Ancient Schwannoma: Cervical Sympathetic Chain with Review of Literature
AbstractSchwannoma in cervical region arising from Sympathetic chain is a very rare entity. Ancient schwannoma is the term used to describe a schwannoma that has undergone changes viz loss of antoni Type A cells, perivascular hyalinization, calcification, cystic necrosis, hemorrhage and presence of degenerative nuclear changes. Ackerman and Taylor (Cancer 4:669 –691, 1951) introduced the term “ancient schwannoma”. Badawi (Eur J Surg Oncol 28(1):88–90, 2002) in 2002 reported the first case of ancient schwannoma of the sympathetic chain. Surgery is the choice of treatment. In most of the cases Horner&...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2020 Category: ENT & OMF Source Type: research

Rare Case Report: Young Male Hard Palate Pleomorphic Adenoma
AbstractSalivary gland tumors are rare and accounting for only 2 –3% of tumors occurring in head and neck region. Pleomorphic adenoma is a benign neoplasm which is very commonly encountered in the parotid gland and other major salivary glands. Few times they can also develop in minor salivary glands of the palate. The majority of minor salivary gland tumors are malignant in nature. This case report describes a case of a young male snake charmer develops a mixed tumor in a minor salivary gland of the hard palate. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2020 Category: ENT & OMF Source Type: research

Pediatric Airway Foreign Bodies and Their Management by Rigid Bronchoscopy: How I Experienced
AbstractRigid bronchoscopy is the gold standard treatment for pediatric tracheobronchial foreign bodies. This procedure gives jitters to young ENT surgeons. The only aim of this study is to aware young ENT surgeons of different challenges they may face during bronchoscopy and their subsequent management. Clinical and demographic presentations of airway foreign bodies are also presented. This prospective observational study was conducted from Jan 2013 to Jan 2020 on patients with tracheobronchial foreign bodies. Patients were divided in four Groups (A, B, C and D) on the basis of mode of presentation. Rigid bronchoscopies u...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 25, 2020 Category: ENT & OMF Source Type: research

Predictors of Surgical Outcomes After Functional Endoscopic Sinus Surgery in Chronic Rhinosinusitis
This study aims to assess the outcome of FESS as measured by subjective quality of life indices; Rhinosinusitis Disability Index (RSDI) and Sinonasal Outcome Test (SNOT-22. It also assesses the predictive factors which influence the outcome after FESS. The study was conducted among 100 patients with Chronic Rhinosinusitis who underwent FESS, after failure of medical management. Immunocompromised or pregnant patients and patients with history of previous sinus surgery or malignancy were excluded from the study. The evaluation was done using Lund Kennedy endoscopy scores, Lund Mackay CT scan scores and RSDI and SNOT-22 quest...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 22, 2020 Category: ENT & OMF Source Type: research

The Clinical –Audiological Cross Sectional Study of Deaf-Mute Patients in a Tertiary Care Centre of Uttarakhand State and Literature Review
This study aims at finding out the prevalence, clinical history-examination and audiological profile of deaf-mute patients visiting the Out Patient Department (OPD) of a tertiary care institute in Uttarakhand, and compare the results with similar studies published during last 20  years from India to generate a literature review. Out of 46,049 patients that visited OPD of the institute during the given period of 24 months, 73 cases were short-listed clinically to be enrolled in the study. However, only 55 (75%) of them completed the questionnaire and audiological testing. All information was extracted from the pat...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 22, 2020 Category: ENT & OMF Source Type: research

Comparative Evaluation of 3d Locking Versus Non-Locking Titanium Miniplates in the Treatment of Mandibular Fracture
AbstractThe introduction of 3-dimension systems for the treatment of mandibular fractures and continuity has offered certain advantages over other plating system. The present study was undertaken to compare 2.0  mm 3D titanium locking and non-locking miniplates in the management of mandibular fractures. A prospective study was conducted on 40 patients (20 in each group) of mandibular fractures treated by open reduction and internal fixation. Group A patients underwent osteosynthesis using 2.0 mm 3-D tita nium locking miniplates while Group B used non-locking miniplates. Subsequent follow-up was assessed for pain,...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 20, 2020 Category: ENT & OMF Source Type: research

Modified Bhramari Pranayama in Covid 19 Infection
AbstractThe Coronavirus (2019-Cov-2) infection Covid-19 is highly contagious caused by single stranded RNA virus (+ssRNA) with nucleocapsid and spreading widely all across the world and responsible for more than 3.6 million morbidity and 0.25 million mortality No specific treatment is available till date. The clinical symptoms are mainly upper respiratory leading to diffuse viral pneumonia and multiple organ failure involving. Kidney, Liver and Heart along with coagulopathies. During 2004 (SARS-CoV) pandemic role of nitric oxide in its management is well demonstrated. Nitric Oxide (NO) reversed pulmonary hypertension. Impr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 20, 2020 Category: ENT & OMF Source Type: research

Killian –Jamieson Diverticulum—A Rare Cause of Dysphagia in an Adult Male
AbstractKillian Jamieson diverticulum is a rare diverticulum of the esophagus that out pouches through the Killian Jamieson ’s dehiscence. They are relatively rare compared to Zenker's diverticula, although both present similarly. However, both needs to be distinguished separately and treated accordingly given their anatomic variations. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 20, 2020 Category: ENT & OMF Source Type: research

Prevalence of Laryngopharyngeal Reflux Disease in Indian Population
AbstractLaryngopharyngeal Reflux Disease (LPRD) is form of extra-oesophageal reflux due to the backflow of gastric contents into the upper aero digestive tract leading to throat symptoms. World over, the prevalence rate of LPRD, ranges from 5 to 30%. The aim of this study was to find the prevalence rate of LPRD in Indian population. This was an observational study whereby the RSI questionnaire was circulated amongst the population and records collected. All subjects who had RSI score more than 13 were considered to be suffering from LPRD. 2300 responses were collected from almost all strata of population. Out of 2300 peopl...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 20, 2020 Category: ENT & OMF Source Type: research

Accurate and Specific Measuring Grid for Otorhinolaryngological Surgeries
AbstractMost of the ENT surgeries (tympanoplasty, rhinoplasty, ossiculoplasty, septoplasty) involve the reconstruction and the functional correction of the respective structures involved. Success of otorhinolaryngological surgeries depends on accurate measurements and precision in judgement. There is need to develop simple tools for measurements which are easy to procure, accurate and simple to handle. Every surgeon needs unique tools to accomplish such an outcome. In order to tackle this difficulty and to ease the learning process in ENT surgeries, we have developed an accurate specific measurement grid. (Source: Indian J...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 19, 2020 Category: ENT & OMF Source Type: research

Otorhinolaryngology Malignancies in Children: A Case Series
ConclusionThe E.N.T. malignancies in children are rare and constitutes 20% of all paediatric malignancies. Carcinoma was found more common (68%) than the sarcoma (32%). The nasopharynx and laryngopharynx were found to be the most common sites. They usually present with features that are common in benign illnesses thereby masking the serious nature of the disease. However, the awareness about these tumours and complete examination and early imaging studies and biopsy in suspected children can secure early diagnosis. Radiation therapy is commonly used either alone or with chemotherapy. Radiotherapy can also be given either b...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 14, 2020 Category: ENT & OMF Source Type: research

Clinical Presentation and Microbiological Profile of Deep Neck Space Infections in Different Age Groups
AbstractDeep neck space infection (DNI), is defined as infections in the deep fascia enclosing potential spaces of the neck. In the past the diagnosis and treatment of DNI have challenged. The health care personnel at all levels. The complex anatomy and the deep location of this region remains a big problem with significant risks of morbidity and mortality. The aim of this study is to analyse the difference in clinical presentation and microbiology of DNI in different age groups. Eighty two patients with DNI which were managed at the Department of Otorhinolaryngology, ABVIMS and Dr. Ram Manohar Lohia Hospital New Delhi, be...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 12, 2020 Category: ENT & OMF Source Type: research

Truncal Ligation of Inferior Thyroid Artery Does Not Affect the Incidence of Hypocalcaemia After Central Compartment Lymph Node Dissection
AbstractPreserving all parathyroids with intact blood supply in situ is a desirable goal while performing total thyroidectomy (TT) and central compartment dissection (CCLND), but the same is not feasible in presence of bulky and/or matted lymph nodes in the central compartment. The aim of this study was to investigate the difference in incidence of postoperative hypocalcemia between the groups of papillary thyroid carcinoma (PTC) patients who had truncal ligation (TL) versus ligation of peripheral branches (PL) of inferior thyroid artery (ITA) during TT and CCLND. Retrospective review of prospectively kept data of PTC pati...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 11, 2020 Category: ENT & OMF Source Type: research

Traditional and Coblation Tonsillectomy in Pediatrics Population: A Comparative Study
AbstractTonsillectomy is still surrounded by controversy, especially regarding choice of surgical technique. Despite numerous surgical techniques are present, post-operative pain remains significant postoperative morbidities. An ideal method would lessen complications and minimize operative time and costs. This is a randomized double blinded interventional study. We enrolled 70 subjects and divided into two groups of 35 subjects in each. One group underwent traditional tonsillectomy and another underwent coblation tonsillectomy. We compared operating time, intraoperative blood loss, post-operative pain, return to normal ac...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 8, 2020 Category: ENT & OMF Source Type: research

Role of CO 2 Laser in the Management of Symptomatic Hypertrophy of Inferior Nasal Turbinates
AbstractThe aim of this study was to evaluate the efficacy of CO2 laser ablation in the management of symptomatic hypertrophied inferior nasal turbinates. This prospective observational study was carried out on 53 patients with symptomatic ITH refractory to medical management in the Department of Otorhinolaryngology and Head and Neck Surgery, SMHS Hospital, Srinagar, J&K from January 2017 to June 2018 after obtaining ethical clearance. The pre and postoperative subjective assessment of the nasal obstruction included nasal obstruction symptom evaluation scale (NOSE) and the visual analogue scale (VAS). Lund and Kennedy ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 8, 2020 Category: ENT & OMF Source Type: research

Novel Use of Platelet Rich Fibrin Membrane in Transcanal Myringoplasty: A Prospective Study
AbstractBeing rich in growth factors platelet rich fibrin (PRF) has been used for decades for its healing properties in cosmetic surgeries but its use in transcanal myringoplasty is a novel approach that remains unexplored. In todays era of minimally invasive surgery not only does it provide as a great alternative to conventional myringoplasty but also outshines it. It reduces post operative pain, hospital stay and unlike the conventional technique that uses termporalis fascia as a graft material, PRF myringoplasty if required can be reperformed on the same patient multiple times with minimal risk. This procedure comes as ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 8, 2020 Category: ENT & OMF Source Type: research

Endoscopic Cartilage Butterfly Tympanoplasty: A Two-Handed Technique with Endoscope Holder
AbstractThe aim of the study was to evaluate and report the short-term results of two-handed endoscopic cartilage butterfly tympanoplasty using endoscope holders. The efficacy of the operative technique was evaluated and assessed by comparing the air –bone–gap on pure tone audiometry preoperatively and on follow-up at 6 months and 1-year post operatively. Patients with uncomplicated otitis media and healthy middle ear status with no ossicular involvement underwent endoscopic transcanal cartilage butterfly tympanoplasty. Small and medium siz ed tympanic membrane perforations were included in the study. Pre-...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 8, 2020 Category: ENT & OMF Source Type: research

Cetuximab Concurrent with Radiotherapy in Unresectable, Locally Advanced Squamous Cell Carcinoma of Head and Neck: Real-World Evidence from a Tertiary Care Hospital
AbstractCetuximab (EGFR-targeted IgG1 monoclonal antibody) has shown to improve the treatment outcomes in head and neck cancer. The evidence on the beneficial outcomes of cetuximab with radiotherapy (RT) in unresectable patients of locally advanced squamous cell carcinoma of head and neck (LA-SCCHN) is limited in real-life practice. The present study evaluated the treatment outcomes of cetuximab concurrent with RT in Indian patients with unresectable LA-SCCHN. We retrospectively reviewed fifty-one patients with unresectable LA-SCCHN between January 2013 and December 2017, who were treated with cetuximab concurrently with R...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 7, 2020 Category: ENT & OMF Source Type: research

Noise Induced Hearing Loss in Autorickshaw Drivers in Bangalore: A Cross Sectional Study
AbstractTo find prevalence of noise induced hearing loss (NIHL) among auto drivers in central Bangalore using a structured questionnaire and audiometric evaluation. To establish a relation between age and duration of work to the presence of noise induced hearing loss among the autorickshaw drivers. To assess the validity of the questionnaire as a screening tool.A cross sectional study conducted in VV Puram, Bangalore from April –August 2019. 100 autorickshaw drivers were subjected to Pure tone audiometry (PTA) evaluation and were asked to answer a self-structured questionnaire comprising of 9 questions. Each question...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 7, 2020 Category: ENT & OMF Source Type: research

Functional Endoscopic Evaluation of Swallowing in Patients Treated by Total Laryngectomy and Adjuvant Treatment for Advanced Laryngeal and Hypopharyngeal Malignancies
In this study 32 patients treated by laryngectomy with partial pharyngectomy and adjuvant radiotherapy underwent fibreoptic endoscopic evaluation of swallowing at 6 and 12  weeks after completion of treatment. Majority of them had delayed transit of bolus, dryness and edema and 6 of them had pharyngeal stenosis, 2 had fibrotic band and 2 had adynamic pharyngeal segments. These findings were the cause of dysphagia. The frequency of occurrence of the above findings and their association with extent of resection of pharyngeal mucosa and adjuvant treatment have been documented. Bilateral neck dissection, post operative ch...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 7, 2020 Category: ENT & OMF Source Type: research

Supraglottic Laryngeal Paraganglioma: A Rare Case Report
AbstractLaryngeal paraganglioma is a rare tumor with diagnostic challenge. Many a times it can be confused with laryngeal cancers. CECT and MRI has an important role in its diagnosis. Surgical excision is the treatment of choice. Our case presented with stridor. Emergency tracheostomy was done followed by workup for surgery. Excision of the tumor was done by laryngeal fissure. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 7, 2020 Category: ENT & OMF Source Type: research

The Effectiveness of Budesonide Nasal Irrigation After Endoscopic Sinus Surgery in Chronic Allergic Rhinosinusitis with Polyps
AbstractNasal polyposis is one of the most common chronic upper airway diseases. Management of allergic rhinosinusitis with polyps is to control the disease process and the local immune response of the nasal mucosa. This is achieved by surgical removal of polypoid mucosa of all sinuses by functional endoscopic sinus surgery (FESS) followed by suppression of local immune response by using steroids. Budesonide nasal douching was introduced recently for postoperative management of patients with allergic rhinosinusitis. The therapeutic effectiveness and safety of this procedure are becoming accepted by many physicians. Evaluat...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 7, 2020 Category: ENT & OMF Source Type: research

Comparison Between Effectiveness of Topical Mometasone Furoate Nasal Spray Versus Topical Fluticasone Furoate Nasal Spray in the Treatment of Chronic Rhinosinusitis: A One Year Hospital Based Study
AbstractTo compare the effectiveness between topical mometasone furoate nasal spray versus topical fluticasone furoate nasal spray in the treatment of chronic rhinosinusitis. Randomized control trial was conducted involving 70 patients. One group received topical mometasone furoate nasal spray and the other group received fluticasone furoate nasal spray for 3  weeks. All patients were prescribed oral ciprofloxacin for 3 weeks and were subjectively evaluated using the Lund and Mackay staging system and objectively using nasal endoscopy by the Lund and Kennedy scoring system. There was no inter group significance b...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 6, 2020 Category: ENT & OMF Source Type: research

Kimura Disease: A Case Report and Review of Literature
AbstractKimura disease is a rare benign chronic inflammatory disorder characterised by multiple subcutaneous nodules and lymphadenopathy most commonly in head and neck region. It is seen in Asian men in their 2nd and 3rd decade. Kimura disease is usually confused for Angiolymphoid hyperplasia with eosinophilia and associated with eosinophilia and increased serum IgE. Kimura disease is also known for its recurrence. Diagnosis is by histopathological examination. Treatment is mainly surgical excision for cosmetic purposes. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 6, 2020 Category: ENT & OMF Source Type: research

Surgical Instructions in Revision Endoscopic Sinus Surgery: Pearls and Pitfalls
AbstractFunctional endoscopic sinus surgery (FESS) has become one of the most common surgical techniques performed by otolaryngologists with significant data demonstrating its efficacy in managing patients with chronic rhinosinusitis (CRS). However, despite this initial success, patients may continue to present with recurrent symptoms and approximately 10 –15% of them will require revision surgery. Failure of FESS may have many different causes which include inappropriate patient selection and preparation, comorbidities like cystic fibrosis and Samter’s triad, insufficient surgical skills or anatomical variatio...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 4, 2020 Category: ENT & OMF Source Type: research

Comparative Evaluation of Apnoea Graph and Polysomnography in Sleep Disordered Breathing in an Urban Indian Population
AbstractApnoea graph (AG) system is a new technology designed for evaluation of Sleep Disordered Breathing and more importantly the site of obstruction in Obstructive Sleep Apnoea (OSA). Apnoea Graph being a new modality of assessment needs to be evaluated with the time tested gold standard PolySomnoGraphy (PSG) along with its unique capability of establishing the level of obstruction. A prospective study of 30 patients of snoring and/or suspected for OSA was conducted in Sir Ganga Ram Hospital, New Delhi with recordings of both overnight sleep study and apnoea graph performed separately for each patient. The respiratory p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 2, 2020 Category: ENT & OMF Source Type: research

Safety  Guidelines for Sterility of Face Shields During COVID 19 Pandemic
AbstractFace shields are personal protective equipment devices that are to be used by many health care workers during COVID 19 pandemic for protection of the facial area and associated mucous membranes (eyes, nose, mouth) from droplet spread of infection. Face shields are generally not used alone, but in conjunction with other protective equipment like cap, mask, goggle, and are therefore classified as adjunctive personal protective equipment. In the wake of scarcity of face shields during the COVID 19 Pandemic, consideration of innovating newer methods of manufacturing must be considered to overcome the present day scarci...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 30, 2020 Category: ENT & OMF Source Type: research

Head and Neck Lipomas at Uncommon Subsites: A Series of Four Cases
AbstractLipomas are benign soft tissue tumors; the most common ones present in subcutaneous planes distributed throughout the body. However, there are few sites which are unusual location for lipomas. Here, we discuss the presentation of 4 cases of head and neck lipomas at unusual subsites. Though its prevalence is high in the body, lipomas are rarely seen in upper aerodigestive tract and these lesions can cause severe deglutition and respiratory distress problems in addition to cosmetic deformities. In the head and neck, most common location of lipoma is the cheek, followed by the tongue. Tonsillar lipomas are very rare. ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 30, 2020 Category: ENT & OMF Source Type: research

Evaluation of 5% Amlexenox Oral Paste and Rebamipide Tablets in Treatment of Recurrent Apthous Stomatitis and Comparison with Dologel CT
AbstractRecurrent aphthous stomatitis (RAS) is a frequently seen oral ulcerative lesion, manifesting as multiple, recurrent, shallow, irregular ulcers encircled by an erythematous halo. The precise etiopathogenesis is obscure, although the recent understanding suggests an underlying immune-mediated etiology. However, there is no defined management protocol and the principal therapy aims to attain symptomatic respite. 150 clinically diagnosed RAS patients of both sexes in the age range of 15 –65 years were randomly allocated and divided into two cohorts, namely Group A (75 RAS patients receiving 5% Amlexanox past...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 27, 2020 Category: ENT & OMF Source Type: research

Simple Economical Solution for Personal Protection Equipment (Face Mask/Shield) for Health Care Staff During COVID 19
AbstractCoronavirus disease 2019 is an infectious disease caused by severe acute respiratory syndrome coronavirus 2. It has taken a toll of lots of lives since its outbreak. Infection prevention at present is an appropriate control measure in addition to other measure like hand hygiene and personal protective equipment (PPE). In our country with a large population, supplying PPE to all the health care workers of all hospitals definitely is an economic burden. Hence we have come up with an economic and simple solution for face mask. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 27, 2020 Category: ENT & OMF Source Type: research

Squamous Cell Carcinoma of Scalp: Our Experience in a Single Tertiary Care Centre
AbstractCutaneous cancer is a rare entity accounting for less than 1% of all diagnosed cancers in India. In contrast to the West, squamous cell carcinoma is the commonest skin cancer in India, often affecting the scalp. However, due to their rarity, not much is known regarding their biological behavior and prognosis. The present study is a retrospective cohort study undertaken in a tertiary cancer centre on 19 consecutive cases of squamous cell carcinoma of the scalp over a period of 5  years. Patients with non-sqamous histology and those associated with xeroderma pigmentosum were excluded. Nineteen patients were eval...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 24, 2020 Category: ENT & OMF Source Type: research

Correlation of p53 expression with Clinical Presentation and Prognosis of Oral Squamous Cell Carcinoma Patients: A Pilot Study
AbstractMutations of p53 gene is one of the most common events in human cancers including oral squamous cell carcinoma (OSCC). However, its role in carcinogenesis and association with regard to prognosis is still under investigation and unclear. The aim was to study the expression of p53 in patients of OSCC and correlation with clinical presentation and prognosis. In this retrospective observational pilot study, we examined expression of p53 in 50 histologically diagnosed cases of OSCC and correlated it with initial clinical presentation and clinical events in follow up period. p53 expression was significantly negative (94...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 22, 2020 Category: ENT & OMF Source Type: research

Changes in Voice After Septoplasty: A Pilot Study
AbstractThe aim of this study was to evaluate changes in voice after septoplasty in adults using the Dr.Speech assessment module in conjunction with subjective evaluation using Voice Handicap Index (VHI). A total of 50 consecutive patients with symptomatic Deviated Nasal Septum (DNS) undergoing septoplasty were included in the study. Patients fit for surgery underwent septoplasty by standard technique. Voice assessment was done by subjective voice evaluation and Acoustic voice analysis preoperatively, 1  week after surgery and 1 month after surgery. Mean values of both males and females for Fundamental frequency ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 20, 2020 Category: ENT & OMF Source Type: research

Labyrinthine Fistula-Our Experience at a Tertiary Hospital
This study has aimed to determine the anatomical site of labyrinthine fistula in patients of chronic suppurative otitis media at our centre. Labyrinthine fistulae (LF) are caused by abnormal communications between the inner ear and surrounding structures  resulting in perilymph leakage and hearing loss. Labyrinthine fistula represents as erosive loss of the enchondral bone overlying the semicircular canals without loss of perilymph. The manifestations of fistula like vertigo, hearing loss vary in severity and complexity, commonly ranging from very mild to incapacitating. Cholesteatoma induced fistula most commonly inv...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 17, 2020 Category: ENT & OMF Source Type: research

Prevention and Rehabilitation of Old Age Deafness
AbstractHearing impairment is one of the most common sensory deficit affecting 466 million people globally and in majority of old age people it can not corrected. Since presbycusis is always associated with diminished cognition power resulting in two fold loss in understanding of speech. There is no treatment available till date to regenerate the hair cells but certainly we can augment hearing by preventing and regenerating (apoptosis) atrophy of stria vascularis, spiral neural cells degeneration, atrophy of auditory nerve and cerebral cortex by modified greeva, skandh chalan, dynamic neurobics, tratak (focused concentrati...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2020 Category: ENT & OMF Source Type: research

Fraser Syndrome: A Stumbling Block for the Anaesthesiologist
AbstractFraser syndrome is a rare autosomal recessive disorder with spectrum of malformations. Gamut of abnormal airway includes high arched palate, laryngeal atresia, hypoplasia, laryngeal stenosis etc. Laryngeal intubation difficulties have often been reported in literature. Airway management and decision process leading to emergency tracheostomy in these children has been discussed. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2020 Category: ENT & OMF Source Type: research

Extended Surgical Implication of Tubercle of Zuckerkandl in Total Thyroidectomy
AbstractThe primary objective of the study was to assess the Tubercle of zuckerkandl (TZ) during thyroid surgeries and its relationship with RLN and Superior parathyroid (SP). A prospective study was done in, 30 consecutive cases of total thyroidectomy in whom per operatively TZ was identified. The presence of TZ, its laterality, size, relationship with RLN and parathyroid glands were documented. A grading system outlined by Pelizzo was applied in our current study. In majority of the cases the RLN was found to lie medial to TZ (26/30), followed by lateral position (3/30) and one case it was found to be posterior to TZ (1/...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 15, 2020 Category: ENT & OMF Source Type: research

A Retrospective Clinical Audit of Outcomes of Cochlear Implantation in Children with Multiple Disabilities in Comparison with Normal Implantees: A South Indian Experience
ConclusionIntensive habilitation is essential especially for children with multiple disabilities who have received cochlear implantation in which their special needs are addressed individually and optimised for the best outcome. The study shows that restoration of the special sense of hearing helps as a remedy to alleviate their other multi-handicaps to a notable extent. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2020 Category: ENT & OMF Source Type: research

First Report on Concomitant Infection of Nasal Myiasis and Trichosporonosis in an Uncontrolled Diabetic Patient: Case Report
AbstractMyiasis is an infestation of living tissue of animals or humans by fly larvae. It is quite common in tropical countries due to hot and humid climates. Trichosporonosis is an invasive disseminated fungal infection caused by Trichosporon species. Disseminated trichosporonosis is usually a fatal disease with poor prognosis. The aim of this manuscript is to report a clinical case of concomitant nasal myiasis and Trichosporonosis infection in an uncontrolled diabetic patient which was treated successfully by two weeks of Voriconazole therapy. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2020 Category: ENT & OMF Source Type: research

Chondrosarcoma in the Parapharyngeal Space; Site of Origin an Enigma
We present a case of a 30  year old male who presented with swelling in the right retroauricular region since 4 years. Magnetic resonance imaging and computed tomography showed lesion with its epicentre in the post styloid compartment of right parapharyngeal space with superior extent around the petrous apex. The surgical procedure considered was excision. Surgical excision was challenging in view of difficult surgical access due to close and intricate relation with neurovascular structures of head and neck and an unsual pattern of spread. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2020 Category: ENT & OMF Source Type: research

Microscopic Thyroidectomy: The Way We Do It
AbstractThe present study was conducted with an intent to document the reduced morbidity in terms of postoperative hypocalcemia, injury to recurrent laryngeal and external branch of superior laryngeal nerve, in patients undergoing microscope assisted thyroidectomy. The present study enrolled a total of 878 patrients who underwent hemi, total and completion thyroidectomies, over a period of 3  years at Jain ENT Hospital, Jaipur. In the present study, out of 1118 RL nerves dissected temporary paresis was found in 1.52% and permanent palsy in only 0.36%. Temporary hypocalcemia was seen in 8.12% while permanent hypocalcem...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 11, 2020 Category: ENT & OMF Source Type: research

Image Guided Endoscopic Sinus Surgery: First Experience from Kashmir Valley
This study is aimed to describe our first experience of using image guided endoscopic sinus surgery in Kashmir valley in terms of real time correlation between the operative field and the preoperative imaging; to evaluate its utility in disease clearance and to evaluate patient reported outcome measures using (pre and post-op) VAS, SNOT-22, Lund Mackey endoscopic and radiological scores. This prospective observational study was conducted from September 2016 to August 2018. Patients with the specific inclusion and exclusion criteria were operated using image guidance system. Pre and post operative SNOT-22, VAS, Lund Mackey ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 9, 2020 Category: ENT & OMF Source Type: research

Out Sourcing of Head and Neck Oncologic Surgery: Cost Considerations
Abstract165 surgeries for head and neck cancer have been performed by a team of the Indian Institute of Head and Neck Oncology IIHNO in 1  year. Integration of private players was necessitated because of need to share available facilities without losing objective of reducing the cost. These surgeries were performed at a private hospital using their resources for the operation theatre and post-operative intensive care services, since the IIHNO does not as yet have an operation theatre facility. The pre-op facilities and post-operative care was done at IIHNO a charitable cancer center under the Indore Cancer Foundation ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 9, 2020 Category: ENT & OMF Source Type: research

Meet the Lacrimal Sac: Endoscopic Surgeons ’ Road Map
AbstractKnowledge of lateral nasal wall landmarks in relation to lacrimal apparatus is essential for successful endoscopic dacryocystorhinostomy. This descriptive study of right and left sagittally sectioned ten adult cadaver head specimens was done measuring various lateral nasal wall anatomical landmarks including lacrimal apparatus with digital calipers. Maxillary line was identified in 75%, majority overlapping lacrimal sac. Genu of middle turbinate was at or posterior to nasolacrimal duct. Mean distance of superior end of sac was 8.88  mm above axilla, between its anterior edge and axilla was 10.58 mm and it...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2020 Category: ENT & OMF Source Type: research

Human Papillomavirus-Associated Oral Squamous Cell Carcinoma Among Adults Living in South-Central Asia: A Systematic Review
The objective was to systematically review the evidence on the association of HPV and oral squamous cell carcinoma (OS CC) among adults living in South-central Asia. We searched multiple databases and reference lists of relevant articles in December 2018. Quality assessment of the selected articles were done using the Newcastle–Ottawa quality assessment scale. Thirteen out of 150 articles met the eligibility crite ria. Most studies were from India (10/13) followed by Pakistan (2/13) and Bangladesh (1/13). Half (7/13) of the studies found a positive association between HPV with OSCC. HPV 16, HPV 18 and HPV 16/18 ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2020 Category: ENT & OMF Source Type: research

A Study of Otorhinolaryngological Diseases with Ophthalmic Complications: At a Tertiary Care Center
This study was carried out on 50 patients of all age groups with ophthalmological complications along with ENT diseases who came to the department of ENT and head–neck surgery and department of Ophthalmology of N.S.C.B. Government Medical College , Jabalpur from August 2018 to August 2019. The diseases of ENT with orbital extension must be considered whenever a patient presents with signs and symptoms of orbital disease such as proptosis, orbital mass, restriction of eye movements, neurological dysfunction of eye, chemosis, vision disturbanc es or epiphora. A firmer knowledge of orbital anatomy with respect to sinona...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2020 Category: ENT & OMF Source Type: research

An Objective Ergonomic Risk Assessment of Surgeons in Real Time While Performing Endoscopic Sinus Surgery
AbstractThere are increased reports of high prevalence of work related musculoskeletal symptoms in surgeons performing otolaryngology procedures. However, real time ergonomic risk assessment in the OR is difficult due to issues related to sterility, cooperation and acceptance from surgeons. Although such analyses can provide valid risk estimate and guide corrective actions, they are scarce. Hence, this study was undertaken to assess the postural ergonomic risk on RULA in otolaryngologists while performing Functional Endoscopic Sinus Surgery in OR, in real time. A cross sectional, observational multi-centric study was condu...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2020 Category: ENT & OMF Source Type: research

A prospective longitudinal study of clinical outcome and quality of life assessment in patients with chronic rhinosinusitis after functional endoscopic sinus surgery using sino nasal outcome test-22
AbstractChronic rhinosinusitis (CRS) significantly affect the quality of life (QoL) of patients. The study was conducted in CRS patients who were treated with functional endoscopic sinus surgery (FESS) after failure of medical treatment to analyze clinical outcome using prospectively collected data through a symptom-based rhinosinusitis outcome measure, the Sino-nasal Outcome Test-22 (SNOT-22). The aim of the study was to evaluate and compare the QoL in patients of chronic rhinosinusitis pre-operative and after FESS by SNOT-22. The prospective study was conducted on 40 patients of chronic rhinosinusitis with or without nas...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2020 Category: ENT & OMF Source Type: research

Validity and Reliability of Turkish Version of Chronic Otitis Media Questionaire-12
This study aimed to investigate the validity and reliability of the Turkish version of COMQ-12. The COMQ-12 was translated into Turkish. The Turkish version was administered to four groups consisting of 35 individuals to assess its validity. Group 1 consisted of healthy individuals, group 2 had patients with inactive COM, group 3 had patients with healed COM and group 4 had patients with active COM. The questionnaire was administered to healthy participants twice to estimate test –retest reliability. The scores of the control group were compared with the others to test the validity of the questionnaire. The test and ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2020 Category: ENT & OMF Source Type: research

The Use of Balloon Eustachian Tuboplasty in Patients with Eustachian Tube Dysfunction: A Retrospective Pilot Usage Experience
AbstractChronic eustachian tube dysfunction is a condition that affects a large number of adults every year. While many cases can be managed pharmacologically, there is a significant portion that does not respond to medical treatment alone. Invasive methods from the aural side like grommet or tympanic tube insertion have complications associated with it and often cannot address the underlying condition of the nasopharyngeal side of the eustachian tube. Balloon eustachian tuboplasty (BET) is a minimally invasive intervention that has been used successfully in countries like Germany and USA in the past decade. This paper pre...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 6, 2020 Category: ENT & OMF Source Type: research