Background Chronic rhinosinusitis (CRS) is a relatively common disease, which significantly affects the patient's quality of life (QoL). Sino‐Nasal Outcome Test–22 (SNOT‐22) is a QoL questionnaire, which allows quantifying patients' complaints. Our aim was to translate and validated the SNOT‐22 into the Russian language. Methods Translation and validation of SNOT‐22 questionnaire was performed through forward‐backward translation technique. After proper translation, the translated questionnaire was completed by CRS patients before and after endoscopic sinus surgery (ESS) and by healthy individuals as controls. Results Thirty‐four native Russian‐speaking CRS patients completed the Russian version of the SNOT‐22 questionnaire before and after ESS. The internal consistency for reliability assessment was very good (mean Cronbach's alpha = 0.816 for CRS patients). Mean scores for the preoperative, postoperative and control groups were 67.6, 18.1 and 9.2, respectively (P < .001), showing validity and responsiveness of the questionnaire. Conclusion The Russian version of the SNOT‐22 questionnaire is a valid outcome measure for patients with CRS.
Objective:Auricular pseudocyst (AP: intracartilaginous cyst, endochondral AP, cystic chondromalacia, and benign idiopathic cystic chondromalacia) is a benign condition of unknown etiology. This report systematically reviews the published demographics, treatment protocols, and outcomes of AP between the various medical disciplines, and compares the findings to a theretofore-unreported 12-patient cohort. Primary outcome measure was AP complete resolution without recurrence.Data Source:A systematic literature search of “MEDLINE” via “PubMed” and “Google Scholar” was performed in June, 2020. The 12 new patients were enrolled between January 2016 and December 2020.Study Selection:Seventy-four papers met the study inclusion criteria and provided data on sex distribution, surgical approach and outcome, performance of approaches according to medical specialty, and recurrence rates of the reported AP populations.Data Extraction:The appropriateness and study design quality were independently assessed by two reviewers.Data Synthesis:The primary outcome was therapeutic success. A comparative analysis was also performed on the same extracted information that was retrieved from the medical files of the 12 new patients (10 men, 2 women, average age 24 yrs, range, 17–38).Conclusions:AP is not uncommon. In line with the published literature, incision and curettage with excision of the anterior pseudocystic wall (deroofing) resulted in a recurrence rate of less than 17% with good cosmetic outcome among all 12 patients. Aspiration alone was associated with increased recurrence rates. Deroofing emerged as the preferred modality, with good cosmetic outcome and reduced recurrence rate. It was usually performed by otolaryngologists, while dermatologists used more conservative approach more frequently. Incision and drainage combined with compression reduces risk of recurrence.
Universal mask-wearing has become public-health recommendations and a necessity in daily life since coronavirus disease 2019 (COVID-19) pandemic. Accumulating evidence suggests that facial masks may damage the skin. We present a series of six patients with ear-looped face mask associated retro-auricular abscesses (RAAs) from a tertiary referral centre, observed between March 2020 and May 2021. Patients' past medical history included recurrent skin abscess (n = 2), seborrhoeic dermatitis (n = 1) and pre-existing postauricular cyst (n = 4). All patients reported prolonged use of ear-looped face masks. Incision and drainage of the abscesses were carried out in all cases, followed by systemic antibiotic treatment. All patients recovered without complications and no recurrences (follow-up 11−17 months). We hypothesise that ear-looped face masks may promote the formation of RAAs. Possible mechanisms include local mechanical pressure, friction, changes in the skin's temperature, humidity and microbia, inducing local inflammation and infection, leading to retro-auricular sebaceous duct obstruction.
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