Posterior Nasal Nerve Resection –A Novel and Effective Way to Surgically Treat Refractory Allergic and Vasomotor Rhinitis
This study focused on outcomes of endoscopic posterior nasal neurectomy and turbinate reduction with regard to the common symptoms of allergic and vasomotor rhinitis. This randomized experimental study conducted between December 2018 to November 2020 included 60 patients, aged 18 –50 years with allergic or vasomotor rhinitis with/ without deviated nasal septum of grade 3 and 4, not responding to conservative management. Patients were divided into two groups. 30 patients were operated for Posterior nasal nerve resection and 30 patients underwent turbinate reduction. SNOT 22 (Sino-nasal outcome test) questionnaire was ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 19, 2021 Category: ENT & OMF Source Type: research

Changes in Otolaryngology Residency During COVID-19 Times
This article describes changes brought about in Otolaryngology training program in a medical college hospital located in south India. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2021 Category: ENT & OMF Source Type: research

Correlation Between Anosmia and Severity Along with Requirement of Tocilizumab in COVID-19 Patients
AbstractAnosmia with or without dysgeusia is frequently associated with Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) SARS-CoV-2 infection. SARS-CoV-2 virus affects the olfactory system and thus represents neurotropic and neuro-invasive nature of the virus. We found that tocilizumab ’s role in reducing mortality in severe covid-19 infection is still questionable and aim of our study was correlation of anosmia and severity of covid-19 infection and requirement of tocilizumab in anosmia patients. To establish relationship between anosmia and severity of COVID-19 infection along with requirement of tocili...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 17, 2021 Category: ENT & OMF Source Type: research

An Overview of Emergencies in Otorhinolaryngology at a Tertiary Care Centre, Telangana
AbstractOtorhinolaryngology emergencies are a common complaint in the emergency department. These emergencies can occur in all the age groups and can present as a result of infection, trauma, foreign bodies, etc. The most common Ear, Nose and Throat (ENT) emergencies are epistaxis, foreign bodies in ear, nose and throat, stridor, trauma, facial bone fractures etc. Prompt assessment and immediate intervention can save lives and reduce the suffering arising out of these emergencies.The present study focusses on determining the magnitude and pattern, demographic characteristics and outcome of patients with ENT emergencies. A ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 17, 2021 Category: ENT & OMF Source Type: research

Mucormycosis of Paranasal Sinuses of Odontogenic Origin Post COVID19 Infection: A Case Series
This article presents a report of 6 cases with histopathological proven mucormycosis associated with COVID-19 and uncontrolled Diabetes mellitus. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 17, 2021 Category: ENT & OMF Source Type: research

A Case Report and Review of Literature: Cribriform-Morular Variant of Papillary Carcinoma
We report a case of a 26  year old female who presented with a thyroid tumour without colonic manifestations. She underwent a total thyroidectomy with central compartment neck dissection. Her histopathology report showed Cribriform—Morular variant, Papillary carcinoma of the left lobe of thyroid. Focal Angio-invasion was present. Even in sporadic presentations of these variants, screening colonoscopy, genetic counselling and screening of family members should be invariably considered as many a time thyroid malignancy presents many years prior to colonic manifestations. (Source: Indian Journal of Otolaryngology a...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 17, 2021 Category: ENT & OMF Source Type: research

Postoperative functional evaluation of obstructive sleep apnea syndrome by computational fluid dynamics
AbstractThe aim of this study is to evaluate the efficacy of uvulopalatopharyngoplasty and the corresponding postoperative airflow. Eleven patients diagnosed with obstructive sleep apnea syndrome who complained of snoring and apnea were enrolled in this study. Computational fluid dynamics (CFD) was implemented. CFD could be accomplished in nine cases. Airflow analysis was not possible in cases with a high respiratory event index (REI) score. Before surgery, stenosis was identified in the oropharynx and epiglottic area. And the airflow velocity and pressure were found to have significantly decreased in the oropharynx postop...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 16, 2021 Category: ENT & OMF Source Type: research

A Study of JCIH (Joint Commission on Infant Hearing) Risk Factors for Hearing Loss in Babies of NICU and Well Baby Nursery at a Tertiary Care Center
AbstractBabies in Neonatal Intensive Care Units (NICU) have an additional risk for hearing loss due to various risk factors like, prematurity, low birth weight, mechanical ventilation, hyperbillirubinemia, ototoxic drugs, low APGAR score etc. as compared to the babies from well baby nursery (WBN) who, poses risk factors mostly family history, syndromic deafness. So the present study was aimed know the risk factors responsible for hearing loss in NICU and WBN babies and to assess the incidence of deafness. A total of 800 babies from NICU (n = 402) and WBN (n = 398) underwent hearing screening fro...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 15, 2021 Category: ENT & OMF Source Type: research

Neurofibromatosis 2: Primary Modality of  Hearing Rehabilitation with Cochlear Implant
AbstractAuditory Brainstem Implants have been recommended as the gold standard in hearing rehabilitation of Neurofibromatosis Type 2 patients who lose hearing completely in both the ears and the cochlear nerves are not stimulable. Some patients have undergone cochlear implantation, in whom the cochlear nerve was spared during surgery or have undergone stereotactic radiotherapy preserving the function of the cochlear nerve. Here we report a case in whom we chose cochlear implantation prior to any definitive treatment for the tumour itself during the ‘wait and watch’ period. The reasons in favour of this approach...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 15, 2021 Category: ENT & OMF Source Type: research

Management of Cervical Tracheo-Esophageal Fistula by Lateral Cervical Approach: Our Experience ’
AbstractAcquired Tracheo-esophageal fistula (TEF) is a challenging and complicated condition. The laryngeal protection is lost in acquired TEF cases due to the established connection between the esophagus and the airways leading to aspiration, pneumonia, and acute respiratory distress syndrome. Malignancy contributes to about 80% of acquired TEF. Nonmalignant causes for TEF include prolonged ventilation, trauma (iatrogenic, penetrating, or blunt injury), foreign bodies, corrosive burns, and granulomatous infections. With the advancements in critical care, the incidence of TEF post-ventilation is on the rise in recent decad...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 15, 2021 Category: ENT & OMF Source Type: research

Reliability of the ‘M-Line’ in the Prediction of the Facial Nerve Position in Patients with Parotid Neoplasms
AbstractPreoperative radiological assessment of parotid tumours represents a crucial step in the planning of a parotidectomy in order to avoid post-operative facial nerve paralysis. The purpose of this study is to determine the reliability of the novel ‘M-line’ in predicting the facial nerve position and compare it to various radiological methods in the same context. 66 patients whom had underwent parotidectomy for parotid tumours from January 2012 to February 2021 were analyzed. Parotid tumour location were identified using the retromandibula r vein, facial nerve line, Conn’s arc, Utrecht line and the &l...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 14, 2021 Category: ENT & OMF Source Type: research

Nasal Mucociliary Clearance in Prolonged Tracheostomy Patients: A Prospective Case –Control Study
AbstractProlonged tracheostomy bypasses the upper airways leading to absence or reduction of nasal airflow. This altered nasal physiology not only impairs olfaction but also may cause mucociliary dysfunction and consequent nasal crusting and rhinosinusitis.To objectively evaluate the extent of nasal mucociliary impairment in patients with prolonged duration of tracheostomy.This is a prospective case –control study done in a tertiary care center wherein the nasal mucocilary function was assessed by saccharin test in patients who were tracheostomized for a period of more than 4 weeks and the saccharin transit time...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 13, 2021 Category: ENT & OMF Source Type: research

‘Is It Brain Talking to the Ear’: Neuro-otological Evaluation of Tinnitus Using Auditory Brainstem Response Audiometry
AbstractTinnitus is hypothesized to be an auditory phantom phenomenon resulting from spontaneous neuronal activity somewhere along the auditory pathway. The neural abnormalities underlying tinnitus are largely unknown. We evaluated the functional characteristics and the auditory system synchronization using Auditory Brainstem Response (ABR) in normal hearing tinnitus patients. In this observational comparative cross-sectional study, patients with chief complaints of Tinnitus and equal number of age and sex matched controls without hearing loss and tinnitus were enrolled. All patients underwent a full ENT assessment, pure t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 11, 2021 Category: ENT & OMF Source Type: research

Trace Elements Levels in Serum of Patients with Recurrent Respiratory Papillomatosis
AbstractRecurrent respiratory papillomatosis (RRP) is a chronic airway disease characterized by unpredictable recurrences and relapses. Our study aimed to identify the role of trace elements, a proven risk factor for various malignancies, in the development of papilloma and to correlate their serum levels with various disease parameters. 32 RRP patients with 20 age-matched controls were recruited in the study. Analysis of serum trace elements was performed by atomic absorption spectrophotometry in whole blood samples from cases and controls. The serum levels of trace elements were correlated with age of onset, history of p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 11, 2021 Category: ENT & OMF Source Type: research

Is There Any Racial Difference in Term of Anatomical Variations of Nasal and Paranasal Sinus Structures
In this study, the data from the files of 38 Turkish  Citizens (Group 1), 41 Syrian Refugees (Group 2), a total of 79 patients who were admitted to the ENT Clinic of Adana City Training and Research Hospital due to rhinological complaints between 01.01.2019 and 01.01.2020 and had paranasal sinus tomography, were analyzed retrospectively. Due to the Syrian Civil War that started in 2011, more than 10 million Syrian have left their countries and immigrated to neighboring countries as refugees. The paranasal sinus area has a wide variety of variations. Congenital anomalies and normal anatomical variations in this area ar...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 11, 2021 Category: ENT & OMF Source Type: research

An Extensive Unilateral Nasal Mass: Septal Schwannoma —Case Report
AbstractSchwannomas are benign peripheral nerve sheath tumours that arise from the Schwann cells of the myelinated nerve and may occur throughout the body. Paranasal schwannomas are uncommon lesions, representing less than 4% of all head and neck schwannomas and nasal septal schwannomas are very rare. Here we report a rare case of sinonasal schwannoma in a 46-year-old male who presented with a history of progressive nasal blockage of 3  years duration. The mass was removed by endoscopic approach without any postoperative complication. The rarity of diagnosis was aided by immune histopathology (IHC) of the tissue to co...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 10, 2021 Category: ENT & OMF Source Type: research

Role of Vimentin and E-cadherin Expression in Premalignant and Malignant Lesions of Oral Cavity
In this study all 28 patients (100%) with high vimentin expression had malignant lesions and 17 (60.7%) presented with metastatic lymph nodes Out of 20 patients with high E-cadherin expression 8(40.0%) had malignant lesions and 12 (60.0%) had pre malignant lesions and 4 ( 20%) showed nodal metastasis. As tumor stage (TNM) progresses, it showed increased vimentin and decreased E-cadherin expression and vice versa. We concluded that increased vimentin and decreased E-cadherin expression in oral cancers are associated with metastasis and disease progression in terms of upstaging of disease. We can use cellular expression of v...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 9, 2021 Category: ENT & OMF Source Type: research

A Study on Surgical Implications and Variations of Suprameatal Spine and Other Landmarks on the Lateral Surface of Temporal Bone
In this study we have evaluated the various types of suprameatal spine, prevalence of each type and the effect of each to other landmarks encountered during surgery and also the effect of mastoid pneumatisation on the same. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 8, 2021 Category: ENT & OMF Source Type: research

A Comparative Study of Cold Dissection Tonsillectomy and Harmonic Scalpel Tonsillectomy Under Microscope- Our Experience
AbstractTonsillectomy is one of the most common proceduresin routine otolaryngology.Given that the pediatric demographic is usually in question, ENT surgeons are resorting to newer modalities that minimize the dreaded complication of intra-operative and post-operative hemorrhage and have shorter operative time. The present study was conducted on patients admitted in ward in the Department of Otorhinolaryngology at SMS Medical College and Hospital, JaipurFrom July 2019 to June 2020 on a sample size of 40 patient diagnosed as adeno-tonsillar hypertrophy of grade 3 –4. Each patient underwent tonsillectomy by cold dissec...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 8, 2021 Category: ENT & OMF Source Type: research

Alteration of Smell and Taste Sensations in Covid-19 Positive Patients: A Prospective Cohort Study in Western India
AbstractLoss/alteration of Smell and taste sensation is common in CoViD-19 infection. We conducted present study to find out the frequency, onset and severity of these lost sensations and their recovery in mild, moderate and severe COVID 19 positive patients in our setup. A questionnaire based study on 574 COVID-19 positive patients admitted in a dedicated COVID hospital between September –November, 2020 were followed up until their sensations recovered completely or maximum for two months. Fever was the most common symptom reported. Loss of smell and taste sensation is seen in 200 (34.84%) and 269 (46.86%) patients ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 8, 2021 Category: ENT & OMF Source Type: research

The Relationship Between Temporal Bone Pneumatization Pattern and Sinus Mucosal Thickness Grading on Computed Tomography Scans of Paranasal Sinuses
AbstractThe relationship between temporal bone pneumatization (TBP) pattern and sinus mucous thickness grading on computed tomography scans of paranasal sinuses was investigated. In this cross-sectional study, a total of 200 temporal bones and paranasal sinuses were evaluated in CT scans of 100 patients with chronic sinusitis (CRS). The mucosal thickness of paranasal sinuses was classified into two groups (0 –6 and 7–12) according to the Lund-Mackay (LM) staging system. Also, pneumatization patterns of petrous apex and perilabyrinthine regions were classified according to Jadvah et al. method. Data were analyze...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 6, 2021 Category: ENT & OMF Source Type: research

Radiological and Audiological Assessment in Patients with Adenoid Hypertrophy Undergoing Adenoidectomy
AbstractEnlarged adenoids in children can lead to obstruction of the ET, leading to negative intratympanic pressure and development of Otitis media effusion. Adenoid-nasopharyngeal ratio (ANR) on lateral radiograph of nasopharynx, is one of the most reliable and cost-effective ways of determining the size of adenoids with respect to the nasopharyngeal space. Patients who were clinically diagnosed with adenoid hypertrophy, above the age of 5  years, undergoing adenoidectomy were included in the study. Lateral nasopharynx radiograph, Pure tone audiometry (PTA) and tympanometry were performed. The ANR calculated, graded,...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 5, 2021 Category: ENT & OMF Source Type: research

Tele-Otolaryngology at a Tertiary Care Center in North India During COVID-19 Pandemic Lockdown: A Validated Patient Feedback Questionnaire Based Study
This study aimed at assessing the effectiveness of Tele-otolaryngology (TO) at a tertiary care centre during the pandemic lockdown. A validated patient feedback questionnaire was developed and distributed to 2577 patients who utilised the TO mobile health service at our institute. Patient feedback-based assessment of TO effectiveness during COVID-19 lockdown was carried out. The validated questionnaire in English and Hindi was statistically robust with Cronbach ’s alpha value of 0.808 and 0.886 respectively. 1751 patients completed their feedback to the questionnaire. 97.5% utilised WhatsApp for TO consultation. 15.2...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 4, 2021 Category: ENT & OMF Source Type: research

Ototoxicity of Artemisinin-Based Combination Therapy: A Case Presentation
This report manifests ototoxic effect of artemisinin. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 3, 2021 Category: ENT & OMF Source Type: research

Incidence of Anosmia among Covid 19 patients in India
This study also Emphasises the lack of common gold standard testing for olfaction like vision and hearing. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 3, 2021 Category: ENT & OMF Source Type: research

Postoperative Anatomical and Functional Success Rates of Pediatric Patients with Chronic Otitis Media: Our Experiences
AbstractThe preoperative and postoperative pure-tone hearing thresholds and anatomical graft success of pediatric patients who underwent chronic otitis mediasurgery with various indications were evaluated and the factors affecting success were examined.Pediatric patients aged 6 to 18  years, who underwent ear surgery for various reasons between January 1, 2013 and January 1, 2020 were included in the study. All patients included in the sample were assessed in terms of age (
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 2, 2021 Category: ENT & OMF Source Type: research

Thyroid Surgery and Inadvertent Removal of Parathyroids
This study aimed to determine the incidence of inadvertent parathyroid removal during thyroid surgery and define its associated risk factors. In this single-center record-based study, we retrospectively analyzed the clinical and pathological records of 462 patients undergoing thyroidectomy. Incidental parathyroidectomy was detected in 61 of 462 patients (13.2%). The incidence of inadvertent parathyroid removal was 17.6% (36 of 205 patients) in patients having malign thyroid diseases, compared with 9.7% (25 of 257 patients) in patients with benign thyroid diseases (p = 0.045). Incidentally removed parathyroid ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 1, 2021 Category: ENT & OMF Source Type: research

Single Step Treatment of Frontal Sinus Osteomyelitis Using Bone Cement: A Case Report
We report a case of a 14  year old boy diagnosed with frontal bone osteomyelitis of the left side who was treated using antibiotic loaded bone cement. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 1, 2021 Category: ENT & OMF Source Type: research

Giant Cell Tumour of Hard Palate and its Surgical Management: Case Report
AbstractThe giant cell tumour is a benign but locally aggressive tumour accounting for 5% of all bone tumours typically seen at the metaphyseo-epiphyseal ends of long bones with 1% incidence in skull bones. We are presenting a case report of 40  year old female with GCT of hard palate. An initial pre-operative plan was hard palate removal with complete tumour clearance trans-orally with iatrogenic oro-nasal fistula with rehabilitation to be done with obturator for closure of fistula and dentures to aid chewing. However, intra-operatively the surgical plan was revised and the tumour was removed with preservation of par...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 1, 2021 Category: ENT & OMF Source Type: research

Management of ENT Surgical Emergencies Amidst COVID-19 Lockdown: Our Experience in a Tertiary Referral Hospital
AbstractTo describe our experience with ENT emergencies during lockdown due to COVID-19 pandemic and provide recommendations for triage, management and protective measures. Retrospective case series. Eleven patients requiring emergency ENT procedures in a tertiary referral hospital during the lockdown period of 24th March to 3rd May 2020 were identified. Clinical profiles, screening and operating room protocols along with the post-operative care and use of personal protective equipment are described. Nine patients were discharged from the hospital and two were in stable condition in the hospital. While lockdowns may be eff...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 28, 2021 Category: ENT & OMF Source Type: research

Revisiting “Meniere’s Disease” as “Cervicogenic Endolymphatic Hydrops” and Other Vestibular and Cervicogenic Vertigo as “Spectrum of Same Disease”: A Novel Concept
AbstractVertigo and dizziness are one of the commonest and least understood symptom. Vestibular vertigo of Meniere ’s disease and Benign Paroxysmal positional vertigo (BPPV) and cervicogenic dizziness are classified as separate entities. Cervicogenic dizziness is not considered the domain of Otolaryngologists, as it is mainly related to neck proprioceptors. Headache and neck pain, have been found to be associa ted with both Meniere’s disease and BPPV, so is cervicogenic dizziness. The present study was undertaken to study the association between cervical signs and symptoms in patients with Vestibular Vertigo of...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 28, 2021 Category: ENT & OMF Source Type: research

Leiomyosarcoma of Nose a Very Rare Tumor Case Report: Unusual Case Leiomyosarcoma Inferior Turbinate
AbstractLeiomyosarcoma (LMS) accounts for approximately 7% of all soft tissue sarcomas and occurs most frequently in the gastrointestinal tract and uterus. In the head and neck, however, LMS makes up only 2.3%. LMS of the nasal cavity and Para nasal sinuses are very rare and only about 20 cases of LMS of the nose and Para nasal sinuses have been reported in the literature. Initially, LMS should be treated by extensive surgical excision, long-term follow-up is essential due to the high rate of local recurrence. Radiotherapy and chemotherapy are insufficient therapeutic approaches. Frequency of recurrence and prognosis depen...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 28, 2021 Category: ENT & OMF Source Type: research

Topographic Evaluation of Superior Thyroid Artery-A Terrain to be Well Versed for Surgeon ’s Knife
AbstractObserving the origin, varied branching configurations of superior thyroid artery (STA) and evaluating morphometric details with its surrounding relations was aimed at in this cadaveric neck dissection study to avoid surgical mishaps and its repercussions. This observational study was conducted on 40 fresh frozen embalmed and colored latex infused cadavers in the Department of Otorhinolaryngology and Head and Neck Surgery in collaboration with Department of Anatomy of our institute, which involved systematic evaluative dissection of both sides of neck especially focusing on superior thyroid artery, its branching var...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2021 Category: ENT & OMF Source Type: research

Effect of Health Education on Knowledge and Behaviour Towards Consanguineous Marriage and Infantile Hearing Loss
AbstractAwareness regarding consanguineous marriage and other risk factors of infantile hearing loss is essential for prevention, early detection and timely intervention which can save deaf children from lifelong consequences of hearing disability. A pre-post study was done among the general population of Puducherry, India to evaluate the effect of health education on knowledge and behaviour towards consanguineous marriage and infantile hearing loss. Individual direct interviews were done using a questionnaire to assess their awareness about consanguineous marriage and other risk factors of infantile hearing loss, its earl...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2021 Category: ENT & OMF Source Type: research

Tinnitus Frequency is Higher in Patients with Chronic Heart Failure with Reduced Ejection Fraction and is Closely Related to NT-proBNP Level
This study included 100 patients with HFrEF and whose medical treatment was arranged according to their disease stage, and 100 control patients without HFrEF with similar age, gender and cardiovascular risk factors. Routine history, physical examinations, echocardiography and laboratory examinations were performed. In addition, a detailed ear examination and tinnitus evaluation were performed in all patients. First of all, the frequency of tinnitus in patients with and without HFrEF was determined. Afterwards, all individuals included in the study were divided into two groups as individuals with and without tinnitus. It wa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2021 Category: ENT & OMF Source Type: research

Current Application and Future Prospects of 3D Printing in Otorhinolaryngology —A Narrative Review
AbstractApplication of three-dimensional printing (3D) technology is relatively new in healthcare, but significant progress has been made over the last  few decades. The technology has been evolved and became more accessible and affordable for the medical use. The aim of the review article is to discuss the potential use  of 3D printing in otorhinolaryngology and head and neck surgery. In the article, use of this novel technology is discusse d across various subspecialties in terms of skill training, surgical planning and development of customised prosthesis. Internet searching was also p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2021 Category: ENT & OMF Source Type: research

Isolated Cricoid Fracture and Thyroid Hematoma in Blunt Injury of the Neck
We report the case of young male, who sustained a blunt injury in front of the neck. He developed a swelling in the front of his neck and suddenly deteriorated, needing intubation and airway management. Computed Tomographic imaging of the neck showed thyroid hematoma and fracture of the cricoid ring requiring an emergency hemi thyroidectomy and fixation of the cricoid fracture.Discussion This case brings forth the occurrence of two rare entities, Thyroid hematoma and Isolated Cricoid fracture in the same patient needing expert airway management and exploration. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2021 Category: ENT & OMF Source Type: research

Disparate Presentations of Retropharyngeal Abscess: An Experience From a Tertiary Care Centre
AbstractTo discuss the varied presentations, diagnosis, and prompt management of retropharyngeal abscess for academic importance. A retrospective study was conducted in the Department of Otorhinolaryngology and Head and Neck Surgery in Belagavi district of Karnataka. Six cases of varied age group with diagnosis of retropharyngeal abscess were studied during two-year period from January 2019 to January 2021. Thorough assessment of all cases was done which included symptoms at the time of presentation, clinical examination findings, imaging studies and laboratory results, medical and surgical interventions. Six patients (4 m...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 25, 2021 Category: ENT & OMF Source Type: research

Spontaneous Expulsion of Foreign Body Bronchus: Understanding the Mechanism
In this report we also have tried to provide insight into the physics and physiological mechanism facilitating spontaneous expulsion of a bronchial foreign body. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 25, 2021 Category: ENT & OMF Source Type: research

Media Commercials Conveying Awareness Regarding Prevention of Head and Neck Cancer by Focusing on Stigmatized Perspective of Disease: Right or Wrong?
AbstractCancer in the head and neck region is among the most common cancer around the world, the incidence of which keep increasing in past years. Treatment of disease is usually done by the surgical excision which often leads to some degree of facial disfigurements which cause mutilation in patients. Mutilation imparts the feeling of stigma in patients, and patients usually tend to hide facial disfigurements using additional clothing. As a prevention strategy, awareness regarding the disease conveys to the mass population via media commercials. Media commercials which highlight the adverse outcomes of cancer are found t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 25, 2021 Category: ENT & OMF Source Type: research

Comparing Efficacy of Propofol and Dexmedetomidine in Conscious Sedation During Stapedotomy Surgery
AbstractIntroductionWe decided to compare dexmedetomidine with propofol regarding several anesthetic and surgical aspects, during stapedotomy done under conscious sedation.Materials and MethodThirty patients aged 20 –50 years with (American Society of Anesthesiology) ASA class I-II, were assigned to two groups of propofol and dexmedetomidine using a random number table. In dexmedetomidine group, patients received dexmedetomidine infusion (0.5 µg/kg/h) and in the control group, propofol was administered (3  mg/kg/h).Time to reach the desired Ramsey Sedation Score (RSS) and time to reach Aldrete sc...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 24, 2021 Category: ENT & OMF Source Type: research

Management of Chyle Leak After Head and Neck Surgery; Our Meritorious Experience in 52 Cases and Review of Literature
AbstractIatrogenic chyle leak is commonly seen when dissection happens very low in neck. Management of chyle leak is conservative with compression dressing, fat restricted diet, somatostatin analogues. Surgery is required in extreme cases with failure of conservative treatment. This is a retrospective observational study carried out from a prospectively maintained database. A total of 6482 head and neck surgeries with neck dissections were carried out between January 2015 till July 2020 at our tertiary cancer center. Out of which there were 52 cases of chyle leak reported post neck dissection. All details regarding age, se...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 24, 2021 Category: ENT & OMF Source Type: research

Alar Cartilage Hematoma: Case Report and Literature Review
We present a case of alar hematoma in a five-year-old boy after nasal trauma. The patient came to the emergency room complaining of nasal pain, epistaxis, and nasal deformity. A complete ear, nose, and throat examination was performed, and X-ray and computed tomography imaging of the facial bone were done to confirm the presence of a nasal alar hematoma. The alar hematoma was successfully treated via surgical evacuation. Alar cartilage hematoma is a rare entity that can lead to undesirable complications when missed. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 24, 2021 Category: ENT & OMF Source Type: research

Parosmia Due to COVID-19 Disease: A 268 Case Series
AbstractAlthough parosmia is a common problem in the era of the COVID-19 pandemic, few studies assessed the demographic and clinical aspects of this debilitating symptom. We aimed to evaluate the socio-clinical characteristics and outcome of various options of treatment of individuals with parosmia due to COVID-19 infection. The study was conducted at two main Hospitals in the Ramadi and Tikrit cities, Iraq, on patients with a chief complaint of parosmia due to COVID-19 disease. The study involved 7  months (August 2020–February 2021). Detailed demographic and clinical characteristics and treatment options with ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2021 Category: ENT & OMF Source Type: research

Hydrogen Peroxide as a Haemostatic Agent in Tonsillectomy Bleed: An Overview
Abstract Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very long time. A common indication for Tonsillectomy is Chronic Tonsillitis, among others. The surgery is largely safe irrespective of the method used. Haemorrhage can be a life-threatening complication post Tonsillectomy if it is not identified and treated immediately. Various techniques are used to achieve haemostasis and prevent haemorrhage including surgical tie, cautery, local application of adrenaline or hydrogen peroxide among others. To understand the vasoconstrictive and haemostatic properties of Hydrogen Peroxide in Tonsillec...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2021 Category: ENT & OMF Source Type: research

Validation and Psychometric Evaluation of the Kannada Version of the Speech Handicap Index in Individuals with Oral and Oropharyngeal Cancer
AbstractThe current study aimed to adapt and validate the speech handicap index into the Kannada language, and also to investigate its psychometric properties in Kannada speaking individuals with oral and oropharyngeal cancers. This is a cross-sectional study and it was carried out in two phases. The first phase dealt with the translation of the English version of SHI into the Kannada language, and its validation on 95 healthy individuals and 25 individuals with oral or oropharyngeal cancer. The second phase dealt with the investigation of speech-related quality of life among 50 Kannada speaking individuals with oral and o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2021 Category: ENT & OMF Source Type: research

“An Observational Study on Association of Clinical Diagnosis of Diphtheria with Smear and Culture Test: A Tertiary Care Hospital, Jaipur“
AbstractDiphtheria is an acute infectious upper respiratory tract disease caused by toxigenic strains of Corynebacterium diphtheria and can lead to significant morbidity and mortality in all the age groups. Most of the time diagnosis of diphtheria is clinical. There may be a dirty white patch covering one or both tonsils on examination for which throat swabs are collected for Kleb ’s-Loeffler’s Bacillus (KLB) by direct microscopy and for culture and sensitivity of the organism. To find out the association between clinical diagnosis of diphtheria with smear and culture positivity. 674 cases of Clinical diphtheri...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2021 Category: ENT & OMF Source Type: research

Total Transcanal Endoscopic Approach for Selective Facial Nerve Decompression in Traumatic Facial Nerve Palsy
AbstractFacial nerve palsy is one of the complications of temporal bone fracture. Several approaches can be used for facial nerve decompression which include the middle cranial fossa approach, transmastoid approach and translabyrinthine approach. When the site of injury is identified at the tympanic segment and perigeniculate area, total transcanal endoscopic approach (TTEA) is an excellent surgical option. This approach is safe and less invasive avoiding external incision and mastoid drilling. Our patient showed recovery to House-Brackmann grade II facial function and reduction of the air –bone gap 6 months aft...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2021 Category: ENT & OMF Source Type: research

Laryngeal Chondrometaplasia
We present a case of LCM in an elderly male adequately managed by microlaryngeal surgery (MLS). (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 22, 2021 Category: ENT & OMF Source Type: research

Use of the Spare-Part Strategy to Reconstruct the External Auditory Canal After Subtotal Auriculectomy for Basal Cell Carcinoma
AbstractAfter removal of an infiltrative BCC of the auditory meatus, a soft tissue defect of the temporal-mastoid area with bone exposure, needed reconstruction. Several options have been taken into account and a simple yet effective solution has been found following the spare-parts principle. The ear lobe, preserved during cancer removal, was split and used as a thin skin flap. Adequate coverage of the bone exposure and resurfacing of the external auditory canal was obtained with minimal donor site morbidity and a short surgery in a fragile patient with several comorbidities. The spare-parts strategy can provide successfu...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 22, 2021 Category: ENT & OMF Source Type: research