PhiliPPine Journal of otolaryngology-head and neck Surgery  3

Impact, Not Just Impact Factor: Responding to the Manila Declaration on                                    
the Availability and Use of Health Research Information

Manila Declaration on the Availability and Use of Health Research Information
     in and for Low- and Middle-Income Countries in the Asia Pacific Region
Otorhinolaryngologic Manifestations of Human Immunodeficiency Virus Infection 
     in Manila, the Philippines
Value of the 6-hour Postoperative Ionized Calcium Slope in Predicting Post-Thyroidectomy
     Occurrence of Hypocalcemia
Complications of Head and Neck Reconstructive Surgery Using Axial Pedicled Flap
Extended Transpalatine Approach for Excision of Juvenile Angiofibroma
Spontaneous Passage of Ingested Coin in Children
Chemodectoma and Tetralogy of Fallot
Descending Necrotizing Mediastinitis, A Dreaded Complication of Acute Tonsillitis
Sinonasal Ameloblastic Carcinoma in a 50-year-old Filipino Female
Primary Laryngeal Aspergillosis in a Postpartum Patient
A Myringotomy and Ventilating Tube Applicator: New Look at a Five-Century-Old Procedure
A Cotton Wick Improves Hearing in a Patient with Profound Hearing Loss
Stridor at Birth: Congenital Laryngeal Web
Hypopharyngeal, Supraglottic and Subglottic Stenosis After 1 Week Intubation
Facial Palsy and Mastoiditis from Fibrous Dysplasia
Metastasizing Ameloblastoma

PhiliPPine Journal of otolaryngology-head and neck Surgery                                                      Vol. 30 no. 2  July – december 2015

CONTENTS

COVER IMAGES

EDITORIAL
4 Impact, Not Just Impact Factor: Responding to the 

Manila Declaration on the Availability and Use of 
Health Research Information

 Lapeña JF

SPECIAL ANNOUNCEMENT
6 Manila Declaration on the Availability and Use of 

Health Research Information in and for Low- and
 Middle-Income Countries in the Asia Pacific Region 

ORIGINAL ARTICLES
8 Otorhinolaryngologic Manifestations of Human 

Immunodeficiency Virus Infection in Manila,                 
the Philippines

 Arriola ACP, Chua AH, Abrenica RJT. 

13 Value of the 6-hour Postoperative Ionized Calcium 
Slope in Predicting Post-Thyroidectomy Occurrence       
of Hypocalcemia

 Cabance RE, Cruz ES. 

19 Complications of Head and Neck Reconstructive 
Surgery Using Axial Pedicled Flap

 Dy AES, Alfanta EM, Chiong AM. 

25 Extended Transpalatine Approach for Excision                  
of Juvenile Angiofibroma

 Hernandez JG, Cabungcal AA, Carrillo RJC.   

30 Spontaneous Passage of Ingested Coin in Children 
 Estolano PJL, Chua AH.    

CASE REPORTS
34 Chemodectoma and Tetralogy of Fallot   
 Santiago KJB, Samio LMR, Roldan RA, Castañeda SS.        

38 Descending Necrotizing Mediastinitis, A Dreaded 
Complication of Acute Tonsillitis  

 Go MSC, Cruz ETS. 

43 Sinonasal Ameloblastic Carcinoma in a 50-Year-Old 
Filipino Female    

 Del Mundo DAA.   

47 Primary Laryngeal Aspergillosis in a Postpartum 
Patient     

 Villanueva JCR, Opulencia AP, Calavera KZ, Lim WL. 
   
SURGICAL INNOVATIONS AND INSTRUMENTATION 
50 A Myringotomy and Ventilating Tube Applicator:
 New Look at a Five-Century-Old Procedure
 Amable JPM, Sia-Vargas LL. 

LETTER TO THE EDITOR
56 A Cotton Wick Improves Hearing in a Patient                 

with Profound Hearing Loss 
 Carrillo RJD, Grullo PER, San Agustin MLM    

FEATURED GRAND ROUNDS 
59 Stridor at Birth: Congenital Laryngeal Web 
 Pascual MVP

62 Hypopharyngeal, Supraglottic and Subglottic Stenosis 
After 1 Week Intubation 

 Reyes NKS 
 
FROM THE VIEWBOX
65 Facial Palsy and Mastoiditis from Fibrous Dysplasia 
 Bickle IC         

UNDER THE MICROSCOPE
67 Metastasizing Ameloblastoma
 Atun JML, Carnate JM 

“Plastic Surgery (Plastic Foreign Body 
in the Throat)”
By Rene Louie C. Gutierrez, MD

“Ameloblastoma Maxilla”
By Rene Louie C. Gutierrez, MD

“Likas na Yaman sa Likod ng Kagubatan”
By Rene Louie C. Gutierrez, MD

“True VISION sees beyond 
what seems to be 
invisible to others.””
By  Adrian F. Fernando, MD