Steve Marlo M. Cambe, MD

30/11/2025

22/11/2025

Hearing loss in different ear disease,surgical targets/outcomes.

1.SSCDS(superior semicircular canal dehiscence syndrome) Tullio trigger: >100 dB
2.Ossicular discontinuity: ~60 dB
3.Mucosal COM + ossicular loss: 50–60 dB HL
4.Congenital ossicular abnormality (air conduction loss): ~50 dB
5.Complete canal occlusion (wax): ~40 dB
6.Early mucosal COM: 30–40 dB HL
7.OME (typical loss range): 20–35 dB HL
8.OME mean poorer ear threshold: 31 dB HL
9.Bilateral OME eligibility: ≥20 dB HL
10.Post-AOM persistent ABG (1 month): >20 dB
11.Otosclerosis surgery consideration: ≥20 dB ABG
12.Otosclerosis diagnostic ABG: ≥15 dB
13.OME ABG weak clue: ≥10 dB
14.Otosclerosis / OME strong ABG clue: >30 dB
15.Congenital ossicular abnormality (ABG): ~35 dB
16.Carhart notch improvement after surgery: ~12 dB
17.Ventilation tubes (OME improvement): ~12 dB
18Functional benefit target after surgery: within ~20 dB
18.Ossiculoplasty outcome: ABG 0–10 dB (≈50%)
19.Ossiculoplasty outcome: ABG 0–20 dB (≈80%)
20.Stapes surgery outcome: ABG ≤10 dB

Source: Scott-Brown’s Otorhinolaryngology & Head neck surgery,8th Edition

18/11/2025

X-Ray soft tissue neck lateral viwe
x-ray

18/11/2025

Oral cavity anatomy
1.Hard palate
2.Soft palate
3.Upper lip+superior orbicularis oris
4.Edentulous maxillary alveolar ridge
5.Lower lip+inferior orbicularis oris
6.Body of mandible
7.Tongue
8.Genioglossus
9.Geniohyoid
10.Mylohyoid
11.Hyoid bone
12.Epiglottis
13.Vallecula

25/10/2025

What Is Adenoid Hypertrophy and Does It Need Surgery?

Adenoid hypertrophy is the enlargement of adenoid tissue at the back of the nose. It can cause:
🔹 Nasal congestion
🔹 Snoring
🔹 Mouth breathing
🔹 Recurrent ear infections

If symptoms are severe or persistent, adenoidectomy may be recommended.

This is the official public service page of the Philippine Society of Otolaryngology-Head and Neck Surgery (PSO-HNS).

25/10/2025

What Is a Tongue-Tie (Ankyloglossia)?

Tongue-tie occurs when the tissue connecting the tongue to the mouth (lingual frenulum) is too short or tight, limiting movement.

It may affect:
🔸 Breastfeeding
🔸 Speech
🔸 Oral hygiene

Treatment may involve a simple procedure called frenotomy, if needed.

This is the official public service page of the Philippine Society of Otolaryngology-Head and Neck Surgery (PSO-HNS).

25/10/2025

My Child Snores—Should I Be Worried?

Occasional snoring is common in children. But loud, frequent snoring with gasping, choking, or pauses in breathing may signal sleep apnea, often caused by enlarged tonsils or adenoids.

It’s best to consult an ENT specialist for evaluation and possible sleep study.

This is the official public service page of the Philippine Society of Otolaryngology-Head and Neck Surgery (PSO-HNS).

25/10/2025

When Is Tonsillectomy or Adenoidectomy Recommended in Kids?

These procedures may be advised if your child has:
✔️ Frequent throat infections
✔️ Breathing or swallowing problems
✔️ Sleep apnea due to enlarged tonsils/adenoids

Discuss with your ENT doctor if your child’s symptoms interfere with sleep, speech, or quality of life.

This is the official public service page of the Philippine Society of Otolaryngology-Head and Neck Surgery (PSO-HNS).