s12879-020-05371-2.[5] T. V. Giang, N. T. Ngoc, Clinical and Subclinical Characteristics of Patients With Pneumonia Cause by COVID-19 Treated at National Hospital of Tropical Diseases, Vietnam Medical Journal, Vol. 509, 2021, pp. 348-351 https://doi.org/10.51298/vmj.v509i1.1770 (in Vietnamese ).[6] W. J. Guan, Clinical Characteristics of Coronavirus Disease 2019 in China, N Engl J Med, Vol. 382, 2020, pp.1708-1720, https://doi.org/10.1016/j.jemermed.2020.04.004.[7] Y. Lee, Prevalence and Duration of Acute Loss of Smell or Taste in COVID-19 Patients, J Korean Med Sci, Vol. 35, No. 18, 2020, pp.174, https://doi.org/10.3346/jkms.2020.35.e174.[8] A. Singanayagam, Duration of Infectiousness and Correlation with RT-PCR Cycle Threshold Values in Cases of COVID-19, England, January to May 2020, Euro Surveill, Vol. 25, No. 32, 2020, https://doi.org/10.2807/1560-7917.ES.2020.25.32. 2001483.[9] A. Jain, Is There a Correlation Between Viral Load and Olfactory & Taste Dysfunction in COVID-19 Patients?, Am J Otolaryngol, Vol. 42, No. 3,2020, pp.102911, https://doi.org/10.1016/j.amjoto.2021.102911.