Classification of Naso Septal Deviation Angle and its Clinical Implications: A CT Scan Imaging Study of Palakkad Population, India
AbstractComputerized tomographic imaging of the nasal and paranasal regions has become an indispensable tool for the endoscopic sinonasal surgery. The case control study was carried out on 120 patients for pilot study and 800 patients for the main study. The cases were selected with a clinical diagnosis of chronic rhino sinusitis. They were referred for a sinus CT scan by otolaryngologists and controls from the normal population. The patients were separated into males and females and anatomical variations were assessed. Increased prevalence of left sided nasal septal deviation and type II nasal septal deviation was seen in...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 8, 2018 Category: ENT & OMF Source Type: research

Comparative Study of Nasal Symptoms and Pulmonary Function Tests Post FESS in Ethmoidal Polyposis
AbstractThe  objective of this study were to assess the pulmonary function in patients with ethmoidal polyposis who did not respond to medical treatment; to evaluate the effect of Functional Endoscopic Sinus Surgery on the lung function of these patients and to compare the total nasal symptom score in these p atients. A prospective observational study was conducted in Department of ENT, KMC Manipal on 50 subjects with ethmoidal polyposis who were unresponsive to medical treatment and hence underwent FESS. Pulmonary function tests were assessed using spirometry and nasal symptoms were scored as per TNSS s ystem pr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 8, 2018 Category: ENT & OMF Source Type: research

A Perspective of Clinical Behaviour and Management of Deep Neck Space Infections (DNSI): The Clinical Conundrum
In this study, submandibular space infection was found to be the most common space involved in DNS I. Pain (100%) was the most common clinical complaint followed by neck swelling (65.69%). Staphylococcus aureus (38 cases) was the most common micro-organism isolated. Surgical intervention was the main modality of treatment and there was one mortality. DNSIs are fairly common challenging and potent ially lethal entities which can lead to severe complications in a very short time, should there be delay in its prompt diagnosis and management. Computerized Tomography Scan (CT scan) with contrast is the investigation of choice i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 7, 2018 Category: ENT & OMF Source Type: research

Human Immunodeficiency Virus Infection: Does Highly Active Antiretroviral Therapy Influence Ear Nose Throat Manifestations?
AbstractTo study the change in trend of ear, nose and throat (ENT) manifestations in patients who were on treatment, before and after availability of highly active antiretroviral therapy (HAART). To find out the prevalence of ENT manifestations in human immunodeficiency virus (HIV) infected people who were on treatment, in the year of 2004 (before the availability of HAART) and in 2014 (after the availability of HAART).Design A combination of a retrospective and prospective study.Setting Anti Retroviral Therapy (ART) Center at Our Hospital.Subjects Patients with HIV infection on ART.Methods Retrospective review of case rec...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 7, 2018 Category: ENT & OMF Source Type: research

Completely Endoscopic Approach Using a Skeeter Drill to Treat Bilateral Congenital Choanal Atresia in a 33  Week Born Pre-term Baby
We present a case of a premature baby of 1.10  kg, who developed respiratory distress and was diagnosed with bilateral CA. A nasal airway was created endoscopically using a skeeter drill. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 4, 2018 Category: ENT & OMF Source Type: research

Management of Head and Neck Hemangiomas in Adults: Oral Propranolol Versus Oral Itraconazole in Conjugation with Injection Sodium Tetra Decyl Sulphate
AbstractManagement of head and neck hemangiomas with oral propranolol versus oral itraconazole in conjugation with injection sodium tetra decyl sulphate. This prospective parallel clinical trial was done to check for the effectiveness of oral propranolol and oral itraconazole when used in conjugation with inj. sodium tetra decyl sulphate in treatment of head and neck haemangiomas in adult patients visiting department of ENT and head and neck surgery, VIMSAR, Burla. All the patients visiting the department with hemangioma (diagnosed clinically and by FNAC) were considered and only those who gave written informed consent and...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 4, 2018 Category: ENT & OMF Source Type: research

Voice Change Following Adenotonsillectomy in Pediatric Population: Myth or Reality? —A Pilot Study
This study was thus conducted to study the effect of adenotonsillectomy/tonsillectomy on childrens ’ voice. It was a prospective observational study of children aged 4–15 years undergoing tonsillectomy with or without adenoidectomy. Measures of voice were noted preoperatively, 1 and 3 months post-operatively. Subjective evaluation was done using Paediatric Voice Outcome Survey (PVOS) questi onnaire administered to participants’ parents. Objective evaluation was done by recording and analyzing using PRAAT voice analysis software which is an open-software tool. Statistical analysis was done using ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 4, 2018 Category: ENT & OMF Source Type: research

Evaluation of Role of Mitomycin C in the Cases of Nasolacrimal Duct Blockage Undergoing Endoscopic Dacryocystorhinostomy
AbstractDacryocystorhinostomy is a common surgical procedure done for the treatment of obstruction of the lacrimal sac or nasolacrimal duct. Adjunctive use of a wound healing inhibitor like Mitomycin C is considered to minimize the risk of complications and increase the success rate of endoscopic endonasal DCR. The current study is aimed to compare the results of endoscopic DCR without silicon stents with or without Mitomycin C and to see for any complications resulting from the surgery. This was a prospective study carried out in the department of Otorhinolaryngology at Safdarjung Hospital, New Delhi from February 2015 to...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 3, 2018 Category: ENT & OMF Source Type: research

Tracheostomy: Experience at Tertiary Hospital
AbstractAn attempt was made to find indications of tracheostomy procedure and its complications in the modern era of medicine with refined surgical techniques at a tertiary hospital. A retrospective study of 240 patients, who had undergone tracheostomy, was done during the period from January 2013 to April 2017 at Govt. Medical College Hospital. Various details of all participants such as age and sex of patients, detailed history of the current disease, and detailed information about tracheostomy and complications were recorded. In the present study, the most common indication for tracheostomy was prolonged ventilation due...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 3, 2018 Category: ENT & OMF Source Type: research

Radiological Study of the Ethmoidal Arteries in the Nasal Cavity and Its Pertinence to the Endoscopic Surgeon
AbstractWe studied the ethmoidal arteries using preexisting computer tomography of the paranasal sinuses (CT PNS) and statistically scrutinized data obtained between genders. A descriptive study from 77 CT PNS dated January 2016 –December 2016 were collected and reviewed by two radiologists. A total of 54 (108 sides) CT PNS were studied of patients aged 18–77 years. 37 are male, 17 are female; with Bumiputera Sarawak predominance of 25 patients, 12 Malays, 16 Chinese and one Indian. Rate of identification are as follow s: anterior ethmoidal artery (AEA)-100%, middle ethmoidal artery (MEA)-30%, posterior et...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 2, 2018 Category: ENT & OMF Source Type: research

Parotid Gland Tumours: Our Experience
AbstractSalivary gland tumor comprises of approximately 3 to 10% of neoplasms of the head and neck region. Parotid gland is the most commonly involved salivary gland with an incidence of 62% followed by submandibular gland and other minor salivary gland tumors. However clinical course of benign and malignant tumors resemble each other in clinical findings, we require histopatholocal or cytological diagnosis for planning of management. To analyze parotid tumors retrospectively with following objectives. (1) Demographic distribution of parotid tumors. (2) To evaluate cytological and histopathological findings of parotid tumo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 31, 2018 Category: ENT & OMF Source Type: research

Revisiting Correlation Between Pre Operative High Resolution Computed Tomography and Operative Findings in Attico Antral Disease
Abstract(1) To correlate the findings of high resolution computed tomography (HRCT) scans with operative findings in chronic otitis media (attico antral disease). (2) To assess the role of HRCT in chronic otitis media (attico antral disease). This prospective observational study undertaken at a tertiary level teaching hospital included 50 patients of chronic otitis media (attico antral disease) who underwent pre-operative HRCT scanning and the findings were compared with the operative findings and correlation between the two was assessed with appropriate statistical methods. HRCT findings correlated well for the status of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 31, 2018 Category: ENT & OMF Source Type: research

Functional Nasal Surgery and Use of CPAP in OSAS Patients: Our Experience
AbstractThe surgical correction of nasal obstruction is definitely effective and recommended in patients with poor CPAP compliance, often secondary to the high pressures that need to be given in patients with nasal sub stenosis. For this reason, the objective of this study is the evaluation of the effectiveness and effects of the functional nose surgery on adherence to CPAP- therapy in patients (with moderate to severe OSAS with indication of ventilation therapy) poorly compliant with CPAP. The study was performed on a sample of 52 patients, 40 male and 12 female, aged between 29 and 72  years followed by the Otolaryn...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 31, 2018 Category: ENT & OMF Source Type: research

Monophasic Synovial Sarcoma of Tongue: A Rarest of Rare Case Scenario
AbstractSynovial sarcoma is a rare tumour of head and neck. Primary synovial sarcoma of tongue is very uncommon. Based on morphology, it can be classified as classical biphasic variant, monophasic spindle cell variant, monophasic epithelial variant and poorly differentiated variant. The authors with an index case of 74  year old lady with monophasic spindle cell synovial sarcoma of oral tongue which is one of the rarest variants (our case is the 15th case reported of synovial sarcoma of the tongue and only the 3rd case in the world which had a monophasic histopathologic pattern) studied the morphology and describ ed t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 30, 2018 Category: ENT & OMF Source Type: research

Robot Assisted Trans Axillary Thyroidectomy: A Subcontinent Experience
(Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 30, 2018 Category: ENT & OMF Source Type: research

Evaluation of a Dermoplasty Technique for the Control on Nasal Polyps
Abstract To evaluate the efficacy of a dermoplasty technique in controlling nasal polyps comparing to the conventional endoscopic approach. Prospective observational study Tertiary private hospital. Twenty-nine patients underwent surgery for replacement of the middle meatus mucosa with skin. Some patients (41.4%) suffered from allergies, 44.8% from asthma, and 27.6% from aspirin intolerance. Polyps were staged according to the Lildholdt system, and patients completed a sino-nasal outcome test (SNOT-22) pre and post-operatively. Also, patients were interrogated as for medication relevant to the nose received pre and post-...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Minimal Invasive Endoscopic Ear Surgery: A Two Handed Technique
AbstractTo evaluate the surgical outcome of two handed technique of endoscopic ear surgery with endoscope holder. Retrospective Non Randomized Clinical Study. A total of 547 endoscope holder (Justtach) assisted ear surgeries (331 cartilage tympanoplasties and 216 cholesteatoma surgeries) were operated with Justtach from July 2013 to April 2016 with a follow up period ranging from 12 to 45  months to evaluate its feasibility and results with the technique. The design of the endoscope holder, Justtach is described along with its functioning and maneuvering techniques. In the endoscopic tympanoplasty group, at 1 yea...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Transwindow Suture Technique for Pseudocyst of Pinna
AbstractPseudocyst or seroma of the pinna is the accumulation of serous fluid between the perichondrium and cartilage of pinna. Though there are several surgical techniques in the treatment of seroma, recurrence is common. The aim and objective of this preliminary study is to present and discuss a novel technique of treating pseudocyst of pinna which is practiced at Karwar Institute of Medical sciences. A prospective study was done with a novel procedure “Transwindow suture technique” for the treatment of pseudocyst of pinna in four patients. Three of the four patients had a very good results without any recurr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Aural Atresia with Cholesteotoma and Its Management Strategies
AbstractThe term congenital aural atresia is used to describe failure of external auditory canal to open. Thus it results in conductive hearing loss. There are ways to improve the transmission of sound to the healthy inner ear, we have performed surgery to open the ear canal and restore the natural sound-conducting mechanism to the inner ear. Thus avoiding multiple surgeries. The study was conducted among patients aged between 12 and 24  years, our study included 8 patients with aural atresia with cholesteotoma. After a detailed examination of patients were subjected to surgery. In our study with the sample size of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Management of Unstable Middle Turbinate in Endoscopic Sinus Surgery
AbstractTo propose a simple technique for preservation, medialization and stabilization of the middle turbinate through a planned medial synechiae formation using suction electrocautery between middle turbinate and nasal septum. Study design is Case series. 150 cases of chronic rhino sinusitis who underwent ESS were selected and stabilization of the middle turbinate through a planned medial synechiae formation using suction electrocautery was done as last step and results studied. Adequate medialization was achieved in 141 cases with 94% success rate. This technique of medialization of middle turbinate through a planned me...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Role of Cervical Vestibular Evoked Myogenic Potentials (cVEMP) as Outcome-Measure of Glycerol Test
AbstractDiagnosis of Meniere ’s disease is mainly clinical although many tests have been studied for efficacy in diagnosis of Meniere’s disease. Glycerol test is a functional test to identify hydrops in Meniere’s disease and can be done with PTA, Speech audiometry, otoacoustic emission, EcochG and cVEMP as its outcome mea sures. The study aimed to compare two outcome measures of glycerol test to identify Meniere’s disease; to determine whether the stage of Meniere’s disease affected glycerol outcomes; and to attempt to identify independent variables that could predict outcomes of glycerol test...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2018 Category: ENT & OMF Source Type: research

Biopsy Examination Validity Based on Narrow Band Imaging Guidance of Nasopharyngeal Carcinoma Suspected Patients
AbstractThe diagnosis of nasopharyngeal carcinoma (NPC) is established based on histopathological examination results of tumor tissue in nasopharynx and narrow band imaging (NBI) which is an imaging technique that utilizes specific displacement and light absorption characteristics of a specific wavelength. It has not known yet the validity of nasopharyngeal biopsy examination results based on NBI guidance and blind biopsy as a golden standard in establishing nasopharyngeal carcinoma diagnosis. Analyzing the validity of the nasopharyngeal biopsy examination results through NBI guidance and blind biopsy as a golden standard ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 26, 2018 Category: ENT & OMF Source Type: research

Pyramidal Artery: An Artery to Pyramidal Lobe —A New Nomenclature
AbstractThyroid lobes are supplied by superior and inferior thyroid arteries. We dissected out a specific arterial pattern always present along with a well developed pyramidal lobe. Authors named this as “Pyramidal Artery”. This may be a common unnoticed bleeding site during surgery. Thyroid anomalies are commonly observed as incidental finding during surgery. Presence of pyramidal lobe is the most common finding among other thyroid anomalies due to persistence of thyroglossal duct. Present stud y reported incidence of pyramidal lobe in 41.46% cases and pyramidal lobe branches off more frequently from left lobe...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2018 Category: ENT & OMF Source Type: research

MRI as an Alternative to Second Look Mastoid Surgery
This study was applied on 60 patients that have a recurrent cholesteatoma after previous mastoid surgery. A preoperative radiological evaluation was done by Magnetic resonance, surgical management was done by canal wall up or canal wall down mastoidectomy to exclude residual disease. Then, radiological, and surgical findings correlation was done. Diffusion-weighted MRI successfully detected 42 cases out of the 45 cases of surgically proved cholesteatoma, it has accuracy 95%, sensitivity 93.33%, specificity 100%, PPV 100% and NPV 83.33%. MRI is better than CT in tissue characterization for diagnosis of recurrent cholesteato...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2018 Category: ENT & OMF Source Type: research

Post-operative Sensorineural Hearing Loss After Middle Ear Surgery
AbstractChronic suppurative otitis media is managed by tympanomastoid surgery often requires mastoid drilling. Sometimes patients develop sensorineural hearing loss after middle ear surgery. Objective of the study was to compare pre and post operative bone conduction thresholds after middle ear surgeries. The study was conducted on 90 patients who had undergone middle ear surgeries, 30 patients of tympanoplasty (group I), modified intact canal wall mastoidectomy and tympanoplasty type-I (group II) and modified radical mastoidectomy (group III) each ware included. Demographic and clinical data were reviewed. Duration of sur...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2018 Category: ENT & OMF Source Type: research

Efficacy of Tinnitus Retraining Therapy, A Modish Management of Tinnitus: Our Experience
AbstractTinnitus retraining therapy involves masking of tinnitus at sound perception level in combination with structured counselling sessions. To assess efficacy of Tinnitus retraining therapy (TRT) in Patients of Tinnitus with Sensori Neural Hearing loss. Prospective study was carried out on patients who presented with Tinnitus in ENT OPD from December 2015 to December 2016. Severity of tinnitus was documented using Tinnitus handicap inventory scale. Response to tinnitus is evaluated at the end of 3  months. In our study 57 patients in age group 21–78 years were selected and Tinnitus retraining therapy wa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2018 Category: ENT & OMF Source Type: research

Application of Standardised Yoga Protocols as the Basis of Physiotherapy Recommendation in Treatment of Sleep Apneas: Moving Beyond Pranayamas
AbstractYoga is an ancient Indian practice of mental and physical exercises (syn: asanas), postures (syn: mudras), movements and breathing techniques which sustain healthy living of the body and the mind. It incorporates various exercises of breathing, oropharyngeal structures and facial expressions, the physiology and effect of which are comparable to international physiotherapy recommendations in treatment of obstructive sleep apnea (OSA) i.e. to preserve upper airway patency by maintaining airway dilator muscle tone. Preliminary results show that yoga can be an effective and constructive alternative to physiotherapy for...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 22, 2018 Category: ENT & OMF Source Type: research

Vocal Cord Lateralization in Bilateral Abductor Paralysis by Extra-Endo Laryngeal Suture Technique: A Case Series
The objective of the study is to throw light on our experience of a novel method of lateralization of vocal cord in six patients. The procedure was found to be reliable as well as associated with numerous adv antages including shorter operating time and lesser intra operative manipulation on larynx. The method is less irritant (knot on outer aspect of larynx), adjustable (knot can be tightened and loosened accordingly) and reversible (knot can be removed if patient recovers). Additional benefits of the p ractice are smooth learning curve and economic in nature. The procedure has also been modified from quadruple prick to t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 22, 2018 Category: ENT & OMF Source Type: research

Association of Protein Expression p53 Mutants with Regional Lymph Gland Status on type III Carcinoma Nasofaring Patients
AbstractNasopharyngeal carcinoma (NPC) is a malignant disease originating from the nasopharyngeal epithelial cells. The molecular mechanism of cancer occurrence is a change in the oncogene and tumor suppressor genes. One of the tumor suppressor genes that mutate in cancer cells is the mutant p53 gene. One of nasopharyngeal carcinoma progression is determined by the status of regional lymph gland. The enormous regional lymph node has a poor prognosis. To analyze the expression of the mutant p53 protein in Nasopharyngeal carcinoma (NPC) that correlated with regional lymph gland status (N) as a clinical manifestation. Express...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 21, 2018 Category: ENT & OMF Source Type: research

Nasal NK/T-cell Lymphoma Presenting as Acute Inflammation of Nasal Vestibule
AbstractExtra nodal nasal NK/T cell lymphoma is relatively a rare type of non-Hodgkin lymphoma. Variable clinical presentation with rapidly progressive necrosis of the cartilaginous and bony wall of the nose and upper respiratory passages leads to delayed diagnosis and treatment. A 43-years-old patient presented with right nasal pain and furuncle-like swelling. The swelling progressed rapidly to cellulitis to the face up to the right eye. Within 2  months, it had advanced to necrosis of the lateral vestibular cartilage, medial maxillary wall, turbinate and nasal septal cartilage. Biopsy reported as non-Hodgkin diffuse...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 19, 2018 Category: ENT & OMF Source Type: research

Comparative Post-operative Pain Analysis Between Coblator Assisted and Bipolar Diathermy Tonsillectomy in Paediatric Patients
AbstractTonsillectomy is one of the commonly performed otolaryngological operations. Despite a range of different techniques post-operative pain remains a major side-effect of this operation. Coblation assisted tonsillectomy is a latest technique of tonsillectomy. This technique is said to be associated with less intra-operative bleeding and less postoperative morbidity. We conducted a study in 100 patients to compare the pain scores between coblation assisted and bipolar diathermy tonsillectomy by FLACC score and Wong Baker scale score. The data so collected was statistically analysed using at test andp values were calcul...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 17, 2018 Category: ENT & OMF Source Type: research

Midline Congenital Upper Lip Sinus: A Rare Case
AbstractTo present a rare case of a midline congenital upper lip sinus and its management. Background: A lip sinus is a rare condition, where a failure of the complete union during early stages of development leads to its formation. The prevalence of lower lip sinus is estimated to be about 0.00001% of the white population and that of upper lip sinus is even rarer. A congenital lip sinus maybe associated with syndromes such as; Von der Woude syndrome, or maybe present in isolation. A 25-year-old male presented to our clinic with intermittent swelling in the upper lip region. Clinical examination revealed a congenital midli...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 16, 2018 Category: ENT & OMF Source Type: research

Effect of Duration of Exposure to Personal Listening Devices on Hearing Thresholds in Young Adults
This study was conducted over a period of 2  months. After eliminating all previous and current otological pathologies, Pure Tone Audiometry was conducted on each subject for both air and bone conducted sound stimuli. The subjects were divided into different groups based on duration of exposure. The audiograms were then closely evaluated for the existence of an association between the duration of personal listening devices (PLD) use and hearing impairment. The data was then evaluated by Chi Square test and Mann–Whitney U test using GraphPad InStat 3 software for the existence of an association between the durati...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 16, 2018 Category: ENT & OMF Source Type: research

Evaluation of Patients for Endoscopic DCR: Sac Syringing and Radionuclide Scintigraphy
In this study, from the year Jan. 2013 to Jan. 2016, patients of epiphora were subjected to radionuclide scintigraphy of lacrimal apparatus in addition to sac syringing and probing. The significance of adding radionuclide scintigraphy in pre op assessment of epiphora was statistically assessed. 146 lacrimal systems were enrolled in the study. Out of them, 89 were males and 57 were females. The mean age of the patients was 42  years. Of the 146 lacrimal systems evaluated, scintigraphy detected 25 cases of common canalicular block versus 8 cases by sac syringing. Also radionuclide scintigraphy was able to detect 11 case...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 16, 2018 Category: ENT & OMF Source Type: research

Oncological Outcomes Following Transoral CO 2 Laser Microsurgery for T1 Glottic Cancer
This study is retrospective analysis of previously untreated, suspected lesion of glottis, staged cT1a and cT1b squamous cell carcinoma in a tertiary care hospital and 53 patients were included in the study. End points for analysis were local control, overall and disease specific survival rates. The local control, ultimate local control with laser alone, 3-year overall survival, 3-year disease specific survival and organ preservation rates were 86.7, 90.5, 92.4, 98.1 and 98.1% respectively. The involvement of anterior commissure did not show any significant impact on local control or survival. TLM is safe and effective tre...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 14, 2018 Category: ENT & OMF Source Type: research

Early Speech Perception Test Outcome in Children with Severe Sensorineural Hearing Loss with Unilateral Cochlear Implants Alone versus Bimodal Stimulation
This study was undertaken to determine the advantages of bimodal stimulation in pediatric population especially in terms of speech recognition. This study comprised of 30 children between 3 and 6  years of age with profound bilateral sensorineural hearing loss with cochlear implant in one ear and fitted with digital hearing aid in non-implanted ear. Speech recognition performance was compared in unilateral cochlear implant only and with bimodal hearing stimulation in the same set of childre n. A statistically significant difference was found between speech reception scores in children with a unilateral cochlear implan...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 14, 2018 Category: ENT & OMF Source Type: research

Audiological Evaluation in Hypothyroid Patients and Effect of Thyroxine Replacement Therapy
AbstractTo do the audiological evaluation of patients with hypothyroidism and to assess status of hearing after thyroxin replacement therapy (TRT). Two groups were included: a hypothyroidism group (HG, n  = 50), and a control group (CG, n = 50). Parameters studied: anominesic data, duration of hypothyroidism, comorbidities, cochleovestibular symptoms, biochemical and hormonal exams (TSH, FT4 and FT3), pure tone audiometry, impendence audiometry and BERA as where required. Mean age of the pat ients in HG was 26.5 ± 10.4 years. Male/Female ratio was 2.39. All HG patients ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 14, 2018 Category: ENT & OMF Source Type: research

Penetrating Neck Injuries: from ER to OR
AbstractNeck contains several vital structures, in a small close space, in complex relationship to each other, and unprotected by any bony framework. Any injury to this crucial region, hence mostly becomes an acute emergency. Appropriately managing the same has always been a point of constant discussion amongst head and neck surgeons. The basic aim of the study was to discuss the management, comorbidities, prognosis and associated complications encountered in a series of patients with penetrating neck trauma (piercing platysma), presenting to the emergency over a period of 1  year. Combat injuries and patients declare...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 12, 2018 Category: ENT & OMF Source Type: research

A Comparative Study of Type-I Underlay Tympanoplasty with Temporalis Fascia Graft Alone and with Conchal Cartilage
AbstractTympanoplasty which is the repair of the tympanic membrane using temporalis fascia, has been done worldwide and has stood the test of time. However in cases of reperforation or large/subtotal perforations, we are often left in need of some sturdy material for grafting. To compare the graft uptake and hearing improvement in patients undergoing type I tympanoplasty using temporalis fascia alone and temporalis fascia along with conchal cartilage. The current research is a prospective study of 60 patients with chronic suppurative otitis media (Tubo tympanic type), undergoing type I tympanoplasty, using temporalis fasci...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 11, 2018 Category: ENT & OMF Source Type: research

Study of Endonasal Endoscopic Dacryo-cystorhinostomy with Special Reference to Mitomycin-C
AbstractThe aim of this study was to evaluate long-term results in patients with nasolacrimal duct obstruction treated with intranasal endoscopic dacryo-cystorhinostomy (DCR) with intraoperative topical application of mitomycin-C. The procedure was carried out in 34 subjects (41eyes). Patients with post-saccal stenosis were divided into two groups, 21 patients were treated with intranasal endoscopic dacryo-cystorhinostomy with intraoperative application of Mitomycin-C (MMC) and the other 20 cases underwent procedure only without Mitomycin-C. Effectiveness of drug at rhinostomy site was assessed in relation to granulation f...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 10, 2018 Category: ENT & OMF Source Type: research

Variations of Retromandibular Vein and Its Relation to Facial Nerve Within Parotid Gland
AbstractMaxillary vein and superficial temporal vein unite to form the retromandibular vein in the parotid gland. The facial nerve lies lateral to external carotid artery and retromandibular vein. Identifying and preserving the facial nerve is the prime motto during parotidectomy. So the variations of facial nerve and the retromandibular vein should be known so as to avoid injury to both. The variations we encountered during parotid surgery will be helpful in avoiding unexpected bleeding and injury to facial nerve. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 8, 2018 Category: ENT & OMF Source Type: research

Bell ’s Palsy-Tertiary Ischemia: An Etiological Factor in Residual Facial Palsy
AbstractThe facial nerve is unique among the motor nerves. It has long and tortuous course through the temporal bone and within the Fallopian canal. Because of this it is more prone to paralysis than any other nerve in the body. The most frequent type of facial palsy is Bell ’s palsy. This is an acute idiopathic lower motor neuron palsy of the facial nerve which does not normally progress and which is most usually unilateral and self limiting,: the majority of cases remit within 4–6 months and nearly always remission is complete by 1 year. In those cases that do n ot recover it is my contention that t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 8, 2018 Category: ENT & OMF Source Type: research

To Evaluate the Pre and Post Shunt Sensorineural Hearing Loss in Hydrocephalus Patients
AbstractHydrocephalus means watery head and defined as disturbance of formation, flow, or absorption of cerebrospinal fluid. The clinical presentation of hydrocephalus includes hearing loss especially sensorineural hearing loss (SNHL). Ventriculoperitoneal (VP) shunting is the most commonly performed procedure in these patients. Pure tone audiogram, impedence and BAEPs, were done for preoperative hearing assessment in 20 hydrocephalus patients. Out of 20 patients, 12 cases (60%) had SNHL while, rest 8 (40%) patients had mixed hearing loss. Post VP shunting hearing improvement was observed in 14 patients (70%) whereas it wo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 8, 2018 Category: ENT & OMF Source Type: research

Selective Neck Dissection Technique in the Treatment of Recurrent Pyriform Sinus Fistula
We present two index cases of 3rd and 4th pyriform sinus fistulas with their varied anatomical course and clinical presentation who were treated by selective neck dissection technique. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 5, 2018 Category: ENT & OMF Source Type: research

Outcome of Septorhinoplasty in Deviated Nose Deformity: One Year Cross-Sectional Study
AbstractTo evaluate outcome of Septorhinoplasty in Deviated nose deformity using Nasal Obstruction Symptom Evaluation (NOSE) scale and Rhinoplasty outcome evaluation score (ROE). This observational study was conducted in the department of Otorhinolaryngology and Head and Neck Surgery of KLE University ’s Jawaharlal Nehru Medical College and KLES Dr. Prabhakar Kore Hospital and Medical Research Center, Belagavi from January 2015 to December 2015. Forty patients were evaluated and comparisons were made for NOSE score preoperatively and postoperatively. Comparison of decrease in NOSE score with ag e distribution, sex di...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 5, 2018 Category: ENT & OMF Source Type: research

Diagnostic Evaluation of Chronic Nasal Obstruction Based on Nasal Endoscopy and CT Scan Paranasal Sinus
This study was conducted in the Department of Otorhinolaryngology and Head Neck Surgery, Chirayu Medical College and Hospital, Bhopal from August 2016 to September 2017. A total of 50 patients from age group 1 –70 years irrespective of sex with complaints of chronic nasal obstruction, which were unresponsive to routine appropriate medical therapy, were selected for this study. Comparative study among findings of nasal endoscopy and CT scan of the paranasal sinuses done. After clinical examination, pati ents were subjected to high resolution computed tomography (HRCT) of paranasal sinuses and diagnostic nasal end...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 5, 2018 Category: ENT & OMF Source Type: research

Treatment of Tympanic Membrane Retraction Pockets by Excision and Cartilage Tympanoplasty: A Prospective Study
AbstractTo assess the role of cartilage tympanoplasty in management of retraction pockets of the pars flaccida. This was a prospective study at a tertiary care centre. Twenty patients having grade III or grade IV retraction pockets were included in the study. Retraction pockets were treated by excision and cartilage tympanoplasty. Findings noted on follow-up were recorded and analysed. Graft was taken up in 18 (90%) cases with residual perforation in 2 (10%) cases. Recurrence of retraction pockets was observed in 6 (30%) cases. Hearing was improved up to 15  dB in 16 (80%) cases. It is concluded that grade III and IV ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 5, 2018 Category: ENT & OMF Source Type: research

Sinonasal Mucormycosis: A to Z
AbstractMucormycosis caused by one of the members of Mucoraceae family, is one of the most rapidly spreading and fatal fungal infection occurring mostly in Diabetic or Immunocompromised patients especially in developing countries. 26 patients suffering from sinonasal mucormycosis admitted in SGRRIM&HS, Dehradun from January 2013 to January 2017 are discussed. Diagnosis of mucormycosis was established on strong clinical suspicion with presence of grayish black crusting on nasal endoscopy which is confirmed by histopathology examination. Immediate correction of  underlying immunocompromised status with debridement w...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 4, 2018 Category: ENT & OMF Source Type: research

Neonatal Screening for Prevalence of Hearing Impairment in Rural Areas
AbstractHearing is one of the most important sense organs for man. Hearing loss is often associated with delayed speech and language development in young children. Early identification and intervention improves the chance a child gets to lesser delays in development and improving the overall quality of life. To find out the prevalence of hearing loss in neonates in the rural taluka of Maval, Pune, Maharashtra, India. Prospective Non Randomized Clinical Study. The study was carried out between April 2012 and April 2015. A total of 8192 babies were screened across various centers around the Maval area. The babies who had som...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 4, 2018 Category: ENT & OMF Source Type: research

Spontaneous Medial Cribriform CSF Leak: Endoscopic Surgical Repair with Free Mucosal Graft —Our Experience
Abstract Cribriform plate is the commonest site of spontaneous CSF leak, the fragility of the plate and juxtaposition of arachnoid ’s investment to the bone, where the olfactory nerve pierces the skull made this area, a vulnerable site for CSF leak. Transnasal endoscopic approach has gained popularity for CSF leak repair over the years. To describe the 5 year experience of spontaneous medial cribriform CSF leak repair with f ree mucosal graft in a tertiary medical centre. All patients who underwent transnasal endoscopic repair with free mucosal graft for spontaneous medial cribriform CSF leak in our institutio...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 4, 2018 Category: ENT & OMF Source Type: research