A Covered Lateral and Posterior Wall Flap of the Maxillary Sinus Prevents Reocclusion of the Postoperative Maxillary Cyst
We examined the cyst opening rate using computed tomography, age, sex, cyst position, and a follow-up period in four patients (five sides) who did not undergo flap surgery, but who were managed in our hospital in 2015, and in eight patients (nine sides) who underwent the CLAP flap technique in our hospital. In the group with the CLAP flap, the cyst opening rate was significantly higher (P 
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2021 Category: ENT & OMF Source Type: research

Endoscopic Orientation of Juxta-Pituitary Carotid in Transsphenoidal Approaches: Critical Considerations for Clinical Applications
This study improves surgeons’ awareness of the ICA course variations in the EETA through sphenoid sinuses with ill-defined bony landmarks. An appreciation of the measurements gathered from this study can help in operative training, and can also provide a base for future stud ies to confirm ICA courses associated with higher risk of injury. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2021 Category: ENT & OMF Source Type: research

Intraoperative Classification of Cholesteatoma Using ChOLE Classification and Evaluating its Treatment Outcomes Using Inside Out Approach Mastoidectomy
AbstractThe primary objective is to classify acquired cholesteatoma according to the ChOLE classification system based on the preoperative and intraoperative findings, and to describe prevalence of each stage. The secondary objective is to correlate the extent of inside out approach mastoidectomy required with the staged extent of cholesteatoma. A non-randomized Prospective Observational study conducted in 67 patients in a tertiary care hospital. Each case was categorized according to the ChOLE classification system including cholesteatoma extension, ossicular chain status, life threatening complications and eustachian tub...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2021 Category: ENT & OMF Source Type: research

Huge Atypical Sub Mental Swelling: A Rare Presentation of Tuberculosis of Neck
We reported one case of huge sub mental swelling in 55 years old male patient having symptoms of swelling since 2 years and difficulty in breathing since 1  month. This on FNAC gives nonspecific lymphadenitis later confirmed on excisional biopsy comes out to be tuberculosis. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2021 Category: ENT & OMF Source Type: research

Influence of Life Style Factors on Oral Potentially Malignant and Malignant Disorders: A Cross Sectional Study
AbstractThe incidence of oral cancer has risen in the past decades and is usually recognised when symptomatic and at a late stage. A premalignant lesion is like smoldering volcano, which if not taken care of, may erupt, often with disastrous consequences. Early detection is therefore very important to reduce morbidity and mortality. A descriptive cross-sectional study was done to assess the prevalence, clinical presentation, and association of various addiction habits in the patients who presented with potentially malignant and malignant lesions of the oral cavity in outdoor clinics of ENT and HNS department of a tertiary ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2021 Category: ENT & OMF Source Type: research

Spontaneous Esophageal Perforation in an Infant: A Rare Case
AbstractSpontaneous perforation of the esophagus is an emergency that requires early diagnosis and management. It may be fatal and delay in treatment can cause an increase in morbidity and mortality. Despite of being very rare in infants, we have to be watchful whenever we encounter signs and symptoms related to it. Only 7 cases of spontaneous esophageal perforation in infants have been report in the literature to the best of our knowledge. Here we are reporting a rare case of spontaneous esophageal rupture in an infant. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2021 Category: ENT & OMF Source Type: research

A Comparative Study on Outcomes of Type 1 Underlay Tympanoplasty with and Without Anterior Tucking of Temporals Fascia Graft
In conclusion, graft uptake in tympanoplasty with anterior tucking was found to be better than without anterior tucking. There is signific ant hearing improvement following underlay technique of tympanoplasty both with and without anterior tucking. There is no significant difference in the hearing improvement with anterior tucking when compared to without anterior tucking of the temporalis fascia graft. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 15, 2021 Category: ENT & OMF Source Type: research

Outcomes of Training Nurses Engaged in a Public Sector Newborn Hearing Screening Program in South India
This study evaluated the outcomes of training nurses engaged in a public sector newborn hearing screening (NHS) program in one urban district in South India. Twenty nurses performing NHS in Corporation Maternity Hospitals (CMH) participated in the training and evaluation. Baseline knowledge and skill of nurses regarding NHS and overall program outcomes were obtained eight months post the initial training. Knowledge was evaluated using questionnaire, skill was evaluated using Objective Structured Clinical Examination (OSCE) and agreement between screening results obtained by audiologist and nurse. Records used for documenta...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 15, 2021 Category: ENT & OMF Source Type: research

Management of Covid Associated Mucormycosis of Mandible: A Mountain Beneath a Molehill —A Lesson Learnt
We report two patients who presented with tooth loosening with pus discharge a few weeks following recovery from Covid infection. After tooth extraction adjacent necrotic bony specimen was sent for calcofluor potassium hydroxide mount, which was found positive for broad pauciseptate hyphae. Although CT scan imaging demonstrated the involvement of a mandible segment, we found a much more extensive involvement in both cases during resection. There was intramedullary spread of the mucormycosis throughout the inferior alveolar canal, with pus discharge and foul odor. The management of covid associated mandibular mucormycosis c...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 15, 2021 Category: ENT & OMF Source Type: research

Management of Allergic Fungal Rhinosinusitis Associated with Vision Loss During COVID-19 Era
AbstractThe ongoing COVID-19 pandemic has given rise to unique challenges related to healthcare management. The problems have arisen due to the direct effect of COVID 19 infection and treatment or as repercussions of administrative efforts being undertaken to check the rapid spread of the epidemic. The management of some of the diseases has been hampered with the implementation of the policies like lockdown and transportation difficulties. This paper presents a series of four patients (6 eyes with vision loss) of an otherwise benign entity, Allergic Fungal Rhinosinusitis (AFRS), causing visual deterioration, managed amid t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 13, 2021 Category: ENT & OMF Source Type: research

Effect of Tinnitus in Distortion Products Otoacoustic Emissions (DPOAEs) in Normal Hearing Patients
This study investigates the cochlear outer hair cell function in patients with tinnitus and normal hearing using DPOAEs. We performed a prospective study of the cochlear function in normal hearing patients complaining of tinnitus by analysing DPOAEs amplitude and signal/noise (S/N) ratio. We gathered a sample of 21 ears from adults that attended to the ENT Department complaining of tinnitus with normal hearing. We compared their results with a control group of 21 ears, with the same demographic characteristics, presenting normal hearing but without tinnitus in order to exclude the influence of age in DPOAEs results. A decr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 13, 2021 Category: ENT & OMF Source Type: research

A New Anatomical Variation and Course of RLN Described: A Rare Case Report of a Lateral and Superiorly Placed Bilateral RLN Over the Thyrohyoid Muscle
AbstractLing XY described 3 variations of RLN in relation to Inferior thyroid artery (ITA), with the RLN either being anterior to ITA, in between the branches of ITA or posterior to ITA. We add to these variations and present a new anatomical variation and course of RLN in which it lies in a lateral position and descends from a superior position on the thyrohyoid muscle to enter the larynx medially. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 13, 2021 Category: ENT & OMF Source Type: research

Migrated Foreign Body of Upper Digestive Tract —A Ten-Year Institutional Experience
AbstractThe ingested foreign body is one of the commonest emergencies encountered by otolaryngologists Depending on the shape and duration of impaction, a small number of foreign bodies (1 –2%) can perforate the wall of the gastrointestinal Tract. A migrated foreign body may remain quiescent or cause life-threatening suppurative and vascular complications. Data were collected retrospectively from the hospital records in a tertiary care hospital in South India from 2010 to 2020. Fift een patients diagnosed with migrated foreign body and who underwent neck exploration were included in the study. Demographic details, mo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 12, 2021 Category: ENT & OMF Source Type: research

An Unusual Tumor in an Uncommon Site-Orbital Rosai –Dorfman Disease: A Case Report
AbstractRosai –Dorfman disease (RDD) is also known as Sinus Histiocytosis with Massive Lymphadenopathy. It is a rare, benign, self-limiting disease of phagocytic histiocytes presenting with massive painless cervical lymphadenopathy. RDD can present as a nodal disease and also extra-nodal involvement with episod es of exacerbation and remissions and relapses after treatment. Its etiology remains poorly understood and is highly variable in its clinical presentation and response to treatment. Its treatment is poorly defined but the prognosis is usually fair. Here we are reporting a rare, unusual clinical pres entation o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 12, 2021 Category: ENT & OMF Source Type: research

Extramedullary Solitary Plasmacytoma of Larynx: A Rare Entity and Therapeutic Challenge
AbstractSolitary extramedullary plasmacytoma is a rare entity. The diagnosis is established by clinical evaluation, detailed radiological workup and histopathology with immunohistochemistry markers. There is no clear standard of care for a solitary laryngeal plasmacytoma. A case of solitary laryngeal plasmacytoma is being reported here with the rationale for the chosen treatment modality. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 12, 2021 Category: ENT & OMF Source Type: research

A Study to Grade the Severity of Tinnitus and its Psychological Impact Using Tinnitus Functional Index (tfi)
AbstractBackgroundChronic tinnitus has a lot impact on the quality of life of person by affecting his/ her physical health, occupational health and social relations. It can lead to sleep interference, cognitive difficulties, lack of concentration, anxiety, frustration, anger and depression. The present study showed the severity and impact of tinnitus on quality of life of subjects with or without hearing loss using tinnitus functional index (TFI).MethodsSubjects with history of tinnitus with or without hearing loss including informed consent, otoscopy, pure tone audiometry (PTA) were done. Grading of tinnitus was done by u...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 11, 2021 Category: ENT & OMF Source Type: research

The Impact of Surgical Correction in Changing Morphometric Dimensions of Craniofacial Deformities and Facial Asymmetry in Congenital Muscular Torticollis: An Otolaryngologists Perspective
AbstractTo evaluate the synergistic occurrence of facial asymmetry and craniofacial deformities in cases of Congenital muscular torticollis (CMT) and to assess the outcome of surgical correction on these deformities. Twenty-three cases of CMT presenting in ENT OPD from January 2015 to December 2019, 9 cases requiring surgical intervention were included. Facial asymmetry and craniofacial deformities were evaluated and quantified by measuring gaze angle, translational deformity and orbito-alar distance. All cases underwent a bipolar tenotomy using harmonic scalpel. In all cases on comparison with preoperative status there wa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 11, 2021 Category: ENT & OMF Source Type: research

Outcomes of Totally Endoscopic Versus Microscopic Techniques in Middle Ear Cholesteatoma: A Systematic Review and Meta-Analysis
AbstractEndoscopes have revolutionized the field of otology for the past two decades due to its minimally invasive technique and improved visualization. The advantage of endoscope during surgery for middle ear cholesteatoma both for diagnosing and aiding in removal of residual disease from the hidden areas and the resulting lower recurrence rates have been proven in the past by many authors. But the feasibility of totally endoscopic ear surgery and its surgical and patient related outcomes are yet to be explored in detail. We conducted this systematic review and meta-analysis to compare the surgical and patient related out...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 11, 2021 Category: ENT & OMF Source Type: research

Testing A Hypothesis: Tinnitus Control by Enhancing Physiological Inhibition
ConclusionSuccessive sessions of conflict processing training can improve the annoyance of tinnitus by enhancing the patient ’s inhibition control, making this task a safe practice for tinnitus treatment. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 11, 2021 Category: ENT & OMF Source Type: research

Investigating Hearing Function in Pediatric Patients with Renal Dysfunction: In Pursuit of Preventive Audiology Outcomes
This study aimed to describe hearing function in a group of children with chronic renal dysfunction receiving treatment in an academic hospital in Johannesburg, South Africa. One hundred children between the ages 5 and 18  years (mean age 11.68) were included in the study. A cross-sectional, descriptive, quantitative research design was employed. All participants underwent a case history interview and an audiological examination which included otoscopy, immittance testing, pure tone audiometry including extended hig h frequency testing up to 16 kHz as well as diagnostic distortion product otoacoustic emission tes...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 10, 2021 Category: ENT & OMF Source Type: research

Intratemporal Facial Nerve Anatomy and its Variations in 30 Cases of Cadaveric Temporal Bones
AbstractIt is important for the ENT surgeon to be familiar with the anatomy of the facial nerve and to prevent iatrogenic injury to nerve as it shows variations in its intratemporal course. Present study was done to delineate the intratemporal course of facial nerve and observe its variations. Thirty wet cadaveric temporal bones were dissected in the temporal bone dissection laboratory in the Department of Otorhinolaryngology and Head Neck Surgery, Government Medical College, Patiala. The length of intratemporal segments of facial nerve, its relationship with important bony landmarks, and the presence of any anomaly or var...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 9, 2021 Category: ENT & OMF Source Type: research

Extrapulmonary Tuberculosis: An Otorhinolaryngologist ’s Perspective
ConclusionA high index of suspicion of EPTB must be kept among patients where (i) the clinical symptoms are out of proportion to the signs, (ii) common treatment fails or (iii) there is persistence or recurrence of symptoms despite therapy. The challenge is in confirming diagnosis which requires histopathological examination (HPE) of the tissue specimen. The timely diagnosis and initiation of anti tuberculous treatment (ATT) as per RNTCP helps in complete recovery thereby reducing morbidity. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

A New Biomarker on Bone Resorption in Chronic Otitis Media: Osteoprotegerin and NLRP3 Inflammasome Gene Polymorphisms
AbstractChronic Otitis Media (COM) is a chronic inflammation of the middle ear and mastoid with persistent membrane perforation and hearing loss. Osteoprotegerin (OPG) and NOD like receptor protein 3 (NLRP3) play an important role in bone metabolism. The aim of the study was to investigate the role of OPG and NLRP3 gene polymorphism on ossicular chain resorption in COM. Fourty COM patients and 20 healhty control group were included in the study. While 20 patients underwent ossiculoplasty, 20 patients underwent type 1 tympanoplasty. DNA was isolated from peripheral blood using the DNA kit. OPG gene c.226A  > &thin...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

Comparative Study of Parathyroid Identification Techniques Using Zuckerkandl ’s Tubercle Versus Parathyroid Arterial Supply as Intra-Operative Markers
AbstractThyroid surgeons should be able to identify factors that prevent parathyroid damage. The aim of the study was (i) to compare the effectiveness of using Zuckerkandl ’s Tubercle (ZT) versus superior thyroid artery (STA) and inferior parathyroid artery (ITA) as markers for identification of superior and inferior parathyroid glands and (ii) to demonstrate a series of detailed, logical and orderly operative steps to identify ZT during thyroidectomy operation. T his 1-year prospective observational study was carried out in the Department of Otolaryngology in a tertiary medical institute. Out of 36 cases o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

Auditory Brainstem Implants in Children with Inner Ear Anomalies: An Indian Perspective
AbstractAuditory brainstem implantation (ABI) is a viable option for individuals with inner ear anomalies, or other retro-cochlear pathologies, where cochlear implantation is not a suitable option. Although ABI has its advantages in those populations, most often, ABI is not recommended or accepted by the patients because of its limitations and shortcoming such as open-set word recognition in auditory mode, limited infrastructures for carrying out ABI surgery, and the high cost of implantation. This review highlights the benefits in non-tumor patients with ABI surgery and possible reasons for the limited acceptance of the A...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

Assessment of Effects on Prolonged Usage of Face Mask by ENT Professionals During Covid-19 Pandemic
AbstractThe protection efficacy of face masks during this covid 19 pandemic has been well documented. The changes in human nasal functions after wearing facemask for prolonged period is not known. The aim of this study is to determine the effects of prolonged usage of facemask by ENT professionals during covid 19 pandemic. It is a cross sectional study conducted in department of ENT in Chettinad Hospital and Research Institute, Kelambakkam. A self-constructed questionnaire containing 21 queries regarding the effects of prolonged use of face mask, after being analysed by the experts of our institution were distributed to 12...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

Spectrum of Handicap in Unilateral Sensorineural Hearing Loss
AbstractUnilateral Sensorineural Hearing Loss (USNHL) can present with varying symptoms apart from hearing loss, such as dizziness and tinnitus. Impaired sound localization, inability to identify speech in noise and decreased temporal summation can significantly impair the daily activities of an individual. This along with dizziness and tinnitus affects the physical, mental and social health as well. The purpose of this study is to assess and correlate the spectrum of handicap faced by USNHL patients. Validated questionnaires were used to evaluate handicap in 42 USNHL patients due to hearing loss (Hearing Handicap Inventor...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

Styloid Process; Correlation Between Symptoms, Palpability and Measurements on Three Dimensional Computed Tomography
AbstractStyloid process is a long and slender osseous projection protruding downward, forward and slightly medially from the temporal bone and serves as an anchor point for various muscles associated with the  tongue and the larynx. The aim of the present study was to record the length and the angle of Styloid process on three dimensional computed tomography in patients with unilateral symptomatic and palpable styloid process and compare the length and the angle of styloid process of symptomatic side to asymptomatic side on three dimensional computed tomography. 3D-CT face reconstruction were perfomed in all 35 patien...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

Warthin like Variant of Papillary Carcinoma Thyroid with BRAF Mutation
AbstractWarthin like papillary carcinoma of thyroid (WLPTC) is a distinct entity and rare variant of papillary thyroid carcinoma (PTC). Here we report two cases of WLPTC with clinical, pathological and molecular characteristics. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

Experience with Systemic Bevacizumab in Advanced Juvenile Recurrent Respiratory Papillomatosis
AbstractVascular Endothelial Growth Factor has been demonstrated in squamous papillomas of Recurrent Respiratory Papillomatosis patients. This case series aimed at studying the feasibility and efficacy of systemic use of VEGF inhibitor Bevacizumab in advanced Juvenile Onset Recurrent Respiratory Papillomatosis (JORRP) patients. Three pediatric patients with advanced RRP were included in this study. A detailed bronchoscopic and radiological follow-up is presented. All patients responded well to the treatment. We conclude that systemic Bevacizumab can be tried as a feasible and rational adjuvant treatment in advanced JORRP...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

Prevalence of General and Otorhinolaryngological Symptoms Post-COVID-19 Regarding the Time of Presentation
(Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 8, 2021 Category: ENT & OMF Source Type: research

The Association Between Vitamin D Level and PFAPA Syndrome: A Systematic Review
The objective of this study is to explore the association between vitamin D level and PFAPA syndrome. A systematic review of all publications addressing the association between vitamin D level and PFAPA syndrome prior to May 2019 was conducted. Data were collect ed from online medical databases namely, PubMed, Ovid Medline, Embase, Cochrane Library, Google Scholar, and Scopus. The review adhered to the PRISMA statement and was performed in 3 main phases; an initial screening review of abstracts was performed, followed by a detailed review of full articles b ased on inclusion and exclusion criteria, and lastly a final revie...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 7, 2021 Category: ENT & OMF Source Type: research

Bilateral and Ipsilateral Central Neck Dissection in Total Thyroidectomy: a Long Term Comparison of Complications
AbstractThe role of prophylactic central compartment neck dissection (CCND) in total thyroidectomy (TT) is controversial in patients without clinically evident lymph nodes metastasis (cN0) because of association with transient and permanent hypoparathyroidism (HPT) as well as transient and permanent recurrent laryngeal nerve (RLN) injury. Instead of bilateral central neck dissection (bCCND), ipsilateral central compartment neck dissection (iCCND) has recently been proposed as a safer, alternative treatment for selected patients. The aim of this study is to characterize the morbidity that CCND (ipsilateral and bilateral) ad...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 7, 2021 Category: ENT & OMF Source Type: research

Loss of Smell in COVID-19 Patients: New Biomarkers
This study aims to evaluate the loss of smell with visual analogue scale and to determine the relationship between the loss of smell and blood parameters.All patients' coronavirus disease 2019 swab cultures were polymerase chain reaction positive and pneumonia was found in computed tomographies consistent with oronavirus disease 2019. The study was conducted on 114 patients hospitalized between 01.11.2020 and 31.12.2020 in the Otorhinolaryngology coronavirus disease 2019 Service of University of Health Sciences Adana City Training and Research Hospital and followed up by us.A score of 10 indicates that the olfactory functi...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 7, 2021 Category: ENT & OMF Source Type: research

Loupe Assisted Thyroidectomy: A Tool for Reducing Complications
The objective of this study is to assess if the use of magnification can reduce the incidence of hypocalcemia and vocal cord palsy in thyroid surgery. Data of patients who underwent total thyroidectomy (N  = 50) for thyroid malignancy were analyzed retrospectively for 1 year. The patients were divided into two groups based on surgery with and without loupes. Hypocalcemia and Vocal cord palsy was assessed pre as well as post-operatively and the observations were noted. Descriptive statistics were performed to assess the proportion of the respective groups. Inferential statistics to find out the difference...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2021 Category: ENT & OMF Source Type: research

Efficacy of Sucralfate in Alleviating Post Tonsillectomy Symptoms and Morbidity: A Comparative Randomized Interventional Study
AbstractPain following tonsillectomy still remains the main concern of topic and it occurs along with sever ear pain and trismus until and unless the exposed and inflamed mucosa gets covered with the regenerated mucosa. To study the efficacy of sucralfate in alleviating postoperative pain and morbidity following tonsillectomy. Subjects included in our study were patients which were fulfilling criteria for tonsillectomy and were admitted under the Department of Otorhinolaryngology, SMS Medical College and Hospital, Jaipur from 1st July 2019 to 31st March 2020. 64 patients were evaluated and were randomly allocated into stud...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2021 Category: ENT & OMF Source Type: research

Impact of Preoperative Steroids Administration on Endoscopic Sinus Surgery: Systematic Review of Literature, and a Survey in Saudi Arabia
This study aimed to identify the practice patterns of rhinologists in Saudi Arabia as well as systematically review all health-related evidence regarding the use of preoperative steroids for ESS. A previously used questionnaire was modified and distributed in Saudi Arabia among rhinologists who finished their residency training. It entailed questions about their qualifications and preoperative steroids use, preferred regimen, and possible benefits. Also, a systematic literature review using four major databases was conducted to build a scoping view of the current evidence. A total of 94 subjects responded to the mailed sur...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2021 Category: ENT & OMF Source Type: research

Office Based Voice Evaluation in Assessing Outcome of Treatment in Laryngeal Disorders
AbstractRapidly evolving global economic status has changed professional behavior. Of late, there is a drastic increase in professional voice users and thereby increase in the patients with voice disorders. Clinically, the changes in the voice can only be perceived but cannot be quantified and documented. It is therefore necessary to have a gadget/tool which is simple and with which we can document and quantify the voice change objectively. This is a prospective case control study with 50 normal control subjects (25 male and 25 female subjects) who had no voice complaints and 50 patients(cases) who presented with complaint...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 5, 2021 Category: ENT & OMF Source Type: research

A Tertiary Care Centre Experience on the Management of Paediatric Tracheobronchial Foreign Body During the COVID 19 Pandemic
AbstractTracheobronchial foreign body aspiration (FBA) is a life threatening emergency most commonly seen among paediatric age group that requires immediate therapeutic intervention. The purpose of this study is to report our experience on management of these aspirated foreign body (FB) with rigid bronchoscopy during the COVID 19 pandemic. This is a retrospective study which included 100 children less than 17  years of age, diagnosed with suspected FBA and underwent rigid bronchoscopy for its removal between March 2020 and March 2021. Guardians of all female children with history of FBA, had to go through medicolegal ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 5, 2021 Category: ENT & OMF Source Type: research

Hydatid Cyst in Left Sub-Mandibular Space, an Unusual Location
AbstractHydatid cysts in the neck area are considered as very rare and few cases have been reported in endemic areas. In the present study, we reported a 38-year-old female that underwent surgical operation for extraction of simple cyst in the submandibular area and the diagnosis of hydatid cyst was established by laboratory examinations. The patient was later diagnosed with hepatic hydatid cyst and received systemic treatments. We recommend that physicians should pay more attention to the possibilities of hydatid cysts in unusual areas in endemic regions especially Middle East. (Source: Indian Journal of Otolaryngology an...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 4, 2021 Category: ENT & OMF Source Type: research

COVID-19, Diabetes and Steroids: The Demonic Trident for Mucormycosis
AbstractCoronavirus disease 2019 (COVID-19) has been found to be associated with mucormycosis in few parts of the world, especially India. It is important to look for reasons for this upsurge of cases so that other countries may take proper steps to prevent it. A prospective clinico-demographic study was conducted in SMS Medical College, Jaipur, India from April to May 2021. All patients (235) with COVID associated mucormycosis (CAM) were studied in detail with reference to their diabetic status and steroid intake during treatment of COVID-19. Steroid usage was in 84.3% of patients with methylprednisolone being the most co...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 4, 2021 Category: ENT & OMF Source Type: research

Vocal Cord Hemangioma: A Common Tumor in an Unusual Localization. A Case Report with Short Review of Literature
AbstractLaryngeal adult-type hemangiomas are very rare lesions, more frequent in men, whose optimal treatment consists of microlaryngoscopical excision. We herein report a case of larynx cavernous hemangioma in a 64-year-old woman with hoarseness for about six months. Histologically, the tumor was composed of multiple vessels embedded in an edematous stroma. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 4, 2021 Category: ENT & OMF Source Type: research

Rare Schwannomas of Head and Neck and Review of Literature
We report in this review three cases of a rare extra cranial localization of benign schwannoma in the trachea, frontal sinus and intraparotid facial nerve. The first case diagnosed in a 10-years-old boy, presented with a painless, slow growing mass evolving for three years in the left parotidic region, total conservative parotidectomy was done. The second case concerned a 38-years-old, was admitted to the emergency department with acute inspiratory dyspnea, endoscopic exploration revealed a polylobed tracheal tumor, complete tumor excision was done endoscopically. The third case was about a 33  years old patient, pres...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 4, 2021 Category: ENT & OMF Source Type: research

Correlation of the Neutrophil-to-Lymphocyte Ratio with the Middle Ear Risk Index in Patients with Chronic Otitis Media
This study aimed to investigate the neutrophil-to-lymphocyte ratio (NLR) and severity of the chronic otitis media according to middle ear risk index (MERI) scores. The NLR and middle ear risk index were calculated for 210 chronic otitis media (COM) patients retrospectively. NLR compared between COM patients and 159 participants in control group. Pearson correlation analysis was performed for NLR and MERI. In addition, The cut-off value, sensitivity, and specificity for NLR were determined in COM according to the severity of the disease with ROC analysis. The average of NLR in all patients was 1.94  ± 0...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 3, 2021 Category: ENT & OMF Source Type: research

“Penetrating Neck Injuries: A Comprehensive Study”
In this study, 66 cases of penetrating neck injuries who presented to the emergency department from October 2018 to September 2020 were included. The particulars of the insult like type of instrument causing injury and zone of injury were compared. An analysis of the management of penetrating neck injury with respect to exploration and wound repair and the need for tracheostomy, vascular repair, esophageal repair, laryngeal framework repair and pharyngeal repair was made. The maximum incidence was observed for the age group between 21 and 30  years. The object causing the maximum number of neck injuries was knife, in ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 3, 2021 Category: ENT & OMF Source Type: research

The C-S Approach for The Management of Median or Paramedian Frontal Sinus Lesion
AbstractThe frontal sinus is one the most complex of the paranasal sinuses, its proximity to the cranial vault and the orbit cause that frontal sinus pathologies can progress to involve these structures and lead to significant morbidity, or even death. Surgical management of the frontal sinus is technically challenging, the most commonly used surgical approaches are coronal, butterfly, gullwing and suprabrow. The purpose of this article is to propose the C-S approach, an interesting alternative to the gullwing approach for the managing of median and paramedian frontal sinus lesions or isolated displaced fractures of the an...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 3, 2021 Category: ENT & OMF Source Type: research

Impact of Depth of Invasion (According to Layer) on Lymph Node Metastasis in Buccal Mucosa Cancers
This study is limited by sample size and short duration of one year and nine months. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 3, 2021 Category: ENT & OMF Source Type: research

Olfactory and Taste Dysfunction in Coronavirus Disease 2019 Pandemic
This study is done to raise awareness of olfactory and taste dysfunction association in coronavirus disease, urging early detection and isolation of coronavirus positive patients thus breaking the chain of transmission of disease. This is a retrospective observational study done in outpatient department of tertiary care hospital in Mumbai, west India from 1st May 2020 to 1st August 2020 on patients who were confirmed positive for COVID-19 by real-time reverse transcription polymerase chain reaction (rRT-PCR) and having olfactory dysfunction and/or taste disorders. In study population, anosmia and ageusia occurred in 88% an...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 2, 2021 Category: ENT & OMF Source Type: research

Vitamin D Deficiency and Interleukin Levels in Allergic Rhinitis: A Case –Control Study
AbstractVarious studies have shown a positive co-relation between Vitamin D deficiency and severity of Allergic Rhinitis (AR) based on subjective symptoms. AR is also associated with serum eosinophilia and raised levels of various interleukins (IL) —particularly IL-4, IL-5 and IL-13. To compare serum Vitamin D levels, IL-4, IL-5, and IL-13 levels, and eosinophilia in AR patients with healthy controls and co-relate disease severity using Sino-nasal Outcome Test-22 (SNOT-22) score in patients with Vitamin D deficiency. 30 patients and 30 healt hy controls were recruited. 10 ml blood sample was drawn from each pati...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 2, 2021 Category: ENT & OMF Source Type: research

A New Biomarker in Differentiation of Mucosal Chronic Otitis Media from Squamous Chronic Otitis Media: The Systemic Immune-Inflammation Index (SII)
AbstractThe Systemic Immune-inflammation Index (SII) is a new biomarker based on the number of neutrophils, platelets, and lymphocytes in the Complete blood count, and is shown as diagnostic and prognostic in many diseases. Mucosal or Squamous COM differentiation is necessary preoperatively in chronic otitis media patients. The purpose of this study was to test the predictive value of inflammation markers to predict the differentiation of Mucosal COM and Squamous COM. Our aim is; using"SII" as a powerful test to differentiate cholesteatoma and active mucosal middle ear disease. In the present study, 300 patients ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 1, 2021 Category: ENT & OMF Source Type: research