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Cochlear Implantation in Children with Anomalous Cochleovestibular Anatomy: Our Experience
AbstractTo report operative findings, postoperative course, and postimplantation performance in patients with cochlear malformations who underwent cochlear implantation. Seventeen patients with malformations which included enlarged vestibular aqueduct (n  = 6), Mondini’s dysplasia (n = 5) common cavity deformity (n = 3) and incomplete partition type 2 (n = 3) underwent cochlear implantation with Nucleus 22 straight array device at our center. Operative findings described facial nerve anatomy and cerebrospinal fluid leak. Standard tests of speech perception were used to evaluate...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 23, 2017 Category: ENT & OMF Source Type: research

Evaluation of Serum Selenium and Erythrocyte Glutathione Peroxidase Levels in Patients with Recurrent Tonsillitis
AbstractThe aim of this study is to investigate serum selenium (Se) and glutathione peroxidase (GSH-Px) levels in patients with recurrent tonsillitis. The study included 53 patients with recurrent tonsillitis and 51 healthy children. The measurement of serum Se levels were done in graphite furnace atomic absorption spectrophotometer using Zeeman background correction. Erythrocyte GSH-Px levels were indirectly measured by using the spectrophotometry. The ages of children in both groups ranged between 3 and 13  years, with a mean age of 7.60 years for patient group and 7.22 years for control group. Mean serum ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 21, 2017 Category: ENT & OMF Source Type: research

Tonsillectomy-Comparative Study of Various Techniques and Changing Trend
This study was done in 2500 patients undergoing tonsillectomy with or without adenoid removal in a period of 35  years (1979–2013). The majority of the patients (approximately 41%) in the first half of this period underwent cold steel tonsillectomy whereas 39% underwent microdebrider assisted tonsillectomy. Microdebrider assisted tonsil surgery was done as day care procedure in 90%. In 21% of the patients, o ther methods viz coblation, radio frequency and laser were used. Microdebrider intracapsular tonsillectomy is associated with lower mortality and morbidity as compared to cold steel, coblation, electrodissec...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 18, 2017 Category: ENT & OMF Source Type: research

Asymptomatic Radio-Opacity at the Floor of Nasal Cavity
AbstractAsymptomatic pathologies are usually discovered incidentally on radiographs. Sometimes, the presentation is characteristic and diagnosis is easily arrived. For uncharacteristic presentations, numerous differential diagnosis can be made and multiple investigations may be required by the radiologist. The present manuscript discusses the differential diagnosis of a commonly presenting asymptomatic radio-opacity at the floor of the nasal cavity and an unusual outcome of the investigation. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 13, 2017 Category: ENT & OMF Source Type: research

Second Branchial Anomalies: A Study of 94 Cases
AbstractNinety-four patients with second branchial anomalies were retrospectively analysed at a tertiary care centre from January 2006 to September 2016 to determine the demographical data and management. Branchial sinus and fistula presented earlier as compared to branchial cyst. The mean age at presentation in case of branchial sinuses, fistulae and cysts was 5.07, 5.79 and 7.31  years respectively. There was preponderance in males as compared to females, more so in bilateral cases. Male to female sex ratio was 2.91:1. The branchial fistulae were the most common type of lesions, followed by the branchial sinuses. Th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 13, 2017 Category: ENT & OMF Source Type: research

Outcomes of Bone Anchored Hearing Aid Implant at Universiti Kebangsaan Malaysia Medical Centre (UKMMC)
AbstractThe cross sectional study was conducted in Universiti Kebangsaan Malaysia Medical Center (UKMMC), Malaysia from August 2012 to December 2013. All patients implanted with in UKMMC from December 2001 until December 2012 was included. Glasgow Benefit Inventory (GBI) questionnaires and UKMMC questionnaires were used as part of the assessment tool. The GBI is a scoring which measures the change in health status produced by surgical interventions. UKMMC questionnaires was invented by our department to assess questions related to social and life style of patients and also the cosmetic perspective Baha implant and other da...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 12, 2017 Category: ENT & OMF Source Type: research

Mrmc Neo Surgical Ventilating Port and Neo Attic Malleo-Incudal Complex in Endoscopic Management of Limited Attico-Antral Cholesteatoma
AbstractTo study functional outcome of the endoscopic management of limited attico-antral cholesteatoma in terms of visualization of sac, cholesteatoma disease clearance, ABG closure improvement, preservation of residual anatomy and recurrence of disease. It is a prospective study done during Feb 2016 to March 2017 done on 20 pts with limited attico-antral cholesteatoma with CT confirmation. Endoscopic management of limited attico-antral cholesteatoma with complete removal of sac, infected discharge and granulations along with creation of MRMC Neo surgical ventilating port (joining Anterior& posterior isthmuses) done i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 11, 2017 Category: ENT & OMF Source Type: research

Postoperative Outcomes in Cold Dissection Versus Bipolar Electrocautery Tonsillectomy: A Randomized Double-Blind Controlled Study
AbstractTonsillectomy is one of the oldest and most common procedures worldwide. This surgery is performed by different methods include cold dissection technique (CDT) and bipolar electrocautery technique (BET). Assessment and comparison of postoperative outcomes in cold dissection and bipolar electrocautery is the aim of present study. This randomized controlled clinical trial study was conducted as double-blind on 534 patients. The enrolled patients underwent tonsillectomy in Vali-e-Asr Hospital of Birjand city from Oct. 2013 –Oct. 2015. Al patients systematically allocated into two groups treated with cold dissect...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 11, 2017 Category: ENT & OMF Source Type: research

A Comparative Study of Radiograph and Nasal Endoscopy in Diagnosis of Hypertrophied Adenoids
AbstractAdenoid hypertrophy is a common presentation in the growing age group. It results in varied symptomatology resulting in nasal obstruction, mouth breathing, snoring, nasal discharge and nasal intonation of voice. Diagnostic nasal endoscopy and plain radiograph are the two most widely done investigative procedures. In our study we have compared the results of these two diagnostic modalities in defining the grade of adenoid hypertrophy and establish the differences in results so that a proper diagnosis is made and appropriate management is initiated. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 11, 2017 Category: ENT & OMF Source Type: research

Morphometric Analysis of the External Auditory Canal by Computed Tomography in Indian Population
AbstractVarious studies have shown variations in size and shape of different anthropometric measurements of external auditory canal. We conducted an anthropometric study of the three-dimensional anatomy of the osseous external auditory canal (OEAC) using high-resolution computed tomography the temporal bone to identify the variations in subset of Indian population from North India. A retrospective review of high-resolution computed tomography images of the temporal bones of 125 patients (250 external auditory canals) of different ages (mean 28.43  years) acquired from September 2014 to February of 2015 was performed. ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 11, 2017 Category: ENT & OMF Source Type: research

Status of Otorhinolaryngology as Specialty of Choice Among Female Medical Graduates
AbstractSpecialty choices among medical graduates have undergone changes over time. We aimed to analyze status of otorhinolaryngology as specialty of choice among female medical graduates and factors affecting it. A total of 123 female medical graduates were surveyed during their internship over a period of 1  year in a tertiary-care hospital. Each intern was assessed using a questionnaire at the end of otorhinolaryngology rotation. The survey included nine questions about future career choices with special focus on ENT as a choice for specialization. Questions on choice of specialty, reason for choice, quality of und...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 9, 2017 Category: ENT & OMF Source Type: research

Mutilating Lesions of Face
AbstractThe destructive lesions affect midline facial areas causing extensive destruction. These lesions are challenging till date due to peculiarity in presentation and non availability of any single objective test. An attempt has been done to evaluate these different clinical presentations of lesions presenting at a single centre and the challenges faced by us at a tertiary government setup. Prospective study done on 15 patients presenting in department during period of 2006 –2016. After a detailed history, hematological and biochemical markers, ESR, radiographical tests, pus culture, C ANCA, CECT PNS and histopath...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 9, 2017 Category: ENT & OMF Source Type: research

Endoscopic Endo-Nasal Trans-Sphenoidal Excision of Pituitary Tumors: An Institutional Experience
AbstractTo analyze the clinical presentation, management and outcomes of patients with pituitary adenoma treated by Endoscopic Endo-nasal Trans-sphenoidal (EETS) excision. Study was conducted on the basis of medical records of 14 patients who had undergone EETS excision of pituitary adenomas. The data obtained was assessed for demographic and clinical characteristics, radiographic features and post-operative outcomes. Study included 10 males and 4 females. Mean age of patients was 46.43  years (range 16–70 Years). Most common presentation was diminished vision reported in 79% patients. Features of acromegaly enc...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 7, 2017 Category: ENT & OMF Source Type: research

To Evaluate and Compare the Result of Ossiculoplasty Using Different Types of Graft Materials and Prosthesis in Cases of Ossicular Discontinuity in Chronic Suppurative Otitis Media Cases
AbstractChronic suppurative otitis media, with and without cholesteatoma, frequently results in disruption of the ossicular chain. The present study was designed to compare the outcome using autologous ossicle and titanium prosthesis in two groups of suitable patients presenting with chronic suppurative otitis media for middle ear reconstructive surgeries. A prospective study done from July 2012 to December 2013, at Mahatma Gandhi Medical College and Hospital, Sitapura, Jaipur (Rajasthan). The target group included patients with chronic suppurative otitis media admitted and planned for reconstructive middle ear surgery. Th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 7, 2017 Category: ENT & OMF Source Type: research

Etiology of Noise-Induced Hearing Loss (NIHL) and its Symptomatic Correlation with Audiometry Observations in Type II Diabetes
This study aims to know the incidence of common parameters, blood sugar levels, levels of lipids and the hearing thresholds of individuals. It is a Noise-Induced Hearing Loss research study featuring hearing impairment in transport workers diagnosed as type II diabetic. All individuals were interviewed by various questioners related to listening ability of subjects and underwent a physical examination, blood investigations and audiometry. Hearing impairment was more prevalent among adults with diabetes. Sensory neuron hearing loss is predominant in both study groups. Mixed Bilateral Hearing Loss showed significantp value i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 6, 2017 Category: ENT & OMF Source Type: research

Anatomical Correlation Between Nasal Vascularisation and the Design of the Endonasal Pedicle Flaps
This study will describe the anatomy of these vessels and their relationship with the main flaps. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 6, 2017 Category: ENT & OMF Source Type: research

The Learning Curve in Surgical Practice and Its Applicability to Rhinoplasty
AbstractThe learning curve as a concept has been considered, discussed and debated in medical education and healthcare for over two decades. The precise usage has been recognised in surgical disciplines both broad specialties and sub-specialties. Rollin Daniel in his book stated that, rhinoplasty is the most difficult of all cosmetic operations for three reasons, (a) nasal anatomy is highly variable, (b) the procedure must correct form and function and (c) the final result must meet the patients expectations. With this in mind a study was carried on the perception of learning curve in rhinoplasty based on a surgeon questio...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 6, 2017 Category: ENT & OMF Source Type: research

Encountering Chronic Sore Throat: How Challenging is it for the Otolaryngologists?
Conclusion The study provided with a detailed account of the heterogeneous etiology of chronic sore throat, and an overall structured idea on how to approach to its work-up and diagnosis. Proper history taking and appropriate structured investigations are the keys. Chronic tonsillopharyngitis, gastroesophageal reflux disorder, submandibular sialadenitis, and laryngopharyngeal reflux disorder were the chief causes of chronic sore throat. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 6, 2017 Category: ENT & OMF Source Type: research

Deep Neck Space Infections-A Study in Diabetic Population in a Tertiary Care Centre
This study is intended to analyze the clinical profile and outcomes of deep neck space infection in diabetic patients in our tertiary care centre. A prospective study of 1  year duration from 30th September 2015 to 30th September 2016 at department of Otorhinolaryngology, Gauhati Medical College and Hospital, Guwahati. A total of 45 diabetic patients who presented with DNSI are included in this study. Their demographic profile, etiology, bacteriology, treatment, dura tion of hospital stay, complications and outcomes have been analyzed. 45 patients were recorded; 32 (71.11%) were men, and 13 (45%) were women, with...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 5, 2017 Category: ENT & OMF Source Type: research

Relook on Mastoid Cavity Obliteration: A Prospective Study
Abstract Canal wall down (CWD) mastoidectomy is the operation of choice for unsafe variety of chronic otitis media. But open mastoid cavity poses many problems. The solution of these problems is obliteration of mastoid cavity that is self-cleaning and easily maintained. In our study we aim to establish the effective technique for mastoid cavity obliteration in CWD mastoidectomy and review its efficacy in producing a dry, low maintenance cavity. This was a non-randomized longitudinal prospective study, performed over 2 ½ years in the department of ENT in a tertiary care hospital of Kolkata. Patients of chronic o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 5, 2017 Category: ENT & OMF Source Type: research

Primary Ewing ’s Sarcoma of the Temporal Bone: A Rare Case Report and Literature Review
We describe an 8 months old infant having Ewing sarcoma, of the petrous and mastoid parts of temporal bone a long with the occipital bone, whose clinical presentation mimicked mastoiditis with facial nerve palsy. We discuss the clinical and therapeutic course of an extensive primary Ewing sarcoma of the temporal bone, which was treated without performing surgery and review this entity’s literature in det ail. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 1, 2017 Category: ENT & OMF Source Type: research

Laser Assisted Double-Layer Endoscopic Repair of Laryngeal Clefts: Our Experience in 11 Cases
AbstractLaryngeal cleft is a rare congenital malformation of the respiratory tract leading to a high level of morbidity and mortality, recently being diagnosed with increased frequency. Management throughout the years included medical and surgical. The open surgical technique is more commonly used although it has higher risk and need longer post-operative care. Recently surgical endoscopic repair was introduced using different techniques. To evaluate the clinical features of infants and children presenting with laryngeal clefts, and review endoscopic management modality especially the technique and results of repair using ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 1, 2017 Category: ENT & OMF Source Type: research

Simple Tips for Ear Lobule Reconstruction- “Lobuloplasty Revisited”
This article explains how subtle changes are still possible in common procedures like lobuloplasty to change the outcome  of the results. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 1, 2017 Category: ENT & OMF Source Type: research

Baha Attract: Our Experience
This study was carried out in our tertiary care hospital over the last 1  year. Our study included the first 4 patients, all of which were males; with a mean age of 13.25 years in whom the new Baha Attract System was used. The mean air–bone gap was 48 dB. Bone smoothening around the implant was needed in 2 patients. We did the switch-on after 6–12 weeks for all t he patients where the programmed processor was applied with the help of a magnet at the implanted site. Our study results suggest that the Baha Attract System is promising for the patients with microtia–anotia having conductiv...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 31, 2017 Category: ENT & OMF Source Type: research

Prevalence of Severe and Profound Sensorineural Hearing Loss in School Children in West Bengal, India
AbstractThere is pressing need for reliable information about prevalence of sensorineural hearing loss in children in India. Without this basic information it is difficult to plan services on a rational basis. In this stratified cross sectional study, we aimed to determine the prevalence of severe and profound sensorineural hearing loss in school children in West Bengal, India. We hypothesized that all children with severe or profound hearing loss in elementary schools (age 6 –14 years) would be among those identified as ‘children with special need’ because of their marked problems with hearing, spee...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 30, 2017 Category: ENT & OMF Source Type: research

Coblation Versus Conventional Tonsillectomy: A Double Blind Randomized Controlled Trial
AbstractPost tonsillectomy bleeding and pain are two main problems following traditional tonsillectomy. Coblation therapy (controlled ablation) was first used in tonsillectomy in 2001. A great amount of literature debated around its use with controversial opinions regarding its benefits, efficacy, and cost. This is a prospective double-blind randomized controlled study that compares between coblation tonsillectomy and conventional tonsillectomy as regard operative time, operative blood loss, time needed to return back to the normal activity and diet, and incidence of postoperative hemorrhage whether primary or secondary. T...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 30, 2017 Category: ENT & OMF Source Type: research

Prelingual Deafness: An Overview of Treatment Outcome
AbstractPrelingually deaf child is one who is either born deaf or who lost his or her hearing early in childhood, before acquiring language. A child with subnormal hearing acuity suffers from consequences of hearing loss compounded by impaired speech development. The period from birth to 3  years of life is critical for the development of speech and language, therefore, there is need for early identification and assessment of hearing loss and early rehabilitation in children. 40 patients were evaluated clinically, radiologically and audiologically to assess the degree of patient’s handicap. The modes of treatmen...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 20, 2017 Category: ENT & OMF Source Type: research

Longitudinal Study of Type I Interlay Tympanoplasty
AbstractThe aim of the present study was to access success rate of tympanoplasty and complications with interlay technique of tympanoplasty. This Longitudinal Prospective study was carried out in the Department of Otorhinolaryngology and Head and Neck Surgery, Era ’s Lucknow Medical College, Lucknow. 50 patients aged between 10 and 50 years of chronic otitis media mucosal type disease with dry ears were selected. Otomicroscopic, tunning fork test, pure tone audiometry were done in all patients. All patients underwent interlay tympanoplasty. Patients were f ollowed up regularly for a minimum period of 1.5 ye...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 20, 2017 Category: ENT & OMF Source Type: research

Conidiobolomycosis: An Unusual Fungal Disease —Our Experience
The objectives of our study were to describe the epidemiological and clinical features and treatment of Conidiobolomycosis to prevent disfigurement. Patients clinically suspected to be suffering from Conidiobolomycosis were subjected to biopsy followed by histopathological and mycological examinations. Then they were treated with oral saturated solution of potassium iodide along with other drugs. Total six cases were histopathologically proved to be suffering from Conidiobolomycosis. Fungus was isolated and identified in one case. Complete resolution was seen in five patients. Conidiobolomycosis should be brought into mind...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 20, 2017 Category: ENT & OMF Source Type: research

Otitis Media with Effusion (OME) in Urban Pediatric Population in a Tertiary Care Centre: A Clinical Study
AbstractOtitis media with effusion (OME) is a common condition affecting children. It is one of the most common causes for reduced hearing in pediatric age group leading to various learning disabilities including delayed speech development. The aim of this study was to find out various epidemiological characteristics and risk factors for developing OME and various treatment modalities depending on the clinical features and their outcomes in urban pediatric population. A prospective comparative study was done in 100 children taken 50 as cases and 50 as controls for a period of 2  years. The risk factors, common present...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 19, 2017 Category: ENT & OMF Source Type: research

Reliability of Thyroid FNAC as a Single Diagnostic Modality: A Systematic Review
AbstractTo determine the reliability of thyroid FNAC as a single diagnostic modality in the case of nodular neoplastic lesions of the thyroid. Multiple databases were searched using the MESH terms thyroid*lesion*nodule*neoplasm*fine needle aspiration*histopathology*correlation. Meta analyses, RCTs, cohort or case control studies and case series were searched. 61 studies were examined to verify the search results after applying the inclusion and exclusion criteria. 422 studies were excluded after the first screening, leaving 61 full text articles. These were further analyzed for outcomes, and ultimately 9 studies were chose...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 18, 2017 Category: ENT & OMF Source Type: research

Endoscopic Thyroid Surgery Through Trans-oral Vestibular Approach (TOVA): A Case Series and Review of Literature
AbstractEndoscopic surgery is now standard of care for different Endocrine Disorders; the endoscopic thyroid surgery is becoming more popular and different approaches has been practice by many thyroid surgeon worldwide. Trans-orovestibular approach, based on the principle of natural orifice transluminal surgery is truly scar free thyroid surgery and has minimal dissection. We are presenting here three cases of benign solitary thyroid nodule operated endoscopically through trans-oro-vestibular approach in one male and two female patients. Described  about the approach, challenges during surgery and outcome. These surge...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 10, 2017 Category: ENT & OMF Source Type: research

Doing Mastoidectomy Along with Tympanic Membrane Repair Reduces the Need for Revision Procedures: A Prospective Study
AbstractTo determine the role of cortical mastoidectomy on the results of tympanoplsty in tubotympanic type of chronic suppurative otitis media. A prospective, observational, interventional study was conducted from a period of October 2006 –October 2008. This included 40 patients of either sex in the age group of 15–45 years having tubotympanic type of CSOM. Tympanoplasty with mastoidectomy was done in all the patients and they were followed up for graft acceptance and hearing impairment for 5 years to see the long term results. Per-operatively, the antrum was involved in 17, aditus in 11 and middle e...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 7, 2017 Category: ENT & OMF Source Type: research

“Is Cone Beam Computed Tomography (CBCT) a Potential Imaging Tool in ENT Practice?: A Cross-Sectional Survey Among ENT Surgeons in the State of Odisha, India
AbstractThis questioner survey aimed about awareness of the Cone Beam Computed Tomography (CBCT) machine and its various clinical applications in ENT, among the ENT surgeons in the state of Odisha. 150 questioner forms on CBCT were distributed to the all the participating ENT surgeons at a state level ENT conference, out of which the response rate was 110. The participants were asked to answer 30 multiple choice questions, which were divided into 3 parts; general information on CBCT, general approach to CBCT and practice related to CBCT. The statistical analysis of the data collected was carried out by a Chi square test to...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 5, 2017 Category: ENT & OMF Source Type: research

Effect of Radiofrequency on DNA Damage and Oxidative Status in Patients with Turbinate Hypertrophy
This study aims to demonstrate whether systematic oxidative status and DNA are influenced in this frequency range. In study, 27 patients who received radiofrequency treatment on inferior turbinate as they were diagnosed with inferior turbinate hypertrophy. DNA damage was assessed by alkaline comet assay in peripheral lymphocyte cells. Plasma levels of total antioxidant status (TAS), total oxidative status (TOS) were determined by using an automated measurement method and oxidative stress index (OSI) was calculated (OSI was calculated as: OSI = (TOS/TAS) × 100). There were increased in the OSI and ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 4, 2017 Category: ENT & OMF Source Type: research

Optical Loupes: A Useful Tool for the Oncall Otorhinolaryngologist —Our Experience
We examined patients twice, with and without loupes and compared visibility and diagnostic ease. We used the loupes in a total of 71 patients for a variety of ENT emergencies. We found that visibility and diagnostic ease was improved i n all cases. During procedures we found that improved visibility led to better instrument placement and more satisfactory outcomes. Loupes have been previously used intra-operatively with good results. The obstacles to wider usage are reportedly the expense and learning curve required. We have acqui red some cheap loupes and have found evidence that earlier usage eases the transition. We hav...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 2, 2017 Category: ENT & OMF Source Type: research

Computed Tomography Score an Excellent Marker: Differentiates Eosinophilic and Non-eosinophilic Variants of Chronic Rhinosinusitis with Nasal Polyp
This study demonstrated E/M r atio and total CT score as the most useful surrogate markers for preoperative differentiation of eosinophilic and non-eosinophilic CRSwNP, and hence can be used to predetermine postoperative management before surgery. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 26, 2017 Category: ENT & OMF Source Type: research

A Comparison of the Diagnostic Efficiency of Guided Fine Needle Aspiration Cytology Versus Conventional Fine Needle Aspiration Cytology of the Thyroid
This study aims to estimate the measures of diagnostic accuracy of FNAC as well as to compare US-FNAC against C-FNAC. Patients who underwent FNAC at our for a period of 5  years were selected. This comprised of 237 C-FNAC cases and 173 US-FNAC cases. Out of these 410 cases, 129 cases had cyto-histological correlation. The proportion of inadequate samples, malignant cases as well as indeterminate cases were compared between US-FNAC and C-FNAC. The sensitivity, specif icity, positive predictive value (PPV), negative predictive value (NPV), likelihood ratios for positive and negative results and odds ratio were estimated...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 25, 2017 Category: ENT & OMF Source Type: research

Radiological Evaluation of Cochlear Orientation and Its Implications in Cochlear Implantation
AbstractTo test whether there are variations in cochlear orientation with respect to age and sex, and its relevance in cochlear implant surgery. Implant otologists rely upon the anatomic landmarks including the facial recess and round window niche and round window membrane for accessibility and placement of electrode array into scala tympani of basal turn of cochlea. Anecdotally, surgeons note variations in cochlear orientation with respect to age. Cochlear orientation studied radiologically by pre-operative CT scan of temporal bone can guide a Surgeon ’s approach to cochlear implantation. To investigate the changes ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 24, 2017 Category: ENT & OMF Source Type: research

Odontogenic Fungal Maxillary Sinusitis: A Case Report of a Displaced Dental Foreign Body
AbstractOdontogenic etiology accounts for 10 –12% of cases of maxillary sinusitis. Although uncommon, direct spread of dental infections into the maxillary sinus is possible due to the close relationship of the maxillary posterior teeth to the maxillary sinus. An odontogenic infection is a polymicrobial aerobic–anaerobic infection, with an aerobes out numbering the aerobes. Diagnosis requires a thorough dental and clinical evaluation, including radiographs. Management of sinus disease of odontogenic origin often requires medical treatment with appropriate antibiotics, surgical drainage when indicated, and treat...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 24, 2017 Category: ENT & OMF Source Type: research

Clinico-radiological Co-relation of Carcinoma Larynx and Hypopharynx: A Prospective Study
AbstractThe successful management of laryngeal and hypopharyngeal cancers requires accurate diagnosis, staging, assessment of patient wishes, and the selection of the most appropriate treatment for the individual patient. Imaging plays an important complementary role to clinical examination and endoscopy in the evaluation of laryngeal and hypopharyngeal cancers. The combined information allows the disease to be staged accurately. To correlate carcinoma larynx and hypopharynx clinically and radiologically and to know the accurate pre-therapeutic stage of the disease. A total of 50 cases were included in this study. After cl...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 22, 2017 Category: ENT & OMF Source Type: research

Cerebrospinal Fluid Leakage During Temporal Bone Surgery: Selecting Intra-operative Dural Closure with a Dumbbell-Shaped Muscle Graft as a Surgical Approach
AbstractCerebrospinal fluid (CSF) leakages of the temporal bone may arise during mastoid surgery. The leakages can have multiple potential etiologies, for instance, using a cutting burr near the bony tegmen or monopolar electrocautery on the surface of the dura mater. In this paper, we introduced an effective and simple technique for the management of CSF leakages of the temporal bone. In a prospective case series, 36 patients (16 males and 20 females) who have had an experience of incidental or inevitable CSF otorrhea or otorhinorrhea during temporal bone surgery were selected. All patients were treated using a muscle gra...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 22, 2017 Category: ENT & OMF Source Type: research

Laryngocele: A Rare Case Report and Review of Literature
AbstractLaryngocele is an abnormal cystic dilatation of the saccule of the larynx. It communicates with the laryngeal lumen and contains air. Laryngocele can be classified as internal (within the larynx), external (outside the larynx) and mixed (both). It is a rare entity. Hereby, we are reporting a case of laryngocele, which presented to us with a diagnostic quandary. After confirming the diagnosis by radiology, patient was operated upon by external approach. In the following article, we also discuss the establishment of the diagnosis and review different surgical modalities for the management of various types of laryngoc...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 21, 2017 Category: ENT & OMF Source Type: research

Rhinoorbitocerebral Mucormycosis with Maggots in a Neglected Diabetic Patient
AbstractMucormycosis is a rare opportunistic fungal infection in immunocompromised patients, Rhizopus species are most common, sometimes mucormycosis can be life threatening we report a case of rhinoorbitocerebral mucormycosis a patient with diabetic ketoacidosis secondarily infected by maggots with altered consciousness and metabolic decompensation. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 21, 2017 Category: ENT & OMF Source Type: research

Neuroectodermally Derived Neoplasm of Tonsil: Difficulty in Histomorphological Diagnosis
AbstractEsthesioneuroblastomas are rare neuroectodermally derived neoplasms occurring in the upper nasal septum or cribriform plate. They have been rarely reported in other sites, when they are called ectopic esthesioneuroblastomas. Due to the scarcity of reports, publications and molecular/genetic studies of these tumours, their diagnosis is likely to be missed when they are ectopic. Similar to the case report in this journal by Zahedi et al., we had a case of neuroectodermally derived neoplasm of the tonsil, which was difficult to diagnose, due to the site of occurrence being unknown for these tumours. (Source: Indian Jo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 21, 2017 Category: ENT & OMF Source Type: research

Clarithromycin in the Management of Chronic Rhinosinusitis: Preliminary Results of a Possible Its New Use
AbstractThe aim of this study is to evaluate the efficacy and safety of prolonged therapy with low-dose clarithromycin in patients with chronic rhinosinusitis with polyps (CRSwP) after endoscopic sinus surgery (ESS). A total of 10 patients with CRSwP were identified and subjected to bilateral ESS. In post-operative patients they were treated with nasal wash with saline solution and steroid sprays (beclomethasone). During follow-up, after 30 –40 days after the operation (M = 35.4 SD = +4.33), patients reported a worsening of symptoms with onset of nasal obstruction; reduction/loss of smell; he...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 20, 2017 Category: ENT & OMF Source Type: research

Role of Toluidine Blue Staining in Suspicious Lesions of Oral Cavity and Oropharynx
AbstractOral cancer; the sixth most common malignancy in the world has one of the lowest 5  year survival rates. This can be attributed mainly to the delay in diagnosis. The purpose of this study was to evaluate the efficacy of vital staining with toluidine blue dye as an adjunct to standard clinical examination to facilitate early detection of malignant lesions of oral cavity and oropha rynx. A hospital based diagnostic test accuracy study was carried out on 55 subjects with oral mucosal disorders that included clinically suspicious premalignant or malignant lesions, in the Department of ENT, Academy of Medical Scien...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 20, 2017 Category: ENT & OMF Source Type: research

Occult Primary with Cervical Secondary-Role of CT Scan and Evaluation Under Anesthesia
AbstractThe potential of CT, MRI or both to detect a primary tumor ranges from 9.3 to 23% rising to 60% when suspicious radiological findings direct subsequent endoscopic biopsies (Zhuang et al. in Mol Clin Oncol 2:917 –922,2014). Prospective case Study. To know the sensitivity, specificity accuracy rate andP value of CT scan and upper aero digestive tract endoscopy with palpation of nasopharynx and oropharynx to search the primary site of cancer. 53 patient of occult primary with FNAC proved metastatic squamous cell carcinoma were evaluated to find out the sensitivity, specificity, accuracy rate andP value of imagin...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 20, 2017 Category: ENT & OMF Source Type: research

Primary Spheno-Petro-Clival Tuberculosis
AbstractThe increase awareness and advent of anti-tuberculosis therapy led to decline in tuberculosis. Now a resurgence of tuberculosis is with immunosuppression and with resistant strains. The detection rate of extrapulmonary is increased with the advent of newer modalities of detection, imaging, and better testing. This case series documents our experience with seven cases of primary spheno-petro-clival lesion and details of the clinical and radiological presentations of these patients. Intraoperative obtained tissue was send for histopathological and microbiological evaluation. The most common symptoms were headache and...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 20, 2017 Category: ENT & OMF Source Type: research

Analysis of Malignant Thyroid Neoplasms with a Striking Rise of Papillary Microcarcinoma in an Endemic Goiter Region
AbstractAccording to National Cancer Registry Program, Thiruvananthapuram district of Kerala, has the highest relative frequency of thyroid carcinomas; nevertheless, limited data exist regarding its socio-demographic and clinico-pathological characteristics. The aims of the study were to assess the: (1) demographic characteristics, (2) histopathological features and the relative frequency of various thyroid carcinoma cases and papillary thyroid carcinoma (PTC) subtypes, (3) rising trend of papillary microcarcinomas, and (4) associated lesions. A retrospective study wherein 170 cases of thyroid malignancies reported in our ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 20, 2017 Category: ENT & OMF Source Type: research