Evaluation of Voice After Definitive Radiotherapy in Patients of Early Stage Squamous Cell Carcinoma of Larynx (Glottis): A Prospective Observational Study
AbstractPost treatment voice quality is an important consideration in choosing the management option for laryngeal cancer. We assessed voice quality after radiotherapy in patients of early squamous cell carcinoma of glottis comprehensively using Videolaryngostroboscopy (VLS), Grade, Roughness, Breathiness, Asthenia and Strain (GRBAS) scores and Voice Handicap Index (VHI)-10. Fifty four consenting patients of early squamous cell carcinoma of glottis (Tis, T1 and T2) awaiting definitive radiotherapy were recruited consecutively. Voice was evaluated by VLS, GRBAS scores and VHI-10 before radiotherapy as well as 3  months...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2020 Category: ENT & OMF Source Type: research

Indolent CD30-Positive Extranodal NK/T Cell Lymphoma with Large Cell Transformation: Case Report and Literature Review
AbstractThe nasal type of extranodal natural killer (NK)/T-cell lymphoma (ENKL) is an aggressive form of non-Hodgkin ’s lymphoma. Although ENKL is most commonly seen in the midline of the nose, face and Waldeyer's ring, it can also occur in the skin, gastrointestinal tract, soft tissues and other parts of the body. Severe ENKL cases are accompanied by hemophagocytosis, with clinical manifestations such as high f ever, hepatosplenomegaly, and decreased blood cell count. ENKL at different locations exhibits similar histological features and immunophenotypes, such as a strong affinity for T cell markers CD2 and CD56, cy...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2020 Category: ENT & OMF Source Type: research

Ludwig ’s Angina an Emergency with Difficult Intubation: A Case Report
We reported a case 65  year female patient present with sudden onset of huge submental and submandibular swelling admitted in ICU with difficult intubation. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2020 Category: ENT & OMF Source Type: research

Management of Symptomatic Grade I and II Laryngeal Cleft: Experience of a Tertiary Care Center and Review of Literature
AbstractLaryngeal cleft is a rare pathology and needs a high index of suspicion for diagnosis. Various classifications are used but the Inglis classification which describes 4 grades of cleft is most widely accepted. Grade 3 and 4 clefts are very rare and are usually associated with other congenital abnormalities. Grade 1 and 2 clefts are more common and can be easily corrected with good outcomes. We are presenting our experience with 9 cases of low grade (Grade 1 and 2) laryngeal cleft which were managed successfully in our department. Out of the 9 cases 4 failed conservative management and required a trans-oral repair. A...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2020 Category: ENT & OMF Source Type: research

Novel Modifications to Total Maxillary Swing Approach in Extensive Nasopharyngeal Angiofibroma to Minimize Complications
AbstractMaxillary swing approaches provide excellent exposure of the anterior, mid, and anterolateral skull base offering a wide window to approach nasopharyngeal neoplasms; however, they are also associated with complications. The present study aimed to evaluate the results of a modified total maxillary swing (TMS) approach developed to minimize postoperative complications. The modified TMS approach was used to treat five patients who had extensive juvenile nasopharyngeal angiofibromas between March and October 2019 at our tertiary care center. Surgical technique, preoperative image findings, and intra-operative findings ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 5, 2020 Category: ENT & OMF Source Type: research

Jugular Vein Phlebectasia (IJP): Surgically Manageable But Ignored Entity
We report a 4  year old male presented to Expert ENT& Diagnostic Centre presenting with history of painless right neck swelling in the right carotid triangle first observed on crying with no history of trauma, facial congestion, chronic cough, difficulty in swallowing or breathing, non febrile, venous humps, heaviness or cessation of normal voice. Diagnosis of right IJP was made. Exploration and wrapping the dilated segment in polytetrafluoroethylene tube graft was done. Because of its rarity, this entity is frequently ignored or misdiagnosed. This case report intends to stress the importance of keeping IJP as dif...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 5, 2020 Category: ENT & OMF Source Type: research

Nasolabial Flap: Versatile Flap for Basal Cell Carcinoma Nose
The objective of this study to evaluate the suitability of nasolabial flap for the basal cell carcinoma, the survival of the flap, cosmetic appearance of the patient after the surgery and patient satisfaction. This is the case study of ten cases of basal cell carcinoma of the nose. The skin lesion was at the nasal tip, dorsum and the side of the dorsum. All the surgeries were performed by the same and first author of the article at the department of Otorhinolaryngology Sir T General Hospital Bhavnagar Gujarat. The patient age ranged from 5th to 6th decades of life. All the patients were from the coastal region of Saurashtr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 5, 2020 Category: ENT & OMF Source Type: research

An Observational Study to Compare Prevalence and Demography of Sensorineural Hearing Loss Among Military Personnel and Civilian Population
AbstractTo evaluate the pattern of sensorineural hearing loss (SNHL) in patients attending ENT OPD in a military setup as well as to compare the incidence of hearing loss in Military Personnel with civilian population. This observational cross sectional comparative study was conducted over a period of April 2018 to July 2019. A total of 300 patients with hearing loss (HL) were included. Demographic characteristics along with laterality of sensorineural hearing impairment were compared between military personnel and civilians. Data was statistically compared between civilians and military personnel. AP-value of  
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 2, 2020 Category: ENT & OMF Source Type: research

Tracheo Esophageal Prosthesis Insertion Under Endoscopic Guidance and Local Anaesthesia- Feasibility and Outcome
ConclusionTEP in local anaesthesia is feasible and has comparable outcome with TEP in general anaesthesia. Financial burden was very much less in group L compared to the other two groups. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 2, 2020 Category: ENT & OMF Source Type: research

Fibrovascular Polyp of the Cervical Esophagus: A Rare Neoplasm
AbstractFibrovascular polyps are rare benign epithelial neoplasia of the cervical esophagus. Usually they are large and frequently require a thoracotomy/thoracoscopy. This is a case report of an elderly lady with a large Fibrovascular polyp who had anemia and weight loss due to dysphagia, managed by rendezvous technique. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 2, 2020 Category: ENT & OMF Source Type: research

Assessing Discomfort Levels During Facial Neuromuscular Electrical Stimulation Using Discomfort Level Scale: A Preliminary Study
AbstractThe primary aim of the current study was to evaluate discomfort levels of facial NMES in healthy volunteers. Eight participants completed the Discomfort Level Scale (DLS) following each motor level facial neuromuscular electrical stimulation (NMES) session. Each participant completed 12 sessions of facial NMES for a total of 96 NMES treatments. Pearson product-moment correlation coefficient demonstrated a significant correlation between the facial NMES intensity level and DLS (p 
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 30, 2020 Category: ENT & OMF Source Type: research

Paratonsilar Approach to Styloid Process in Eagle's Syndrome —A Retrospective Analysis
AbstractEagle's syndrome, defined by Eagle in 1949, is characterised by morphological abnormality/ossification of the styloid process. Traditionally styloid process is approached after tonsillectomy or through an invasive external cervical approach. In the present study we propose a novel Paratonsillar approach for elongated styloid process in eagle's syndrome. The study was retrospective analysis of the medical records of patients who underwent styloid process excision through paratonsillar approach over 2  years period. The present study included 26 patients who underwent paratonsillar styloid process excision. Elon...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 30, 2020 Category: ENT & OMF Source Type: research

Otolaryngology Surgical Activity in Tertiary Care Center During the Covid-19 Lockdown
AbstractCorona virus disease (COVID 19) is an infectious respiratory disease caused by the novel virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). With many countries implementing lockdown the surgical activities in the division of otolaryngology across the world has been affected with many hospital confining themselves to only emergency or essential surgeries. The aim of this work is to report and discuss the in the surgical activity of the otolaryngology unit of the St John ’s National Academy of Health Sciences, Bangalore (India) during the pandemic. We performed acute and subacute emergencies wh...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 30, 2020 Category: ENT & OMF Source Type: research

Glomus Tumor of the Pterygopalatine Fossa: A Rare Case Report
This report presents a case of glomus tumor right PPF in a 65  years old female patient who underwent tumor removal by endoscopic transnasal-transmaxillary approach with preoperative selective embolization of the right internal maxillary artery. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 30, 2020 Category: ENT & OMF Source Type: research

Impact of FESS on the Pulmonary Function of Patients with Chronic Rhinosinusitis
ConclusionCRS affected persons of adult age with maximum number in the age group of>  40 years, with a male:female ratio of approximately 2:1. Percentage improvement in FEV1 and FVC is more in age group>  40 years while percentage improvement in FEV1/FVC ratio is more in age group 31–40 years. Percentage increase in FEV1 and FVC is more in males while percentage increase in FEV1/FVC is more in females. Percentage increase in FEV1 and FVC is more in males and FEV1/FVC is more in females. Percen tage increase in FEV1, FVC and FEV1/FVC ratio is more in cases of bilateral diseases then ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 29, 2020 Category: ENT & OMF Source Type: research

Efficacy of Balloon Tamponade Versus Merocel Nasal Packs in Endoscopic Sinonasal Surgery: A Randomized Controlled Study
This study was conducted from July 2018 to July 2019 in a tertiary care referral hospital. Rapid Rhino and Merocel were put in 30 patients and 31 patients, respectively. Pain, bleeding, and mucosal healing was evaluated and compared between two groups postoperatively. The reduction in the pain and postoperative bleeding was significant with balloon tamponade (Rapid Rhino) compared to the Merocel (p   0.05), patients with balloon tamponade nasal packs had less crusting and synechia in the postoperative period. Balloon tamponade (Rapid Rhino) nasal pack can be a better alternative to the Merocel nasal pack in r...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 29, 2020 Category: ENT & OMF Source Type: research

Contemporary Analysis of Olfactory Dysfunction in Mild to Moderate Covid 19 Patients in A Tertiary Health Care Centre
Conclusion: Incidence was found to be more by objective assessment when compared to self-reported symptoms. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 29, 2020 Category: ENT & OMF Source Type: research

Isolated Sphenoid Sinus Mucocele with Occular Symptoms: A Case Series
We present two cases of sphenoid sinus mucocele where patient presented with ophthalmoplegia, ptosis and/or sudden onset vision loss. With the help of imaging studies like CT scan and MRI of paranasal sinus diagnosis was made and immediate surgical intervention was planned which resulted in acceptable improvement of symptoms and vision. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 29, 2020 Category: ENT & OMF Source Type: research

Gustatory Dysfunction: A Highly Specific and Smell-Independent Symptom of COVID-19
AbstractChemosensitive dysfunctions are now considered as frequent and early symptoms of coronavirus disease 2019 (COVID-19). In the last few weeks, researchers' greatest efforts have been focusing mainly on the analysis of olfactory disorders, neglecting taste dysfunctions. According to our psychophysical evaluations, it can be inferred that the pathogenesis of taste disorders in COVID-19 patients is largely smell-independent. Moreover, isolated gustatory disorders are highly specific of SARS-CoV-2 infection. For these reasons, it is essential that gustatory dysfunctions, like olfactory disorders, are included in the COVI...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 29, 2020 Category: ENT & OMF Source Type: research

Cholesteatoma Classification: Review of Literature and Proposed Indian Classification System —TAMPFIC
AbstractClassification systems provides a tool for segregating cases based on their similarities. It can be used by healthcare professionals for representation, comparison, communication, discussion and for standardizing treatment protocols across the geographical boundaries. Cholesteatoma is prevalent in developed as well as developing nations posing a great burden on economic and health sector. Even though systems for classification of cholesteatoma are already being used in some places, however none of them is yet universally accepted due to their complex nature. After a thorough review of the most popular systems, we a...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 28, 2020 Category: ENT & OMF Source Type: research

Evaluation of Functional and Esthetic Outcome of Patients After Reconstruction with Mandibular Reconstruction Plates Preceded by Resection of Benign Odontogenic Neoplasms of Mandible: A Cohort Study
AbstractLarge benign odontogenic neoplasms of mandible are not rare in developing countries such as India. Treatment of choice depends not only on extent and size of the lesion but also the socio-economic status, resources and available armamentarium. Whenever resection of segment mandible is planned for these patients, goal of the treatment should not be to restore function of the mandible alone but also to give esthetic visual appearance of the face. The present study was performed to determine postoperative functional and esthetic outcome in such patients. A total of 18 patients (20 –35 years) with benign o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 28, 2020 Category: ENT & OMF Source Type: research

A Study of Interlay Grafting in Type 1 Tympanoplasty for Large Central Perforation
The objective of the study was to study the outcomes of interlay type 1 tympanoplasty in large central perforations in terms of graft uptake, hearing improvement and complications. Study included 150 symptomatic patients having large central perforation in tympanic membrane willing for surgery who later underwent tympanoplasty with or without cortical mastoidectomy. All the patients selected for study, were assessed for subjective and objective evaluation pre-operatively and then post-operatively after 4  months. The study was conducted at tertiary health care hospital. Type I tympanoplasty with Interlay technique for...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 27, 2020 Category: ENT & OMF Source Type: research

Deep Neck Space Infections: Current Trends and Intricacies of Management?
This study aims to describe the current epidemiological and etiological trends for deep neck space infections (DNIs) with an objective to understand the intricacies of their management. In this retrospective analytical study records of 52 patients with DNIs were reviewed. Patients having superficial abscess, peritonsillar abscess and abscess due to trauma/surgical procedure were excluded. Various epidemiological and etiological parameters (Demography, site, presentation, etiology, association with co-morbidities, bacteriology) and management guidelines (need for surgical interventions for DNIs and airway management, hospit...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 27, 2020 Category: ENT & OMF Source Type: research

A Systematic Review on Tracheostomy in COVID-19 Patients: Current Guidelines and Safety Measures
AbstractAt this moment the world is fighting with COVID-19 pandemic. Because of increasing number of critical cases, the ICU admissions are also increasing and overwhelming the hospital. These group of patients often required Tracheostomy for proper management and ventilation. As Surgeons we often required to examine and perform procedures in head and neck patients and are in high risk of exposure to aerosol and droplet contamination. We did a literature search for research regarding tracheostomy and its post procedure care during the ongoing COVID-19 pandemic. In this review various international guidelines and sources we...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 27, 2020 Category: ENT & OMF Source Type: research

Influence of Personality and Attitude Towards Loss of Hearing on Hearing Aid Outcome in Older Adults with Hearing Loss
Discussion: The individuals with extrovert personality, positive attitude towards hearing loss tends to depend on the amplification device for better communication and involve themselves more in social interaction. Poor acceptance and neg ative social or emotional reaction towards hearing loss can have a greater impact on hearing aid use and benefit. The present study highlights the importance of assessing the attitude and personality in older adults with hearing loss before fitting the hearing aid. These measures can be focussed dur ing counselling about the realistic expectation of outcome from the hearing aid. (Source: ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 27, 2020 Category: ENT & OMF Source Type: research

Emergence and Evolution of Olfactory and Gustatory Symptoms in Patients with COVID-19 in the Outpatient Setting
AbstractThe present study aimed at evaluating the prevalence of general and sinonasal symptoms in patients with olfactory symptoms and mild coronavirus disease-2019 (COVID-19) and determining the patterns in emergence and resolution of olfactory/gustatory symptoms relative to general and sinonassal symptoms. This was a prospective cross-sectional study conducted at the outpatient otorhinolaryngology clinic at a COVID-19-designated referral Hospital. We included consecutive patients with new-onset olfactory dysfunction and positive polymerase chain reaction (PCR) assay of COVID-19. We asked the patients to fill in a questio...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 27, 2020 Category: ENT & OMF Source Type: research

Challenges of Universal Newborn Hearing Screening in a Developing Country-a Double-Edged Sword
AbstractObjective to implement Universal Neonatal Hearing Screening (UNHS) in a tertiary academic hospital and identify associated risk factors. Prospective study. Screening tests with Otoacoustic Emissions (OAE) were done among newborns, prior to hospital discharge. In babies who fail OAE twice, Brain Response Audiometry (BERA) was done, failing which they were referred to higher ENT center for repeat testing and hearing rehabilitation. A total 2323 babies were admitted in the neonatal unit during the study period. Only 773 babies (a third) could be screened for the first OAE, two thirds being lost to study right at incep...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 27, 2020 Category: ENT & OMF Source Type: research

Trans-nasal Endoscopic Sphenopalatine Artery Ligation in Epistaxis: Coblation Versus Electrocauterization
AbstractEpistaxis is one of the most common emergencies encountered by otorhinolaryngologist. Although anterior epistaxis is easy to manage but posterior epistaxis is usually refractory. Transnasal endoscopic sphenopalatine artery ligation (TESPAL) is now a well established surgical technique for the management of refractory epistaxis. Electrocauterization and clipping are the most common methods used for ligation. Coblation is an upcoming tool with promising results in endoscopic skull base surgeries and tonsillectomies but has not been explored much in TESPAL. It was a randomised observational study.50 patients of refrac...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 27, 2020 Category: ENT & OMF Source Type: research

A Silent Non-thyroidal Adenoma in the Thyroid
AbstractThe surgeon needs to assess clinically significant thyroid nodules as they may represent aggressive forms of thyroid cancer or ectopic parathyroid glands. We discuss one such unusual nodule in the thyroid. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 25, 2020 Category: ENT & OMF Source Type: research

The Importance of Cribriform-Lamella Angle in Endoscopic Sinus Surgery
AbstractThe aim of this study is to evaluate cribriform-lamella (CL) angle and length of lateral lamella (LL) on CT scan and to correlate CL angle with LL length and Keros classification. Retrospective study analyzing 500 CT scans of PNS was performed at a tertiary care hospital. The CT scan anatomy of anterior cranial base was evaluated for Keros, CL angle and LL length. The relationship between these measurements was studied. Keros type I (75.2%) was the commonest finding in our study. Males have increased depth of olfactory fossa but there were no differences between the sides. Type A angle of CL (66.1%) was the commone...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 25, 2020 Category: ENT & OMF Source Type: research

Different Approaches to the Overlapping Infratemporal Fossa and Parapharyngeal Spaces: a Case Series and Review of Literature
AbstractParapharyngeal space and infratemporal fossa are 2 overlapping spaces in head and neck which have complex anatomy with vital neurovascular structures passing through them. Tumors of this region are extremely rare but majority of them (80%) are benign. Benign tumors of this region can lead to swellings in facial region, neck and oropharynx. Dysphagia may be a complaint of the patient. Many of these tumors have malignant potential. Removal of these tumors requires a good understanding of the anatomy of this space so that correct surgical approach can be selected. The surgeon needs to be adept in using the most suitab...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 25, 2020 Category: ENT & OMF Source Type: research

Prevalence of Voice Disorders in Indian Female Secondary School Teacher Population-A Cross Sectional Study
AbstractTeachers are the backbone of any civilized society as they are the keepers of knowledge, wisdom and values. Lack of infrastructure, manpower and resources makes voice the most important tool for a teacher. Teachers need to speak loudly for long periods often under unfavourable circumstances. Increased vocal effort and incorrect phonation techniques can lead to vocal fold tissue damage and vocal fold pathologies and hence voice problems producing adverse effects on teaching performance. To study the prevalence of voice disorders in Indian female secondary school teacher population. To identify the risk factors for t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 24, 2020 Category: ENT & OMF Source Type: research

Laryngeal Dysplasia: To Biopsy or Not?
AbstractA renal transplant recipient with chronic hepatitis B underwent multiple laser excisions over 4  years for laryngeal keratosis. From the initial histopathology reports of mild to moderate dysplasia, a progression to squamous carcinoma was noted over 4 years. This case report highlights the possible role of immunosuppressants and hepatitis virus in the aetiopathogenesis of laryngeal carcinoma . (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 24, 2020 Category: ENT & OMF Source Type: research

A Case Report of Infantile Ramsay Hunt Syndrome
We present a case of a 9  month old child that presented to our Department with Ramsay Hunt syndrome. Included is the management of the clinical condition and a brief literature review. Early identification, a high index of suspicion and prompt treatment is required to achieve a good clinical outcome. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 22, 2020 Category: ENT & OMF Source Type: research

Microbiological Profile and Antibiotic Sensitivity of 100 Cases of Otitis Externa
AbstractOtitis externa is a common condition encountered in the ENT outdoors. For long, it was thought to be of fungal etiology but after World War II, bacterial pathogens were found to be most commonly involved.Pseudomonas has been described as the most common causative organism in the literature. This prospective study aimed to study the microbiological profile and antibiotic sensitivity of 100 patients of otitis externa. 100 diagnosed cases of otitis externa were included in the study after informed consent. Swabs were taken from the external acoustic canal maintaining asepsis. The swabs were analysed using microscopy, ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 20, 2020 Category: ENT & OMF Source Type: research

A Simple Technique to Obliterate Canal Wall Down Mastoid Cavity Concurrently in Squamosal Otitis Media: Our Experience
AbstractChronic suppurative otitis media is a type of otitis media defined as a long standing infection of a part or whole of the middle ear cleft. Squamosal type of CSOM involves parsflaccida characterised by the formation of cholesteatoma. The present study is retrospective analysis of records of patient who underwent canal wall down mastoidectomy with obliteration of cavity using posteroinferiorly based musculoperiosteal flap with autogenous cartilage and bone pate. Study include patients who underwent canal wall mastoidectomy with cavity obliteration at Tertiary care Hospital Yavatmal, Maharashtra, India; during 2 &nbs...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 18, 2020 Category: ENT & OMF Source Type: research

Interlay Cartilage Rim Augmented Fascia Tympanoplasty: An Effective Graft Model in Mucosal Chronic Otitis Media
AbstractTo study the efficacy of interlay cartilage rim augmented fascia tympanoplasty in mucosal chronic otitis media. A retrospective, observational study was conducted in a tertiary care hospital including charts of patients spanning a duration of one year, where 15 patients diagnosed with chronic otitis media-mucosal disease with large and subtotal perforations (with or without ossicular erosion), and had undergone interlay cartilage rim augmented fascia tympanoplasty, were analysed for morphological and functional improvement following surgery. Pre- and post-operative otomicroscopic examination and pure tone audiometr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 18, 2020 Category: ENT & OMF Source Type: research

A Retrospective Cohort Study of Major Salivary Gland Tuberculosis: Our 13  Year Experience
AbstractThe tuberculous infection of major salivary glands is rare because they are relatively resistant to tubercle bacilli. The aim of this study is to present our 13  year experience on major salivary gland tuberculosis. The clinical, histopathological, microbiological and imaging records of 9 cases of major salivary gland tuberculosis were reviewed retrospectively. The cases diagnosed with either microbiological culture and/or polymerase chain reaction assay a nd/or Histopathological examination were included in the study. Descriptive statistics were used to summarize the data. There were 9 cases with tuberculous ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 17, 2020 Category: ENT & OMF Source Type: research

The Management of Foreign Body Displacement into the Maxillary Sinus as a Complication of Maxillofacial Interventions: Systematic Review
AbstractDisplacement of foreign bodies into the maxillary sinus shows an increasing tendency, especially in regard to raising amount of dental implant installation procedures. The purpose of our study was to compare the efficiency and the rate of late complications among the methods of removal of foreign bodies from maxillary sinus. We performed a systematic review following PRISMA Checklist, searching Pubmed and Google Scholar databases for studies investigating the methods of removal of foreign bodies from maxillary sinus. The inclusion criteria embraced the examined group of at least 10 cases and the follow up period of...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 17, 2020 Category: ENT & OMF Source Type: research

Management of Angiomatous Antrochoanal Polyp: Our Experience
AbstractAntrochoanal polyps are the most common type of choanal polyp. Angiomatous polyp is a rare subtype of Antrochoanal polyp that might be misdiagnosed as malignant lesion due to its clinical features. A retrospective observational study was conducted in a tertiary care hospital in patients who were diagnosed with Angiomatous Antrochonal polyp that underwent functional endoscopic sinus surgery from 2017 to 2020. We analyzed the clinical symptoms, radiological findings, and pathological features of all patients diagnosed with Angiomatous Antrochonal polyp. Unilateral nasal obstruction, rhinorrhea, and epistaxis were the...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 16, 2020 Category: ENT & OMF Source Type: research

Cochlear Implant in a Child with a Large Arachnoid Cyst and Cysto-peritoneal Shunt
AbstractProfound hearing loss requiring cochlear implantation and arachnoid cyst requiring placement of Cysto-Peritoneal Shunt (CPS) are two commonly seen entities. However, there are very few published cases of patients requiring both of them. The present report describes the importance of multidisciplinary surgical planning in one such patient. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 16, 2020 Category: ENT & OMF Source Type: research

Surgical Field Quality in Trans-Nasal Endoscopic Surgeries Using Lignocaine Infusion and Dexmedetomidine Infusion. A Prospective Randomized Control Study
AbstractTrans-nasal endoscopic surgery (TNES) is a helpful diagnostic and therapeutic modality in otorhinolaryngology surgeries and requires controlled hypotension for better visualization of the surgical field. Recent literature shows evidence of intravenous Lignocaine infusion to produce the controlled hypotension. The study aims to assess and compare the effects of Lignocaine (LIG) and Dexmedetomidine (DEX) infusion with respect to surgical field quality. 101 Consenting adult patients undergoing elective TNES were double-blinded, randomly allocated in one of the two groups and received either DEX infusion of 0.5ug/kg/hr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 15, 2020 Category: ENT & OMF Source Type: research

Pediatric Rigid Bronchoscopy for Tracheobronchial Foreign Bodies in Covid Times: Short Personal Experience
AbstractThis case series of 5 patients of rigid bronchoscopy done for tracheobronchial foreign bodies is presented to readers to share my experience of doing rigid bronchoscopy during Covid Times from March to July 2020 specifically sharing experience on personal protection with local innovations during the procedure. Indications, intra-procedure modifications and other relevant things are also presented. The observations and experience are purely personal gained during these months and may be subjected to further research and in no way substitute the well established facts. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 15, 2020 Category: ENT & OMF Source Type: research

Covid-19 Demographics from a Tertiary Care Center: Does It Depreciate Quality-of-Life?
AbstractNovel Coronavirus-disease-2019 (Covid-19) caused by the severe-acute-respiratory-syndrome coronavirus-2 (SARS-CoV-2) shows a rapid spread all over the world. It ’s still an ongoing pandemic with greater morbidity and mortality. In our study, we describe clinical features, and demographics of patients presenting to our tertiary care center with Covid–19 infection. Global burden was around 14 million Covid-19 positive cases with .5 million deaths and risi ng as per WHO update. A descriptive analytical cross-sectional study was carried out from June 1st to 30th, 2020 in a tertiary care center. Patients who...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 14, 2020 Category: ENT & OMF Source Type: research

Does Operable Stage IV Gingivobuccal Cancers Need Further Prognostic Subgrouping?
ConclusionThe nodal status is the most important prognostic factor affecting DFS and OS. Patients with small primary but advanced nodal stage do poorly than patients with advanced primary and node-negative disease. There is a need for subgrouping patients with Stage IVA tumors based on nodal status for better prognostication. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 14, 2020 Category: ENT & OMF Source Type: research

Effects of Prolonged Use of Facemask on Healthcare Workers in Tertiary Care Hospital During COVID-19 Pandemic
This study suggests that prolonged use of facemasks induces difficulty in breathing on exertion and excessive sweating around the mouth to the healthcare worker s which results in poorer adherence and increased risk of susceptibility to infection. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 14, 2020 Category: ENT & OMF Source Type: research

Auditory Processing in Children with Specific Language Impairment: A FFR Based Study
The objective of the study was to compare the amplitude and latency of the frequency following response (FFR) parameters between the children with SLI and typically developing children. The frequency following response was recorded using/da/stimuli from ten ears of children diagnosed with SLI. The amplitude and the latencies of the different peaks of FFR in children with SLI were compared with those of typically developing children. The results of the study showed that the latencies of wave C and D were significantly prolonged in children with SLI compared to typically developing children. The waveforms obtained from the t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 13, 2020 Category: ENT & OMF Source Type: research

The New Normal of ENT OPD: Adapting Safe Practices
AbstractThe COVID-19 epidemic originating in China has spread rapidly worldwide and converted to pandemic proportions in March 2020. In India and densely populated countries like Brazil and USA the numbers are still rising. Clinicians all over the world are trying to contain it by minimizing the cross-transmission of disease among hospital staff members. In the field of Otorhinolaryngology (ENT) the doctors are exposed to high viral load while examining the patients. Therefore contingency plans are required for dealing with patients in outpatient clinics, and while performing diagnostic endoscopies, minor procedures in OPD...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 13, 2020 Category: ENT & OMF Source Type: research

Cochlear Implants: Evaluation of Effects of Various Parameters on Outcomes in Pediatric Patients at a Tertiary Care Centre for Unilateral Ear Implantation
AbstractTo determine whether variables such as Age, Gender, Demographic background of the patient and Pre-operative usage of hearing aids affect the outcomes of pediatric cochlear implant surgery when modified; in terms of speech and hearing gain. A hospital based retrospective-prospective type of cohort study was conducted over a period of 5  years at a Tertiary care Teaching hospital and referral centre covering a population of about 68.9 million. Candidates selected were 1–5 years of age with bilateral congenital severe-profound sensori-neural hearing loss. 50 patients were selected and were operated usi...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 11, 2020 Category: ENT & OMF Source Type: research

Impact of Patient Guidance Handouts on Outcomes of Fees
AbstractPost-operative care in FESS is an important aspect. Nasal saline irrigation and Nasal steroid spray are highly recommended worldwide in post-operative protocol after endoscopic sinus surgery. Hence patients compliance for both these procedures becomes a deciding factor for outcomes following FESS and there is not much evidence in literature regarding the same. The present study was conducted to evaluate the role of giving patients pictorial handouts regarding nasal saline irrigations and various positions of using nasal steroid spray in improving outcomes of FESS. It was a randomised control study.46post operative ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 11, 2020 Category: ENT & OMF Source Type: research