Hearing Evaluation in Patients with Chronic Renal Failure: A 1  Year Cross-Sectional Study in a Tertiary Care Centre
Abstract(1) To study the prevalence of sensorineural hearing loss among chronic renal failure patients. (2) To study the correlation between degree of hearing loss and the duration of chronic renal failure. This cross sectional study was conducted in the department of Otorhinolaryngology and Head and Neck Surgery at KAHER ’s Jawaharlal Nehru Medical College and KLEs Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi from January 2018 to December 2018. 60 ears (30 patients) with chronic renal failure were included in the study. All 60 ears were subjected to ENT examination, pure tone audiometry and me a...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 16, 2019 Category: ENT & OMF Source Type: research

Morphometric Evaluation of Soft Palate in OSMF Patients Using Cephalometrics
AbstractOral submucous fibrosis (OSF) is a chronic disease and a well-recognized potentially malignant condition of the oral cavity characterized by inflammation and a progressive fibrosis of the lamina propria and deeper connective tissues. To study the morphology of soft palate in different stages of OSF on digital lateral cephalogram. To compare the changes in morphology of soft palate in OSF patients with control. The study was conducted from 2017 to 2018 on 217 patients with their age ranging from 17 to 60  years. All patients detailed clinical examination and history was taken and cephalometric evaluation was do...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 10, 2019 Category: ENT & OMF Source Type: research

Adaptation of Functioning After Pediatric Cochlear Implantation (FAPCI) into Hindi Language
AbstractFAPCI is a parent/caregiver reporting questionnaire, which evaluates the communication performance of pre-school children with cochlear implants in the age range of 2 –5 years, using behavioral examples of children’s daily activities. Tools for the objective and effective measurement of communication for cochlear implanted Indian children in Hindi language are lacking. The primary aim of the study was to adapt American English version of FAPCI into the Hindi language. With a secondary aim to find out the communication functioning of Cochlear implanted children by administering FAPCI (HN) and compar...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 9, 2019 Category: ENT & OMF Source Type: research

Functional Outcomes in Cochleostomy and Round Window Insertion Technique: Difference or No Difference?
AbstractWith the introduction and rapid development of Cochlear Implants since the 1970s, there has been marked improvement in the speech recognition and spoken language skills of the implanted profoundly deaf children. The cochlear implant can be done by means of different techniques, traditionally by Cochleostomy method and round window membrane (RWM) insertion technique. Post operatively, the functional outcomes are measured by many scores more commonly by Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) scores. To study the speech and hearing perception skills in pediatric cases of Conge...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 8, 2019 Category: ENT & OMF Source Type: research

Voice Quality in Cochlear Implant Recipients: An Observational Cross Sectional Study
AbstractChildren with hearing loss are more likely to suffer from voice and speech disorders than with normal hearing due to their poor and less robust auditory feedback mechanisms. Prelingually deaf children are not able to supervise their own voice due to lack of auditory feedback. Cochlear implanted children achieve better hearing and consequently enhanced speech intelligibility. Various parameters of voice improve with continous usage of cochlear implant. However all the vocal parameters do not show similar degree of change. Previous studies have assessed the voice quality of cochlear implantees and have given inconsis...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 8, 2019 Category: ENT & OMF Source Type: research

CSF Gusher and Its Management in Cochlear Implant Patient with Enlarged Vestibular Aqueduct
AbstractAim is to share our experience of CSF gusher and its management during cochlear implant surgery in patients with enlarged vestibular aqueduct. All cases underwent classic cochlear implant surgeries via Veria technique. It is a retrospective study done at Civil Hospital Ahmedabad from January 2013 to March 2018 with 415 patients. The study includes 39 children between age groups 2 –8 years who have enlarged vestibular aqueduct. In all 39 patients with enlarged vestibular aqueduct during cochleostomy there was CSF gusher which was managed by the covering the cochleostomy site with temporalis fascia. There ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 29, 2019 Category: ENT & OMF Source Type: research

Surgical Complications After Thyroid Surgery: A 10-Year Experience at Jeddah, Saudi Arabia
AbstractTo evaluate the incidence and predictive risk factors of complications in patients who underwent thyroid surgery at our hospital with a residency training program. This retrospective cohort study analyzed the complications in all patients who underwent thyroid surgery between January 2008 and December 2017. Demographic data, preoperative diagnosis based on fine needle aspiration cytology, surgical approach, permanent pathology, postoperative complications, and factors associated with complications were recorded. At our hospital, 456 patients underwent thyroidectomy. The most common surgical complications were asymp...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 27, 2019 Category: ENT & OMF Source Type: research

Multi Level Single Stage: Barbed Reposition Pharyngoplasty and Nasal Surgery in Treatment of OSA —Our Experience
AbstractIt has become increasingly clear in the past decade that surgical management of OSAHS is most successfully managed with multilevel surgery (Cahali in Laryngoscope 113(11):1961 –1968,2003; Friedman et al. in Otolaryngol Head Neck Surg 131:89 –100,2004; Laryngoscope 114:441 –449,2004; Pang and Woodson in Otolaryngol Head Neck Surg 137(1):110 –114,2007; Li and Lee in Laryngoscope 119:2472 –2477,2009; Vicini et al. in Head Neck 36:77 –78,2014; Mantovani et al. in Acta Otorhinolaryngol Ital 32:48 –53,2012; Morgenthaler et al. in Sleep 30:519 –529,2007). In particular, drug...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 27, 2019 Category: ENT & OMF Source Type: research

Incidence of Otitis Media with Effusion in Cases of Head and Neck Malignancies Undergoing Radiotherapy: A Prospective Observational Study
This study was done to evaluate the incidence of otitis media with effusion (OME) in cases of head and neck malignancies who undergo irradiation, excluding nasopharyngeal malignancies. This prospective observational study was done at a tertiary care hospital. Adult patients of head and neck malignancies treated with radiotherapy (RT) with or without concurrent chemotherapy as definitive or adjuvant therapy from September 2017 to August 2018 were included. Cases of nasopharyngeal malignancies and cases of malignancies of other sites extending to nasopharynx causing mechanical obstruction to ET were excluded. The otoscopy, t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 27, 2019 Category: ENT & OMF Source Type: research

Vitamin D: A Modulator of Allergic Rhinitis
This study concludes that vitamin D acts as disease modulator in allergic rhinitis In case of allergic rhinitis with vitamin D deficiency its supplementation gives symptomatic relief and also lowers down the values of TNSS and TEC. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 27, 2019 Category: ENT & OMF Source Type: research

Comparison Between Automatic and Volitional Swallow in Healthy Individuals Using Tongue Array and Cervical Auscultation Modules
AbstractIn healthy normal individuals, the act of swallowing can be performed volitionally or can occur spontaneously. Several attempts have been made to look into the possible differences that might exist between automatic swallow (AS) and volitional swallow (VS). The present study is an attempt to physiologically differentiate AS from that of VS, using combined modules of tongue array and cervical auscultation of Digital Swallowing Workstation. 15 males and 15 female participants in the age range of 18 –25 participated in the present study. They performed an AS task and a VS task. These were analyzed for parameters...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 26, 2019 Category: ENT & OMF Source Type: research

Herald Cell: The Gateway to Posterior Tympanotomy —A Cadaveric Study
AbstractPosterior tympanotomy is the avenue to the facial recess of the middle ear from mastoid antrum. The entry into the facial recess in many cases is heralded by a distinct air cell before approaching the facial-chordal plane. The current study was undertaken to determine the prevalence of this ‘Herald Cell’ in an adult cadaveric population. It was a human cadaveric temporal bone dissection study. The bones were dissected to carry out cortical mastoidectomy and posterior tympanotomy using standard otologic drills under microscopic visualization (Leica M320 F12). Appropriate snapshots w ere taken to document...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 26, 2019 Category: ENT & OMF Source Type: research

Unusual Appearance of Basaloid SCC in Tonsil: A Case Report
AbstractBasaloid squamous cell carcinoma (BSCC) is a variant of oral squamous cell carcinoma, is an aggressive, high grade variant and rare subtype of the head and neck SCC that less common in tonsils. Here, we are reporting a case of BSCC involving the tonsil with an extension on the cervical lymph node region. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 26, 2019 Category: ENT & OMF Source Type: research

Endoscopic Management of Tympanic Membrane Retraction Pockets: A Two Handed Technique with Endoscope Holder
AbstractThe tympanic membrane retraction pocket is a pathological invagination of tympanic membrane into the middle ear space. The most common sites for formation of retraction pocket are pars flaccida and postero-superior parts. Decision about the procedure and the timing of the treatment of retraction pockets is debatable and depends on the functional and anatomic condition of the ear. To evaluate the results of the technique of two handed endoscopic management of retraction pockets with sliced tragal cartilage. Prospective Non Randomized Clinical Study. The study included 41 ears operated with the technique of two hande...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 20, 2019 Category: ENT & OMF Source Type: research

A Study on Outcome of Myringoplasty in Dry Ear (Quiescent/Inactive CSOM) Without Using Gelfoam in Middle Ear
This study was done to know the outcome of myringoplasty done without using gelfoam as a scaffold material. Simultaneously other parameters influencing the outcome were analysed. In a total of 80 patients assessed over 25  months were divided into test and control group by quasi randomisation. All patients underwent endoscopic underlay myringoplasty. Control groups had gelfoam bed created with gelfoam, whereas the test group only middle ear air pocket created with a proper seal without using gelfoam. The study revea led that without using gelfoam and creating a good middle ear air pocket the results were comparable to...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Three Dimensional Rhinoplasty and Nasal Airway Improvement in Cleft-Nose Deformity
AbstractSeptorhinoplasty is particularly challenging among revision surgeries for cleft sequelae. The challenge of cleft septorhinoplasty is mainly due to the complex anatomy of nose, deformity of each of its components and the difficulty and lack of clarity in surgical management. From 2014 to 2017, 26 patients with cleft lip nose deformity were operated by the same cleft team. The study was conducted to assess the improvement in nasal airway and appearance following secondary rhinoplasty with extracorporeal septoplasty. Post operatively each patient was evaluated using the standard modified rhinoplasty outcome evaluation...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Biomarkers in Head and Neck Cancer an Update
AbstractThe study is aimed at establishing the purpose of tumour markers, their application, classification, diagnostic and therapeutic roles in the management of head and neck cancer. A literature review using Medline, Scopus, Google Scholar, the Cochrane Database of Systematic Reviews and the Cochrane central register of controlled trials for articles published between 1993 and 2016 on tumour markers and their role in head and neck cancer was performed. A broader search of prognostic markers in head and neck cancer was also carried out to avoid missing other pertinent markers. Natural history, tumour biology, stage and p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Tracheostomy: Open Surgical or Percutaneous? An Effort to Solve the Continued Dilemma
AbstractDue to lack of globally standardized guidelines and clarity on indications, patient selection, intra-operative preparations, technique, complications, postoperative care and decannulation protocols, percutaneous tracheostomy (PT) has come in vogue as compared to standard open surgical tracheostomy (OST). PercuTwist and guide wire dilatational method (GWDF), techniques of PT, offer lesser operative time and ease of surgery being a bedside procedure. There seems to be paucity of Indian literature on rising trend of increasing indications, post-operative care, management of complications and outcomes of tracheostomy. ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Harmonic Scalpel Versus Coblation Tonsillectomy A Comparative Study
AbstractTonsillectomy is an age old procedure in ENT practice. Though traditional dissection method is gold standard, we surgeons are trying different techniques like electrocautery, coblation, harmonic scalpel (HS) mainly to improve surgical convenience, to decrease operative time, post operative pain, intra and post operative bleeding and fast return to normal life. In this particular study we are comparing coblation and HS as surgical tool in tonsillectomy. It is a prospective double-blind randomized controlled trial where information was compared between two groups of coblation and HS tonsillectomy. A total number of 1...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2019 Category: ENT & OMF Source Type: research

A Clinical Study on Audiological Evaluation in Patients with Active Squamous Variety of Chronic Otitis Media Following Canal Wall Down Mastoidectomy with Ossicular Reconstruction
AbstractTo evaluate hearing results following canal wall down mastoidectomy with ossicular reconstruction for Chronic Suppurative Otitis Media of Active Squamosal variety& evaluate various factors related to surgery impacting hearing results. This prospective study involves 40 patients of active squamosal variety of chronic otitis media who attended ENT OPD and underwent canal wall down mastoidectomy with ossiculoplasty during the period from November 2014 to October 2015. All the patients were subjected to pre and 3  months post-op hearing assessment. Based on the hearing outcome, we expressed our study results i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2019 Category: ENT & OMF Source Type: research

A Comparison of Surgical Outcomes of Carbon Dioxide Laser Versus Conventional Cold Instrument Excision of Benign Vocal Cord Lesions
This study compares the surgical outcomes of cold instruments versus carbon dioxide (CO2) laser excision of benign vocal fold lesions. A total of 49 cases diagnosed with benign vocal fold lesions were divided randomly to undergo excision either by conventional cold steel method or by CO2 laser. The postoperative assessment of the groups was done by videostroboscopy, acoustic analysis and voice handicap index. There was a significant improvement (P value  
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2019 Category: ENT & OMF Source Type: research

Quality of Life in Patients with Nasal Septal Deviation After Septal Correction
AbstractSeptal Correction is an age-old procedure being practiced for the major part of a century now. The aim of this study was to assess the quality of life after Septal Correction. Fifty patients with complaints of nasal obstruction, trouble breathing via the nose, headache and facial pain were selected for the study. Initial pre-operative assessment was done based on a symptomatic score [Nasal Obstruction Symptom Evaluation Scale (NOSE Scale)]. The presence of a septal deviation was confirmed with an X-ray and computed tomography of the paranasal sinuses along with a diagnostic nasal endoscopy. Based on the extent and ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2019 Category: ENT & OMF Source Type: research

Round Window Insertion in Veria Technique of Cochlear Implantation: An Essential Modification
This article focuses on round window insertion of cochlear electrode which has been proven to be a “softer “technique of electrode insertions and finds its role in preservation of residual hearing. Out of 115 cochlear implants done at AIIMS Patna between May 2014–May 2018, using the Veria approach, 52 patients have now been done using the round window insertion. Veria approach is a non-mastoidectomy technique where a special perforator is used to drill a trans canal tunnel which lodges the cochlear electrodes. All kind of implants were used and round window insertion was possible with different kind of el...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2019 Category: ENT & OMF Source Type: research

Bilateral Vestibular Atelectasis with Tullio ’s Phenomenon
We report a young adult female who presented with unsteadiness for 2  years associated with headache. Tullio’s phenomenon was observed which led to a finding of bilateral vestibular dehiscence involving the medial walls on high resolution computed tomography. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2019 Category: ENT & OMF Source Type: research

Giant Warthin ’s Tumour of the Parotid Gland: A Rare Case Report
AbstractWarthin ’s tumour was first adequately described in 1929 by an American pathologist, Aldred Scott Warthin. It is synonymous with papillary cystadenoma lymphomatosum (PCL), cystadenolymphoma or adenolymphoma. Giant salivary gland tumours are usually pleomorphic adenomas. The average size of Warthin’s tum our is reported to be about 2–4 cm. In the current fascinating case, an enormous disfiguring salivary gland tumour was reported which turned out to be Warthin’s tumour on histopathology, which is probably the largest PCL reported till date. (Source: Indian Journal of Otolaryngology and H...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2019 Category: ENT & OMF Source Type: research

Comparison Between Radiological Versus Endoscopic Assessment of Adenoid Tissue in Patients of Chronic Adenoiditis
The objective of this study is to compare the diagnostic efficacy of both X-ray soft tissue nasopharynx lateral view and nasoendoscopy in evaluation of adenoid size in patients having chronic adenoiditis. Our study included 50 children in age group of 3 –14 years who had signs and symptoms of adenoiditis clinically. After comparing X-ray and endoscopic findings we found that there was good agreement between X-ray and endoscopic method. Sensitivity of X-ray was 79.41% and specificity of 75% whereas sensitivity of nasoendoscopy was 87.10% and spec ificity was 63.16%. Nasal endoscopy is good screening method and mo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 8, 2019 Category: ENT & OMF Source Type: research

A Comparative Study on Aspiration Cytology and Histopathology in Diagnosis of Thyroid Nodule and Its Correlation
ConclusionThus we can conclude that FNAC is a simple, safe and cost-effective diagnostic modality in the investigation of Thyroid nodule with high specificity and accuracy. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 7, 2019 Category: ENT & OMF Source Type: research

The Correlation Analysis Between the Spatial Hearing Questionnaire (SHQ) and the Psychophysical Measurement of Spatial Hearing
AbstractThe aim of the present study was examining the relationship between a psychophysical spatial hearing test (spatial word in noise test) and Spatial Hearing Questionnaire. Sixty-six adults (18 –40 years old) were divided in three groups: normal subjects, subjects with mild and moderate hearing loss. Spatial word in noise test and Persian version of the spatial hearing questionnaire were evaluated and compared among these groups. According to Pearson’s test, there was a significant po sitive correlation between the scores of spatial word in noise test and Persian version of the Spatial Hearing Questio...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 6, 2019 Category: ENT & OMF Source Type: research

The Predictive Value of Neutrophil-to-Lymphocyte Ratio for Hodgkin ’s Lymphoma Diagnosis in Patients with Asymptomatic Cervical Lymphadenopathy
AbstractIn patients with asymptomatic cervical lymphadenopathy, the physician often has to choose between evaluation via follow-up or open biopsy. Follow-up evaluation may lead to a delayed diagnosis of lymphoma, while an open biopsy is associated with surgical risks and costs. This dilemma can be avoided using predictive parameters. In the present study, we aimed to investigate whether neutrophil-to-lymphocyte ratio (NLR), a parameter which can be assessed quickly with ease and at low cost, has predictive value for Hodgkin ’s lymphoma diagnosis in patients with asymptomatic cervical lymphadenopathy. A total of 46 pa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 5, 2019 Category: ENT & OMF Source Type: research

Cochlear Implant Made Easy by Bhopal Technique: Our Experience of 200 Patients
ConclusionBhopal technique of Cochlear Implantation is a safe and versatile technique with good surgical outcomes which addresses shortcomings of Veria and posterior tympanotomy technique. It can be used for the implantation of all available devices with minimal operative risk and reduced operation time thus, offering prospects for better outcomes over other techniques. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 5, 2019 Category: ENT & OMF Source Type: research

Isolated Laryngeal Leishmaniasis: A Diagnostic Dilemma
We describe a case of a 45  year old male with hoarseness and noisy breathing. Patient’s initial histological and serological workup was inconclusive. Final biopsy findings (suggestive of Leishmania donovani), positive rK-39 serology and his native place being Bihar (endemic for Leishmaniasis) led us to the diagnosis. He w as treated with high dose liposomal Amphotericin B to which he responded well. This case report highlights the importance of remaining aware of rare infectious causes of laryngitis. Timely diagnosis and intervention are crucial. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 1, 2019 Category: ENT & OMF Source Type: research

Tracheobronchial Foreign Bodies: The Importance of Timely Intervention and Appropriate Collaboration
AbstractThe aim of study is to determine epidemiological profile of the cases suspected to have laryngotracheobronchial foreign body, average interval between onsets of symptoms and presentation to our tertiary centre, average interval between admission and active surgical intervention, incidence of various clinical, radiological and intraoperative findings. All patients presenting to our institution with suspicion of foreign body inhalation who underwent rigid bronchoscopy from October 2012 to April 2018 were considered for this study. Data compilation of these patients was done which included age, sex, chief complain, ti...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 15, 2019 Category: ENT & OMF Source Type: research

A Study of Toluidine Blue Staining in Suspected Oral Malignancies in Patients Presenting to Tertiary Care Hospital in Central India
This study carried out in our department with objective to study efficacy of TB in oral malignancies and potential oral malignant lesions and also to evaluate and compare TB staining with histopathological examination of lesion. This prospective study conducted on 183 patients who attended ENT department. Out of 183 patients 146 (79.8%) were positive with TB and 37 (20.2%) were not stained with TB. Out of 146 positive patients 134 were turned out to be positive for malignancy in histopathological examination. Out of 37 negative patients 5 were positive for malignancy in histopathological examination and 32 were negative. O...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 14, 2019 Category: ENT & OMF Source Type: research

Chronic Otitis Media and its Correlation with Unilateral Sensorineural Hearing Loss in a Tertiary Care Centre of North India
In this study, 840 patients of unilateral COM were included. Audiometry was done and data analyzed. Majority of patients showing SNHL had COM for over a period of 5 years. Squamosal disease showed early progression to SNHL than mucosal disease. Higher frequencies were found to be more affect ed and maximum bone gap was seen at 4000 Hz. There was significant difference in mean bone conduction threshold between diseased ear and normal ear at all frequencies (p value  
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 13, 2019 Category: ENT & OMF Source Type: research

Frontoethmoid Osteoma Operated by Combined Approach: A Case Report
AbstractOsteoma is the most common benign neoplasm of the nose and paranasal sinuses. Despite their size, (osteomas can often reach several centimeters) they most often remain asymptomatic. Generally conservative treatment is recommended for asymptomatic osteomas, while symptomatic osteomas should be resected. As the frontal sinus is commonly affected, most surgical approaches mainly concentrate on resection of osteoma by external route endoscopic instruments offer an alternative approach to sinus surgery, enabling closer and more direct visualization of the anatomy, avoiding damage to surrounding structures as well as avo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 13, 2019 Category: ENT & OMF Source Type: research

Large Sinonasal Schwannoma with Skull Base Defect: A Case Report
AbstractUnilateral sinonasal masses account for 6% of all paranasal sinus pathologies. We are reporting a case of nasoethmoidal schwannoma with a large skull base defect. The lesion was removed endoscopically along with repair of the defect. We are highlighting the challenges faced in diagnosis and mangement of this case with an emphasis that these tumours should be considered as one of the differential diagnosis in presence of a unilateral nasal mass. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 10, 2019 Category: ENT & OMF Source Type: research

Dolichoarteriopathia of Bilateral Common Carotid Artery Presenting as Mass in Pyriform Fossae Causing Dysphagia: An Anatomical Anomaly
AbstractA rare case of aberrant tortuous common carotid artery (dolichoarteriopathia) presenting as submucosal swellings in bilateral pyriform sinuses, non-pulsatile, mimicking submucosal growths in an elderly female with complaints of dysphagia for solids, is described. CT with contrast by the radiologist opined the swellings as common carotid dolichoarteriopathia. We discussed the presentation of the anomaly in head and neck briefly by reviewing the literature and the hazards of biopsy in such a situation. Flexible fibreoptic videoendoscopy, CT with contrast of the head and neck, and the radiologist ’s opinion gave...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 9, 2019 Category: ENT & OMF Source Type: research

Clinicopathological Profile and Treatment Outcomes of Sinonasal Small Cell Neuroendocrine Carcinoma: A Rare Case Series
AbstractSinonasal small cell neuroendocrine carcinoma  is a rare tumour in the head and neck region. Patients become symptomatic as the disease progresses to advanced stages. They are at risk for recurrence and distant metastasis following treatment. Early diagnosis and treatment have shown to improve the disease prognosis. This is a retrospective an alysis of sinonasal small cell neuroendocrine carcinomas that underwent treatment based on institutional protocol. Data was collected from medical records of the patients and analyzed using descriptive statistics. Cell morphology on electron microscopy and immunohist...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 7, 2019 Category: ENT & OMF Source Type: research

Lymphoid Papillary Hyperplasia Arising from the Upper Portion of the Left Palatine Tonsil: A Case Report and Literature Review
AbstractLymphoid papillary hyperplasia of the tonsils is a rare, benign lesion and is characterized by a papillomatous appearance with reactive follicular hyperplasia. Our case was unique because the lesion involved the unilateral and focal palatine tonsil, as the lesion usually involves the bilateral and entire palatine tonsils. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 4, 2019 Category: ENT & OMF Source Type: research

Cervical Lymph Nodes: A Hotbed For Metastasis in Malignancy
Conclusion understanding the pertinence of cervical lymph nodes specially supraclavicular lymph nodes with different primary tumor sites enables to plan interdisciplinary management of patients and also to correlate with the prognosis of patient. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 27, 2019 Category: ENT & OMF Source Type: research

A Study of Application of Preoperative Clinical Predictors of Difficult Laryngeal Exposure for Microlaryngoscopy: The Laryngoscore in the Indian Population
AbstractGood exposure for visualisation of the glottis is an essential prerequisite for effective microlaryngoscopy. There is no definitive clinical predictor scoring system to predict difficult microlaryngoscopy. The aim of the study was to study the validity of the Laryngoscore scoring system as a preoperative clinical predictor score in Indian population for difficult laryngeal exposure during microlaryngoscopy. A prospective study was carried out in 32 patients undergoing microlaryngoscopy in a tertiary care hospital who were evaluated by a standardized preoperative assessment protocol (Laryngoscore) which included 11 ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 26, 2019 Category: ENT & OMF Source Type: research

Petrous Bone Cholesteatoma: Radical Excision with an Endeavour for Hearing Preservation
AbstractTo describe surgical outcomes following resection of giant petrous bone cholesteatoma. Retrospective cohort study was undertaken at a tertiary care centre on patients who had undergone surgery for petrous bone cholesteatoma (PBC) from August 2014 to September 2017. For patients with serviceable hearing preoperatively, labyrinth preserving techniques, namely, modified transmastoid translabyrinthine approach (massive PBC-1) and supralabyrinthine approach (supralabyrinthine PBC-1) were considered. In the former, bony labyrinth which had been destroyed due to the disease process, membranous labyrinth remained anatomica...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 25, 2019 Category: ENT & OMF Source Type: research

Does Endoscopic Sinus Surgery (ESS) Retrieve Mucociliary Clearance of Maxillary Sinus: Prospective Study at a Tertiary Care Hospital
AbstractTo correlate Saccharin clearance time before and after endoscopic sinus surgery (ESS) in chronic maxillary sinusitis patients. Hospital based prospective study done in the department of otorhinolaryngology at our tertiary care hospital from January 2017 to December 2017. We selected 40 patients based on inclusion and exclusion criteria. Saccharin clearance time was measured by the subjective perception of sweet taste following placement of saccharin pellet over the anterior end of inferior turbinate. It was measured preoperatively and postoperatively after 3  months of ESS and the values are compared with norm...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 25, 2019 Category: ENT & OMF Source Type: research

Ectopic Third Molar: A Hidden Cause For Maxillary Sinusitis —A Rare Case Report
AbstractOdontogenic sinusitis (OS) accounts for about 10 –20% of all the sinusitis occurring in maxillary sinus. OS may result due to periapical pathology, severe periodontitis, peri-implantitis, or oroantral communication due to displacement of tooth root into the sinus. Very rarely OS can be due to an impacted tooth in the maxillary sinus for which ve ry few case reports are found in literature. The author presents a case report of 24 years female suffering from unilateral chronic sinusitis since 1 year caused due to impacted third molar tooth in left maxillary sinus associated with odontogenic keratocyst...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 25, 2019 Category: ENT & OMF Source Type: research

Endoscopic Endonasal Surgery of Clival Chordomas: Preliminary Results
This article shows a series of patients affected by clival chordomas treated with endoscopic approach. Patients who underwent EEA or transoral approach (TO) for clival chordomas at our Skull Base Referral Center, have been retrospectively examined. Clinical symptoms, preoperative neuroradiological evaluation, surgical approach, complications and postoperative results were evaluated. Nine patients (4 females and 5 males; age range 45 –82 years, mean 61 years) were included. Chordomas involved upper clivus in 4/9 cases, with (2) or without (2) extension to the middle clivus, middle clivus alone in 2/9, lower ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 24, 2019 Category: ENT & OMF Source Type: research

Preoperative Staging of Differentiated Thyroid Carcinomas: Comparison of USG and CT with Intraoperative Findings and Histopathology
AbstractTo study the efficacy of USG and CECT in preoperative staging of differentiated thyroid carcinomas in comparison to the intraoperative and histopathological findings. A prospective, observational study was conducted in a tertiary care hospital over a period of one and a half years where USG and CECT of 23 subjects with histopathologically proven differentiated thyroid malignancy were analysed to study the characteristics of the primary tumour, lymphatic metastasis and evaluate the sensitivity and specificity of the radiological investigations in comparison to the intra-operative and histopathological findings. Wh...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 24, 2019 Category: ENT & OMF Source Type: research

A Case of Varicella-Zoster Meningoencephalitis Presented by Ramsay Hunt Syndrome
We present a case of VZV meningoencephalitis presented with Ramsay Hunt syndrome. Early clinical suspicion was beneficial in starting aggressive treatment. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 19, 2019 Category: ENT & OMF Source Type: research

Comparison of Inferior Turbinate and Uncinate Process Angulation with Normal Population in Patients with Septal Spur
AbstractThe presence of septal spur may cause various pathologies by affecting the development of the inferior turbinate, osteomeatal unit and uncinate process. We aimed to compare the changes of the angle with inferior turbinate and the maxillary medial wall of the uncinate process in patients with septal spur by normal population. In the study, 138 patients with septal spur and unilateral septum deviation and 83 patients without septum deviation were evaluated retrospectively. The angles of the inferior turbinate and the uncinate process with the medial wall of the maxilla were measured at the ostemaetal unit level. The ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2019 Category: ENT & OMF Source Type: research

Narrow Band Imaging: An Effective and Early Diagnostic Tool in Diagnosis of Oral Malignant Lesions
AbstractThe management of oral carcinoma leads to both cosmetic and functional deficit to the patient and the confirmatory histopathology is a time consuming process which may be a reason for a reduced follow up and compliance of the patient. We hereby use this study as an opportunity to tell that narrow band imaging (NBI) serves both the above purposes in an earlier period and in a non-invasive manner and thereby improving the lifestyle of the patients. To find out a better non-invasive and time saving diagnostic tool in the management of premalignant and malignant oral lesions in its earlier period. A prospective cross s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2019 Category: ENT & OMF Source Type: research

Prevalence of hearing impairment amongst school going children in the rural field practice area of the institution
AbstractWorldwide, over 275 million people are estimated to have moderate to profound hearing loss in both ears. Children with hearing impairment often experience delayed development of speech and cognitive skills, which may result in slower learning and difficulty in progressing at school. Adequate hearing is one of the main factors for good psychosocial development, by which individuals may express their thoughts, feelings, and wishes, and acquire life experience and knowledge. Therefore, hearing impairment needs to be diagnosed early for prompt therapy. Primary objectives of this study was to know prevalence of hearing ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 15, 2019 Category: ENT & OMF Source Type: research