PhiliPPine Journal of otolaryngology-head and neck Surgery Vol. 31 no. 2 July – december 2016 PhiliPPine Journal of otolaryngology-head and neck Surgery 3 CONTENTS The Physician’s Pledge: Promises at Dawn, Passages in Darkness On Shoulders of Giants: A Message from an Elder Fellow to New Diplomates The Effectiveness of Intravenous Tranexamic Acid on Blood Loss and Surgical Time During Endoscopic Sinus Surgery: A Systematic Review Pneumococcal Conjugate Vaccine (Non-Typeable Haemophilus influenzae (NTHi) Protein D, Diphtheria or Tetanus Toxoid Conjugates) in Prevention of Acute Otitis Media in Children: A Cohort Study Association of the Laterality of Chronic Suppurative Otitis Media and Sinonasal Disease Based on Temporal Bone CT Scans and Lund Mackay Scoring System Adult Acute Epiglottitis: An Eight - Year Experience in a Philippine Tertiary Government Hospital Accuracy of Fine Needle Aspiration Biopsy in Diagnosing Parotid Gland Malignancy Motorcycle Related Cranio-Maxillofacial Injuries at a Tertiary Hospital in the Philippines Granulation Tissue Mimicking a Glomus Tumor in a Patient with Chronic Middle Ear Infection Rhinofacial Conidiobolomycosis in a 16-Year-Old Girl Relapsing Polychondritis Initially Presenting with Hoarseness and Difficulty Breathing in a 21-Year-Old Male A 15-Year Occult Foreign Body in the Subglottic Area of a 50-Year-Old Woman True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique Medialization Thyroplasty Using a Pocket and Silicone Implant Technique Meningioma in the Middle Ear: An Unusual Case of Hearing Loss Spontaneous Middle Fossa Encephalocele Low-Grade Cribriform Cystadenocarcinoma of the Parotid Gland Tierry F. Garcia, MD (1919-2016): The Most Good for the Most People Sarah D. Moral-Ramos, MD (1979-2016): An Old Soul, Gone Too Soon COVER IMAGES EDITORIAL 4 The Physician’s Pledge: Promises at Dawn, Passages in Darkness Lapeña JF COMMENTARY 6 On Shoulders of Giants: A Message from an Elder Fellow to New Diplomates Llamanzares TP REVIEW ARTICLE 8 The Effectiveness of Intravenous Tranexamic Acid on Blood Loss and Surgical Time During Endoscopic Sinus Surgery: A Systematic Review Ligon JME, Almazan NA ORIGINAL ARTICLES 13 Pneumococcal Conjugate Vaccine (Non-Typeable Haemophilus influenzae (NTHi) Protein D, Diphtheria or Tetanus Toxoid Conjugates) in Prevention of Acute Otitis Media in Children: A Cohort Study Chu TG, Cachola DRR III, Regal MAS, Llamas ACG, Martinez NV, Santos WR 16 Association of the Laterality of Chronic Suppurative Otitis Media and Sinonasal Disease Based on Temporal Bone CT Scans and Lund Mackay Scoring System Adan WC, Cruz, ETS 20 Adult Acute Epiglottitis: An Eight - Year Experience in a Philippine Tertiary Government Hospital Cruz MGY, Almazan NA 24 Accuracy of Fine Needle Aspiration Biopsy in Diagnosing Parotid Gland Malignancy Santiago KJB, Roldan RA, Castañeda SS 27 Motorcycle Related Cranio-Maxillofacial Injuries at a Tertiary Hospital in the Philippines De La Cruz RAR, Tuazon RS CASE REPORTS 31 Granulation Tissue Mimicking a Glomus Tumor in a Patient with Chronic Middle Ear Infection Ong KMC, Labra PJP, Ricalde RR, Manasan CVC, Carnate JM 36 Rhinofacial Conidiobolomycosis in a 16-Year-Old Girl Parilla XVC, Cachuela JE 41 Relapsing Polychondritis Initially Presenting with Hoarseness and Difficulty Breathing in a 21-Year-Old Male Padua PF, Lim WL 47 A 15-Year Occult Foreign Body in the Subglottic Area of a 50-Year-Old Woman Segocio DJL, Dayanghirang CD, Cachuela JE SURGICAL INNOVATIONS AND INSTRUMENTATION 51 True Congenital Macroglossia Surgically Managed Using a Modified Kole Technique Smith JC, Vicente GM 54 Medialization Thyroplasty Using a Pocket and Silicone Implant Technique Taningco MMF, Ibay EL FEATURED GRAND ROUNDS 58 Meningioma in the Middle Ear: An Unusual Case of Hearing Loss Lim DMD, Yang NW FROM THE VIEWBOX 63 Spontaneous Middle Fossa Encephalocele Yang NW UNDER THE MICROSCOPE 65 Low-Grade Cribriform Cystadenocarcinoma of the Parotid Gland Carnate JM PASSAGES 67 Tierry F. Garcia, MD (1919-2016): The Most Good for the Most People Chiong CM 68 Sarah D. Moral-Ramos, MD (1979-2016): An Old Soul, Gone Too Soon Ong EAV “Huuuuge Craniofacial AV Malformation” By Adrian F. Fernando, MD “Helping Hands: Ex Utero Intrapartum Treatment to Airway” By Daryl Anne A. del Mundo, MD “Fruits and Orange Juice” 33”x43” Acrylic on Hardboard By Mariano B. Caparas, MD “Air by-pass” By Rene Louie C. Gutierrez, MD