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Posterior Nasal Pack After Transpalatal Excision of Juvenile Nasopharyngeal Angiofibroma: Can It be Avoided?
AbstractThe evolution of the packing of postnasal space following transpalatal excision of JNA in the last 7 decades is described and a modification is presented for minimizing the immediate postoperative morbidity. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 7, 2018 Category: ENT & OMF Source Type: research

Comparison of Endonasal DCR Surgery Using Cautery and Surgical Blade Technique in Cases of Chronic Dacryocystitis
AbstractDacryocystitis is defined as inflammation of lacrimal sac. This can be congenital or acquired. Congenital dacryocystitis is commonly chronic while acquired dacryocystitis is acute and chronic both. Endonasal DCR surgery is the most commonly used treatment in chronic DCR but recent use of cautery technique in endonasal DCR surgery rather than traditional surgical blade technique has emerged with promising results with good success rate and fewer complications. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 7, 2018 Category: ENT & OMF Source Type: research

Stapes Surgery Teaching Tool: A Simple, Stable and Successful Technique
We describe a procedure that is simple, inexpensive and improves the skills and can be done using easily available materials like disposable syringe, stapler pin and a forceps. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 7, 2018 Category: ENT & OMF Source Type: research

Evaluation of Dynamic CT Scans and Analyzing Its Efficacy Accuracy in Staging of Laryngeal CA: A Prospective Analysis of 30 Patients and Review of Literature
AbstractLaryngeal and hypopharyngeal cancer is the most common cancer in the head and neck. It is the most commonly reported human malignancy, with more than 100,000 cases reported annually worldwide. Thus, exact staging of the tumor is of utmost importance in the decision making of the  management of these patients. CT can directly evaluate penetration of tumor into the laryngeal soft tissues and cartilages; whereas laryngoscopy and contrast laryngography can only infer deepseated abnormalities from changes in surface contour of the laryngeal cavity. The main aims of our study we re: (1) To assess whether dynamic CT ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 6, 2018 Category: ENT & OMF Source Type: research

A Study of Clinicopathological Profile of Salivary Gland Swellings
AbstractSalivary gland diseases usually present as a swelling of the affected gland. These lesions are commonly encountered in day to day practice. A salivary gland swelling can present in a variety of locations, depending on the salivary gland affected. The purpose of the study is to know the incidence of salivary gland swellings and the usefulness of FNAC in evaluating these swellings. The present study is a time bound prospective study of fifty consecutive cases of salivary gland swellings admitted in our hospital during the period November 2014 –August 2016. Most of the patients underwent pre-operative work up wi...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 6, 2018 Category: ENT & OMF Source Type: research

Role of Eustachian Dysfunction and Primary Sclerotic Mastoid Pneumatisation Pattern in Aetiology of Squamous Chronic Otitis Media: A Correlative Study
AbstractSquamous chronic otitis media (COM) implies formation of a retraction pocket (inactive form) or frank cholesteatoma (active form) in pars tensa or pars flaccida of tympanic membrane. A  retraction pocket or frank cholesteatoma are believed to occur due to tubal dysfunction. The present study was undertaken to investigate the pattern of mastoid pneumatisation and Eustachian dysfunction by dynamic slow motion videoendoscopy (DSVE) in cases of both, active and inactive type of squ amous chronic otitis media (COM). 52 patients (65 ears) comprising of twenty-six ears with pars flaccida squamous disease an...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 5, 2018 Category: ENT & OMF Source Type: research

A Comparative Study of the Efficacy of Fat Plug Myringoplasty and Conventional Myringoplasty in Chronic Suppurative Otitis Media with Small Central Perforation
AbstractChronic Otitis Media (COM) is a major cause of acquired hearing impairment especially in developing countries. Persistent perforations occur either due to improper treatment of recurrent otitis media or infected traumatic perforation. Myringoplasty, repair of the Tympanic membrane using autologous temporalis fascia, is the standard procedure for COM. Other graft materials commonly used include tragal perichondrium, tragal cartilage and adipose tissue. This prospective study aims to compare the surgical and audiological outcome of fat plug myringoplasty [FPM] and conventional myringoplasty using temporalis fascia [C...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 3, 2018 Category: ENT & OMF Source Type: research

Auditory Lateralization Training Effects on Binaural Interaction Component of Middle Latency Response in Children Suspected to Central Auditory Processing Disorder
This study was an analytical interventional study. Sixty children suspected to (C)APD (40 boys and 20 girls) were selected based on inclusion criteria and were divided into two groups: control and training group. Auditory lateralization training included 12 formal sessions under headphone by using interaural time difference and performed as a game. MLR ( monaural right ear, monaural left ear and binaural) and monaural selective auditory attention test (mSAAT) tests were performed in all the cases. BIC was calculated by subtracting binaural response from summed monaural responses. Covariance test showed that BIC latency dec...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 2, 2018 Category: ENT & OMF Source Type: research

Micronuclei in Exfoliated Oral Epithelial Cells in Tobacco Users and Controls with Various Oral Lesions: A Study from Gujarat, India
AbstractTo assess and compare cytogenic damage in the form of micronuclei in various oral lesions according to duration and frequency of tobacco use. The present cross sectional study was carried out from October 2015 to October 2016. We included total 420 cases with 60 cases in each of the following subgroups, no tobacco habit with no obvious oral lesion (control) and tobacco habit with no obvious oral lesion, oral sub mucous fibrosis, leukoplakia, melanoplakia, erythroplakia, oral squamous cell carcinoma. Oral mucosal cells were collected from both sides of cheek; slides were prepared and examined for cells with micronuc...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 2, 2018 Category: ENT & OMF Source Type: research

An Overview of Parotidectomy for Benign Parotid Lesions with Special Reference to Perioperative Techniques to Avoid Complications: Our Experience
This study advocates the importance of detailed anatomical knowledge, behavior of various benign pathologies, experience of surgeon and his fine dissection techniques to ensure minimum risks of injury to important structures in surgical field. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 2, 2018 Category: ENT & OMF Source Type: research

Ectopic Intratracheal Thyroid Tissue Leading to Stridor
AbstractEctopic thyroid is a condition in which the thyroid tissue is present outside its normal anatomical position. Usually the ectopic thyroid is present along the line of its migration. The presence of ectopic thyroid tissue within the trachea is a very rare condition. Surgery is appropriate treatment for patients with ectopic thyroid tissue with clinical signs of upper airway obstruction. Here we present such a case where an ectopic intratracheal thyroid was causing airway obstruction. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 1, 2018 Category: ENT & OMF Source Type: research

Role of Otoacoustic Emissions in Hearing Assessment of Neonates: A Prospective Observational Study
This study clearly demonstrates importance of Universal Neonatal Hearing Screening Programme so that hearing loss can be detected as early as possible and possible intervention can be taken at the earliest. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 31, 2018 Category: ENT & OMF Source Type: research

Evaluation and Customization of WHO Safety Checklist for Patient Safety in Otorhinolaryngology
AbstractThe WHO has designed a safe surgery checklist to enhance communication and awareness of patient safety during surgery and to minimise complications. WHO recommends that the check-list be evaluated and customised by end users as a tool to promote safe surgery. The aim of present study was to evaluate the impact of WHO safety checklist on patient safety awareness in otorhinolaryngology and to customise it for the speciality. A prospective structured questionnaire based study was done in ENT operating room for duration of 1  month each for cases, before and after implementation of safe surgery checklist. The feed...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 30, 2018 Category: ENT & OMF Source Type: research

A Novel Surgical Approach to Nasolabial Fistula
We present an elderly patient where multiple nasal vestibular furunculosis suppurated resulting in extensive tissue damage and nasolabial fistula. Reconstruction was delayed to accommodate tissue healing from hyperglycemic insult and necrosis. Alar advancement flap was employed to give a suitable 3 layer closure to the fistula. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 30, 2018 Category: ENT & OMF Source Type: research

Maximising Graft Take-Up in Type1 Tympanoplasty Using Peripheral Cartilage Ring and Perichondrium
AbstractThe aim of this study is to evaluate the results of closure of big central and subtotal perforation by Tympanoplasty using underlay technique with Composite graft of tragal perichondrium supported by a ring of cartilage peripherally. Our hypothesis was that the cartilage support offers an extremely reliable method for reconstruction of the tympanic membrane in cases of advanced middle ear pathology and Eustachian tube dysfunction and also revision cases. Prospective study of patients undergoing tympanoplasty in big central and subtotal perforation with graft supported by a ring of cartilage peripherally between Jun...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 19, 2018 Category: ENT & OMF Source Type: research

Adverse Effect of Mobile Phone on Hearing in Healthy Individuals: A Clinical Study
AbstractThe mobile phone is a ubiquitous piece in this modern world. An estimated 85% of Americans, 80% of the British, and perhaps 75% of Indians use it, as of today. Mobile phones communicate by transmitting radio waves through a network of fixed antennas called base stations. Radio frequency waves are electromagnetic fields, and unlike ionizing radiation such as X-rays or gamma rays, can neither break chemical bonds nor cause ionization in the human body. 1000 participants from outpatient department of a tertiary care center over a period of one and a half years, were included in the study and were divided equally into ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 11, 2018 Category: ENT & OMF Source Type: research

Presentation of Lesions of Nose and Paranasal Sinuses at a Tertiary Care Center in Central India
AbstractA variety of non-neoplastic and neoplastic conditions involve the nasal cavity, paranasal sinus and are fairly common presentation encountered in clinical practice. Sinonasal lesions are a common finding in all age groups. The lesion of nose and paranasal sinuses are very deceptive so, the presenting features, clinical examination, nasal endoscopy, radiodiagnosis and histopathology are employed conjointly to reach a diagnosis. This cross sectional study was conducted between November 2014 and September 2016. 150 patients with nasal or paranasal sinus lesions attending ENT OPD were included. Among 150 patients there...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 11, 2018 Category: ENT & OMF Source Type: research

Novice ’s Sojourn to Parotid Surgery
We present 10 cases of pleomorphic adenoma of parotid gland over period of 2 years, highlighti ng the prognosis following surgical management. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 8, 2018 Category: ENT & OMF Source Type: research

Bleomycin Sclerotherapy in Lymphangiomas of Head and Neck: Prospective Study of 8 Cases
AbstractThe aim of this study is to evaluate the role of bleomycin as a primary mode of nonsurgical treatment in lymphangiomas of head and neck and study their complications. This is a prospective study of 8 patients diagnosed with lymphangioma of head and neck presenting to ENT department of Tata main Hospital from December 2014 to January 2017. They were clinically and radiologically evaluated and treated with intralesional injection of bleomycin diluted in normal saline. Complete resolution was seen in 62.5% (5/8) of patients, 25% (2/8) had good response while 12.5% (1/8) had a poor response. No major complications were...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 8, 2018 Category: ENT & OMF Source Type: research

Osteomas of Temporal Bone: A Retrospective Study
This study is a retrospective study of the clinical presentation, management and complications of temporal bone osteoma done from January 1999 through January 2017. The study population is thirteen patients, all who has been radiologically and histopathologically proven to be a case of osteoma. Total number of patients were 13 of which 7 were females and rest 6 were male. Presenting complaints included swelling behind the ear (6 cases), reduced hearing in 4 cases, 2 cases had ear discharge, 3 of them were asymptomatic in whom it was diagnosed accidently. The duration of symptoms ranged from 1  month to 10 years. ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 13, 2017 Category: ENT & OMF Source Type: research

Application of Platelet Rich Fibrin Matrix to Repair Traumatic Tympanic Membrane Perforations: A Pilot Study
AbstractTrauma in the form of instrumentation, slap, blast, accident, and sporting injury can result in tympanic membrane (TM) perforations which spontaneously recover in 53 –94%. The closure rates of TM perforation due to above causes do not vary greatly; however, some otolaryngologists prefer to perform immediate microsurgical procedures to accelerate the recovery process. Our aim is to study the efficacy of Trichloroacetic acid (TCA) Chemical Cauterization (50%) an d Platelet rich fibrin (PRF) Plug Myringoplasty technique in healing traumatic tympanic membrane perforations. To evaluate the preoperative and postope...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 2, 2017 Category: ENT & OMF Source Type: research

A Rare Presentation of Rhinosporidiosis
AbstractRhinosporidiosis is a common condition seen in India specially in endemic areas and in low socio economic areas. Here we present with a rare presentation of cheek swelling caused by obstruction of stenson ’s duct with a short history of 5 months. Sialolith of parotid duct is uncommon presentation but not unheard of, the subsequent treatment and further histopathology of the ductoceol reveled the causative factor for the obstruction of parotid duct was Rhinosporidiosis which a very rare presentatio n with very few cases reported in literature. On further investigations it was found to be primary Rhinospor...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 1, 2017 Category: ENT & OMF Source Type: research

Resolving Perplexity: Comparison of Endoscopic Dacryocystorhinostomy With and Without Stent
This study was conducted with an aim of comparing the success rate between use of stent and without use of stent in endoscopic DCR. A prospective randomized study was conducted. Total 50 cases with signs of nasolacrimal duct blockage were included. The cases were randomly divided in two groups with 25 cases in each group. Group A cases underwent endoscopic DCR with stent and group B without stent. The follow up was till 12th week. Both subjective and objective outcomes were noted. By 12th week, only 8% cases had no relief of symptoms in group A while 92% cases of group A and all cases of group B had complete relief of symp...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 1, 2017 Category: ENT & OMF Source Type: research

The Clinicopathological Study of Benign Lesions of Vocal Cords
AbstractBenign vocal lesions are non-malignant growths of abnormal tissue on the vocal cords. The common benign lesions of vocal cord are singer ’s nodule, polyps, papilloma, polypoidal degeneration and cysts. The aim of this study was to analyze the demographics such as age, sex, occupation, symptomatology, site of involvement. An objective evaluation of voice handicap was done pre and postoperatively using VHI-10 scale to see improvement in patient’s symptoms. In this prospective study, a total of 50 cases were selected with benign lesions in regional hospital of India. The pre and post operative assessment f...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 30, 2017 Category: ENT & OMF Source Type: research

The Role of Extracorporeal Septoplasty in Severely Deviated Nasal Septum
In this study, 17 patients (48.57%) shows excellent improvement on VAS scale, out of which 13 patients shows excellent improvement and 4 patients shows good improvement on photographic assessment. 11 patients (31.43%) show good improvement on VAS as well as photographic assessment and 7 patients (20%) show moderate improvement on VAS scale and fair improvement on photographic assessment. Extracorporeal septal reconstruction is an important surgical option for the correction of the markedly deviated nasal septum. Fixation of the straightened and replanted septum at the nasal spine and dorsal septum border with the upper lat...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 28, 2017 Category: ENT & OMF Source Type: research

Juvenile Nasopharyngeal Angiofibroma: Our Experience in a Tertiary Hospital
AbstractNasopharyngeal angiofibroma is a highly vascular tumor seen typically in young adolescent males. It is an uncommon tumor accounting for less than 0.5% of all head and neck tumors. This peculiar tumor is thought to arise from the area of the sphenopalatine foramen and it classically presents with progressive nasal obstruction and epistaxis. This is a retrospective study of angiofibroma treated at our hospital over 3  years. The study discusses about clinical features, management options and the role of embolization in reducing the intra-operative blood loss. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 22, 2017 Category: ENT & OMF Source Type: research

Specific Organ Targeted Vestibular Physiotherapy: The Pivot in the Contemporary Management of Vertigo and Imbalance
AbstractIntroductionAdvancements in our understanding of vestibular physiology and how it is changes in different diseases have established that of the three therapeutic approaches to treat disorders of the vestibular system viz. pharmacotherapy, surgery and physical therapy, it is the later i.e., physical therapy which is the most efficacious modality in the management of balance disorders. The futility of vestibular sedatives in the correction of vestibular disorders and in the restoration of balance and the very limited role of surgery has now been recognised. Advancements in vestibulometry now enable us to localise any...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 20, 2017 Category: ENT & OMF Source Type: research

Radiological Anatomy of Inner Ear Malformation in Hearing Impaired Children and it ’s Correlation with Hearing Loss: A Hospital Based Observational Study
This study was a prospective observational study done at a tertiary care teaching hospital in north India. The included were children of 1 –7 years with first time detected severe to profound SNHL. The evaluation of hearing was done by brainstem evoked response audiometry. Those with history of chronic suppurative otitis media and conductive hearing loss were excluded. The all included were undergone high resolution computed tomogra phy of the tympano-mastoid region. A written informed consent was taken. The institutional ethics committee approved the study protocol. We screened 130 children of 1–7 ye...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 18, 2017 Category: ENT & OMF Source Type: research

Clinicopathological Profile of Cervical Tubercular Lymphadenitis with Special Reference to Fine Needle Aspiration Cytology
AbstractTuberculosis (TB) is a major killer with a majority of 80 –100 per lakh and 2–3% of patients attending our hospital are suffering from tuberculosis. Glandular TB appears to be high in our society. Fifty cases of cervical lymph nodes were collected in ENT department and studied. The diagnosis of TB cervical lymph nodes by disease process is only on ‘H istopathological ground’.The aim of the present study is to establish the claim of TB cervical lymph node as a disease process. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 11, 2017 Category: ENT & OMF Source Type: research

Study of Demographic Profile of Organophosphate Compound Poisoning with Special Reference to Early Versus Late Tracheostomy in Tertiary Care Hospital in Rural Area
AbstractTracheostomy is commonly performed life saving procedure. Organophosphorus compound poisoning is a very common emergency encountered in rural area where major population consists of agricultural workers. Ideal timing of tracheostomy is still controversial. Aim of the study is to assess the advantage of performing early (48  h–7 days) versus late tracheostomy (8–15 days) with regard to weaning from a ventilator, complications and length of hospital stay. This is a comparative retrospective interventional study in which 100 patients of organophosphorus poisoning who underwent tracheostomy d...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 11, 2017 Category: ENT & OMF Source Type: research

A Study of Clinical Significance of the Depth of Olfactory Fossa in Patients Undergoing Endoscopic Sinus Surgery
AbstractThe endoscope has revolutionized the diagnosis and treatment of diseases of the nose and paranasal sinuses. Endoscopic sinus surgery (ESS), like all minimally invasive surgery, is designed to combine an excellent outcome with minimal patient discomfort. Successful outcome with minimal complications can only be achieved with good knowledge of the endoscopic anatomy, appropriate training in the procedure and the understanding of the anatomical variations. The intraoperative complications of ESS are bleeding and injury to surrounding structures commonly the orbital structures and fovea ethmoidalis. This is a hospital ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 7, 2017 Category: ENT & OMF Source Type: research

Comparative Study of Outcome of Type I Tympanoplasty in Chronic Otitis Media Active Mucosal Disease (Wet Ear) Versus Chronic Otitis Media Inactive Mucosal Disease (Dry Ear)
AbstractTo compare the outcome of type I tympanoplasty with cortical mastoidectomy in chronic otitis media active mucosal disease (wet ear) versus chronic otitis media inactive mucosal disease (dry ear). An observational analytic study was conducted and data collection was done from August 2014 to August 2016. All patients of chronic otitis media with mucosal disease were divided into two groups, one with active disease (group A) and another with inactive disease (group B). The outcome was studied in the form of graft take up rate. Total 103 patients were studied, group A (wet ear) had 67 and group B (dry ear) had 36 patie...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 22, 2017 Category: ENT & OMF Source Type: research

Diagnostic Accuracy of Nasal Endoscopy as Compared to Computed Tomography in Chronic Rhinosinusitis
AbstractThe study was done with the aims to evaluate the accuracy of nasal endoscopy as compared to computed tomography (CT) in diagnosing chronic rhinosinusitis (CRS) and to evaluate the correlation between Endoscopy Score and CT Score. It was a cross sectional study. Every consecutive, symptomatic patient of CRS who fulfilled the criteria of American Academy of Otolaryngology —Head and Neck Surgery Task Force were included in the study. Rigid diagnostic nasal endoscopy (DNE) was done and Lund-Kennedy scoring system was used. Plain CT of paranasal sinuses was done on the same day and severity was assessed using Lund...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 17, 2017 Category: ENT & OMF Source Type: research

Transnasal Endoscopic Optic Nerve Decompression in Post Traumatic Optic Neuropathy
AbstractTo quantify the successful outcome in patients following optic nerve decompression in post traumatic unilateral optic neuropathy in form of improvement in visual acuity. A prospective study was carried out over a period of 5  years (January 2011 to June 2016) at civil hospital Ahmedabad. Total 20 patients were selected with optic neuropathy including patients with direct and indirect trauma to unilateral optic nerve, not responding to conservative management, leading to optic neuropathy and subsequent impairment in vis ion and blindness. Decompression was done via Transnasal-Ethmo-sphenoidal route and outcome ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2017 Category: ENT & OMF Source Type: research

Sialendoscopic Approach in Management of Juvenile Recurrent Parotitis
AbstractTo assess the role of sialendoscopy as a diagnostic and therapeutic modality in juvenile recurrent parotitis. Juvenile recurrent parotitis (JRP) is the second most frequent salivary gland disease in childhood and is characterized by recurrent non suppurative and non obstructive parotid inflammation. These attacks influence the quality of life and can even lead to gland destruction, and there are no definitive treatment to avoid them. Sialendoscopic dilatation is emerging as the new treatment modality in this aspect. Study design:  retrospective study. Study setting: Department of Otorhinolaryngology in tertiar...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2017 Category: ENT & OMF Source Type: research

Choanal Atresia: Birth Without Breath
AbstractBilateral Choanal atresia is a medical emergency. Corrective surgery is the mainstay of the treatment. Hegar ’s dilator was used in all cases to break the bony/membranous atretic plate. The 22 cases of choanal atresia all operated by the first author were included in this study. Eight cases were 1–5 year old with bilateral choanal atresia and all required immediate surgery as they had repeated attacks of respiratory distress and cycle of cyanosis. Eight cases were of CHARGE Syndrome. All the cases were operated under general anaesthesia. Hegar’s dilators were used and nasal stents were placed...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2017 Category: ENT & OMF Source Type: research

Novel Program of Using Village Health Workers in Early Detection and Awareness of Head and Neck Cancers: Audit of a Community Screening Program
The objective of this programme was to indoctrinate the most vulnerable and the least tended upon; the basics of head and neck cancers via the medium of their own kins. Voluntary village health workers were educated and trained to pick up the early signs of head and neck cancers. Oral self examination was taught to them and they went to peripheral villages to screen the population. They would refer suspicious cases to tertiary healthcare centre. The population was enlightened upon the basics of preventable measures, treatment options and rehabilitation facilities for head and neck cancer patients. Knowledge, attitude and p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 13, 2017 Category: ENT & OMF Source Type: research

Rigid Bronchoscopy in Pediatric Patients
AbstractAspiration of foreign-bodies remains a major life-threatening situation in children and have always been a source of interest and confusion to otolaryngologists due to their varied presentations. These conditions if not promptly diagnosed and managed can prove to be fatal, but the current mortality is only one percent compared to pre bronchoscopy era (Rothman and Boeckman in Ann Otol Rhinol Laryngol 89:434 –436,1980). Peak incidence of this condition is in early childhood due to child ’s habit of putting small objects in mouth to determine their taste and texture and chew while teething. This is a study...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 13, 2017 Category: ENT & OMF Source Type: research

Incidence and Recurrence of Allergic Fungal Sinusitis at Tertiary Care Facility
AbstractTo assess the incidence and recurrence of patients of allergic fungal sinusitis after administration of topical steroids for 24  months this is a cross-section study. Total 90 patients diagnosed with nasal pathology were enrolled from January 2011 to December 2015 at Liaquat National Hospital, various sign and symptoms were tabulated. Patients clinical, radiological and histopathological reports were analyzed. Post operativ e steroid dose and recurrence rate was noted. Post stratification, Chi-square test and Fisher’s exact test was applied to see the association between CT Scan and endoscopic findings a...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 11, 2017 Category: ENT & OMF Source Type: research

Incidence and Preoperative Predictive Indicators of Incudal Necrosis in CSOM: A Prospective Study in a Tertiary Care Centre
AbstractBoth type of CSOM, tubotympanic which is considered safe as well as atticoantral which is considered unsafe may lead to erosion of the ossicular chain. Discontinuity of the ossicular chain is typically confirmed only during an operation. Knowing before surgery whether the patient has an ossicular discontinuity is important because it allows the surgeon to know the possibility of performing an ossiculoplasty and obtaining patient consent. The aims is to (1) study the incidence of incus necrosis in safe and unsafe CSOM. (2) Determine the preoperative predictive factors for incus necrosis. (3) Use angled otoscopes to ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 11, 2017 Category: ENT & OMF Source Type: research

Is Pterygopalatine Fossa Injection with Adrenaline an Effective Technique for Better Surgical Field in Fess?
AbstractFunctional endoscopic sinus surgery (FESS) is one of most common surgeries in otorhinolaryngology practice. It is done in the narrow confines of the nasal cavity. Bleeding into the surgical field is a major problem faced by endoscopic surgeons. To assess the effectiveness of pterygopalatine fossa infiltration with lignocaine and adrenaline in controlling surgical field bleeding during endoscopic sinus surgery. A randomized blinded study was done among 68 patients who underwent FESS. Infiltration with 2% lignocaine with 1:80,000 adrenaline was given only on one side and the surgeon was blinded as to which side was i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 10, 2017 Category: ENT & OMF Source Type: research

A Study of Effect of Consanguinity on Cochlear Morphology in Patients with Congenital Bilateral Profound Sensorineural Hearing Loss
This study was conducted to know the effect of consanguinity on cochlear morphology, if any. A prospective, observational study, including prelingually deaf children with bilateral profound sensorineural hearing loss who are registered as candidates for cochlear implantation at a tertiary care centre, was conducted. Seven children born out of consanguineous marriages and having bilateral congenital sensorineural hearing loss were imaged for their inner ears by MRI and various cochlear measurements were compared with that of seven control children born out of non-consanguineous marriages and who had congenital bilateral sen...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 10, 2017 Category: ENT & OMF Source Type: research

Double Posterior Based Flap Technique in Primary Endoscopic Dacryocystorhinostomy With and Without Using Powered Instrument
AbstractTo demonstrate the surgical technique and outcomes of double posterior based flap technique in primary endoscopic dacryocystorhinostomy (DCR) with and without use of powered instrument. 28 patients of nasolacrimal duct obstruction were included in the study from September 2012 to February 2015. All underwent endoscopic dacryocystorhinostomy with double posterior based nasal and lacrimal flap technique. In patients of group A (14 patients), bone removal was done with the help of Smith –Kerrison punch forceps and in patients of group B (14 patients), powered drill has been used for the same. Patients were visit...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 10, 2017 Category: ENT & OMF Source Type: research

Dizziness in a Tertiary Care Centre in Sikkim: Our Experience and Limitations
AbstractDizziness is a common symptom and though most of the causes are benign yet some may be potentially life threatening. Diagnosis can be a challenge sometimes due to lack of dedicated vestibular lab and injudicious use of vestibular suppressant medications. A 2  year retrospective study of the hospital records from September 2014 to August 2016 was done to study the causes of dizziness and the limitations and challenges in the diagnosis. 75 complete records of patients presenting with dizziness were accessed and analysed. 54.7% of the patients were males and most patients were young adults. Most of the cases were...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 9, 2017 Category: ENT & OMF Source Type: research

Identification of Nasal Irrigation Bottle Contamination in Post Sinonasal Surgery
AbstractNasal irrigation is an effective and cheap method in managing post sinonasal surgery patients. It works by improving ciliary clearance and performing mechanical debridement of the thick crust, decreasing mucosal edema and reducing the inflammatory mediators. Presence of nasal irrigation bottle contamination and its effect on patients have been studied. The aim of this study is to prospectively identify the risk of contamination in the nasal irrigation bottle, fluid from the bottle and to correlate with endoscopic findings from the patients who had underwent sinonasal surgery. Swabs will be taken from the nasal irri...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 9, 2017 Category: ENT & OMF Source Type: research

Prevalence of Goitre in Raichur District (Karnataka): A Descriptive Study
AbstractThis prevalence study was exclusively for the goitre detection in individuals who has no prior awareness of thyroid disorder and also those patients giving history of signs and symptoms of such conditions. Subjects underwent investigations for (T3, T4, TSH and FNAC) to analyze status and type of Goitre. Of the first 30  cases, only 8 cases were investigated and later on personal  interest  for confirmation of goitre disorder prevalence additional 70 cases were assessed of which 51 cases were investigated. On basis of investigation and epidemiology, we concluded that prob...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 7, 2017 Category: ENT & OMF Source Type: research

Concept, Importance and Practice of Lateral Tucking in Tympanoplasty
AbstractThe current study aims at observing the technique and results of doing lateral tucking during tympanoplasty surgery. It is intended to provide additional support to the graft and prevent displacement as well. 98 cases included in the study and the graft uptake rate of 97.96% noted. Average pre operative air bone gap (ABG) was 31.12  db and average post operative ABG observed to be 14.01 db. Gain of 17.11 ± 7 db achieved by the procedure. Lateral tucking is a concept that requires to be inculcated in routine tympanoplasty surgeries, especially where canal skin incisions are used. It i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 7, 2017 Category: ENT & OMF Source Type: research

Tolerance of Chemoradiation in Advanced Head and Neck Cancers: Comparison Between Inpatients and Outpatients
AbstractConcurrent chemoradiation (CCRT) is the mainstay of treatment for majority of locally advanced head and neck carcinomas (LAHNC). Addition of chemotherapy to radiotherapy increases the probability of local control and improved disease-free survival but at the cost of acute and delayed toxicities. A retrospective observational study. To compare the tolerance of CCRT and its toxicity profile amongst two groups, first arm (Arm A) being outdoor patients and the second group (Arm B) was hospitalized patients of LAHNC in an oncology centre of a tertiary care hospital. A total of 100 patients were enrolled, 50 in each arm....
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2017 Category: ENT & OMF Source Type: research

Flexible Laryngoscopy in Management of Congenital Stridor
In this study, we have presented our experience of flexible laryngoscopy in children with congenital stridor, their res ults and management. Laryngomalacia was the commonest cause of stridor accounting for 80% of cases. 15% (6) patients required tracheostomy for relieving airway obstruction and 22.5% (9) patients required a definitive surgical procedure for correcting the cause. Flexible laryngoscopy is safe and give s a comprehensive analysis of airway including its dynamic functions. We also recommend flexible laryngoscopy as a frontline investigation for evaluation of stridor. (Source: Indian Journal of Otolaryngol...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2017 Category: ENT & OMF Source Type: research

Clinicopathological Significance of Tumor Lymphatic Vessel Density in Head and Neck Squamous Cell Carcinoma
AbstractVarious studies have demonstrated that the lymphatic system is the additional route for solid tumor metastasis. Lymph nodes metastasis in Head and neck squamous cell carcinoma (HNSCC) is a major prognostic indicator for disease progression and a guide for therapeutic strategies. We conducted a study to compare intratumoral (IT) and peritumoral (PT) lymphatic vessel density (LVD) in HNSCC using lymphatic marker D2-40 and its correlation with lymph node metastasis, histological grading and other clinicopathological parameters. Fifty specimen of HNSCC with modified radical neck dissection tissue were included in the s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2017 Category: ENT & OMF Source Type: research