Log in to search using one of your social media accounts:

 

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

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

The Correlation of Allergic Rhinitis with ABO Phenotype
This study contributes to the better understanding of the pathophysiology and clinical var iability of this disease and may help to improve strategies towards its prevention and diagnosis. Additionally, ABO histo-blood group phenotyping, an inexpensive and easy to perform assay could be used to identify individuals at risk of developing allergic rhinitis. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 5, 2017 Category: ENT & OMF Source Type: research

Intratympanic Injection of Steroid for Treatment of Tinnitus
AbstractTinnitus has become one of the most challenging tasks faced by the medical field. It has a moderately negative impact on patient ’s quality of life. Different methods had been developed in medical science for managing tinnitus but none of these offered a permanent cure. In our study we used a simple procedure of intratympanic injection of dexamethasone in managing our tinnitus patients. Total number of patients involved in this study were 40, 26 females and 14 males with age spanned from 15 to 65 years. Out of 40 patients, 22 of them complained of tinnitus only while the other 18 of them complained of ti...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 30, 2017 Category: ENT & OMF Source Type: research

Bacterial Biofilms in Chronic Rhinosinusitis and Their Implications for Clinical Management
AbstractTo study the microbiological profile in patients with chronic rhino-sinusitis. To correlate disease severity with the presence of biofilms and host risk factors. To assess outcome of Sinus Surgery 2  weeks post operatively in terms of presence of bacteria and their ability to form biofilm. Prospective study. 50 cases of chronic rhino-sinusitis requiring Functional Endoscopic Sinus Surgery admitted in SDM Hospital, Dharwad, Karnataka were studied using intra-operative mucosal samples for microb iological analysis. The organisms isolated were tested for biofilm forming ability using three in vitro tests. Severit...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 25, 2017 Category: ENT & OMF Source Type: research

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