Challenges in the Management of Laryngeal Stenosis
In this study we discuss our experience of laryngeal stenosis with regards to patient characteristics, cause and management. A retrospective analysis of 35 patients of laryngeal stenosis treated at a tertiary care centre was evaluated. Inclusion criteria were all patients with laryngeal stenosis who required surgical intervention. Exclusion criteria were patients with associated tracheal stenosis and laryngeal stenosis due to cancer. Demographic data was recorded and findings relating to aetiology, characteristics of stenosis and the various aspects of therapeutic procedures performed are discussed with review of literatur...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 16, 2015 Category: ENT & OMF Source Type: research

Results of Hearing Outcome According to the Alloplastic Ossicular Prosthesis Materials
In this study, a retrospective analysis was performed. Sixty-one patients were involved in partial ossicular replacement (POR) cases and 70 patients were involved in total osscicular replacement (TOR) cases. In POR cases, Plastipore was used in 21 cases, hydroxyapatite in 20 cases, and titanium in 20 cases. In TOR cases, Plastipore was used in 20 cases, hydroxyapatite (HA) in 25 cases and titanium in 25 cases. We reviewed postoperative ABG (less than 20 dB or more than 20 dB) and the extrusion rate for more than 1 year follow-up period. In POR cases, ABG less than 20 dB were 71.4, 80.0, 85.0 % in p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 16, 2015 Category: ENT & OMF Source Type: research

Extracranial Head and Neck Schwannomas: Our Experience
Abstract Schwannomas are benign neoplasms of the peripheral nerves originating in the Schwann cells. They are rare and usually solitary, with clearly delimited capsules. They occur in the head and neck region in only 25 % of the cases, and may be associated with Von Recklinghausen’s disease. Schwannomas are always a diagnostic dilemma as they are asymptomatic for long time and histopathology is the gold standard for diagnosis. The present study retrospectively analysed data of 4 patients with schwannomas and reviewed the literature on the subject. Retrospective study at ENT & Head and Neck Surgery D...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 16, 2015 Category: ENT & OMF Source Type: research

Hand Dominance and Blood Group: Association in Epistaxis
This study underlines the importance of epistaxis as the most frequent emergency diagnosis in ENT. The observed association of A+ve blood group and Hand dominance in epistaxis provokes to have further large scale studies in this area. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 16, 2015 Category: ENT & OMF Source Type: research

Low Grade Fibromyxoid Sarcoma in Oral Cavity: A Rare Case Report
We report the case of an 18-year-old female who developed a large mass in the left oral cavity. The tumor was excised. On pathology evaluation was diagnosed as LGFMS. Due to the relative rarity of LGFMS, there is no dedicated protocol regarding follow-up recommendations. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 16, 2015 Category: ENT & OMF Source Type: research

Comparative Study of Improvement of Nasal Symptoms Following Septoplasty with Partial Inferior Turbinectomy Versus Septoplasty Alone in Adults by NOSE Scale: A Prospective Study
Abstract To compare the symptomatic improvement of nasal symptoms following septoplasty with partial inferior turbinectomy (groups A) versus septoplasty alone (groups B) and to assess the improvement of nasal symptoms in both surgical groups before and after surgery by NOSE scale. This Tertiary Hospital based study was carried out between August 2012 and April 2014. 60 cases with septal deviation and contralateral inferior turbinate hypertrophy. Nasal Obstruction Symptom Evaluation (NOSE) scale for evaluating nasal symptoms. Patients were alternatively divided into two surgical groups, group A. Septoplasty with p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 15, 2015 Category: ENT & OMF Source Type: research

Middle and Lower Face Soft Tissue Reconstruction: A 10-Year Retrospective Study
Abstract Retrospectively analyze the reconstruction methods and surgical outcomes of patients with middle and lower face soft tissue defects treated at our hospital over the past 10 years. 200 patients with middle and lower face soft tissue defects were surgically reconstructed at our hospital. Medical charts were retrospectively reviewed and analyzed to abstract the pertinent information. The lesion was mainly at the eyelid, lips, chin and nasal-cheek region. There were 41 (63.08 %) men and 24 (36.92 %) women. In our study, male to female ratio = 1.7:1. We used direct closure for night pa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 15, 2015 Category: ENT & OMF Source Type: research

Above the Sphenoid in to Dermoid-Expanded Endoscopic Two Nostrils Four Hand Technique: A Case Report
Abstract This rare case report presents the 2 nostrils 4 hands expanded endoscopic excision of the suprasellar dermoid through planum sphenoidale approach. This minimally invasive technique through the natural passage offers panaromic view of vital structures, complete excision of the lesion with reconstruction of the skull base defect at the same procedure. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 14, 2015 Category: ENT & OMF Source Type: research

Management of a Rare Lymphoepithelial Carcinoma of the Submandibular Gland in Elderly
We report a case of LEC of submandibular gland occurring in a 70 year-old lady. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 14, 2015 Category: ENT & OMF Source Type: research

Teflon Implants Versus Titanium Implants in Stapes Surgery
Abstract Otosclerosis is the most common cause of bilateral gradually progressive conductive hearing loss with normal tympanic membrane and Eustachian tube. Otosclerosis surgical treatment is one of the most gratifying operations in Otorhinolaryngology. It is not only the surgical techniques but also the prosthesis which are evolving in the attempt of providing best hearing results. Teflon piston is the most commonly employed prosthesis in stapes surgery. Titanium pistons are relatively the new development in the evolution of stapes prosthesis. The aim of this review article is to know and compare the surgical tec...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 14, 2015 Category: ENT & OMF Source Type: research

Primary Ewing’s Sarcoma of the Temporal Bone: A Rare Case Report and Literature Review
We describe an 8 months old infant having Ewing sarcoma, of the petrous and mastoid parts of temporal bone along with the occipital bone, whose clinical presentation mimicked mastoiditis with facial nerve palsy. We discuss the clinical and therapeutic course of an extensive primary Ewing sarcoma of the temporal bone, which was treated without performing surgery and review this entity’s literature in detail. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 14, 2015 Category: ENT & OMF Source Type: research

Evaluation of Association of Allergic Rhinitis with Bronchial Asthma
Abstract Allergic rhinitis represents a global health problem. It is a common disease worldwide affecting about 10–50 % of the population and its prevalence is increasing. Although allergic rhinitis is not a fatal disease, it alters the social life of patients, affecting learning performance and work productivity. Moreover, the costs incurred by allergic rhinitis are substantial. In recent years allergic rhinitis has been recognized to be an important risk factor for asthma. The concept of “One Airway, One Disease” was highlighted in the ‘Allergic rhinitis and its Impact on Asthma &lsq...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 12, 2015 Category: ENT & OMF Source Type: research

Modified Baha Punch Technique: Least Invasive, Shortest Time and No Suturing
Abstract To describe a new Baha surgical procedure (Modified Punch Technique) with a smaller punch hole, a minimal incision and the use of the hydroxyapatite-coated abutment (BIA400). Retrospective chart review. Patients were implanted between 2012 and 2013 at King Abdulaziz University Hospital (Kingdom of Saudi Arabia). Eligible for initial or replacement bone-anchored hearing system; includes six patients (four adults, two children). Baha surgery using the Punch Method is described. The mean surgical time was 12.33 min (range 6–30), without the single outlier, it was 8.8 min. Bleeding was signifi...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 12, 2015 Category: ENT & OMF Source Type: research

Submandibular Duct Re-routing for Drooling in Neurologically Impaired Children
Abstract Drooling is a challenging situation to manage especially in neurologically impaired pediatric population. Numerous surgical procedures have been described in literature but none of them is standardized. We evaluate the effectiveness of bilateral submandibular duct rerouting and sublingual gland excision in drooling paediatric patients. Prospective interventional study was conducted from November 2007 to September 2009 in twenty-eight pediatric patients with drooling who had failed conservative treatment modalities. Patients underwent bilateral submandibular duct transposition and sublingual gland excision...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 12, 2015 Category: ENT & OMF Source Type: research

Myeloid Sarcoma of Temporal Bone: A Rare Manifestation of Relapse Acute Myeloid Leukemia
We report a case of 11 years old boy with acute myeloid leukemia in remission state, presented with short history of right otalgia associated with facial nerve palsy. Diagnosis of right acute mastoiditis with facial nerve palsy as complication of acute otitis media was made initially. Patient underwent simple cortical mastoidectomy but histopathology from soft tissue that was sent revealed diagnosis of myeloid sarcoma. A leukemic relapse was confirmed by paediatric oncologist through bone marrow biopsy. Chemotherapy was commenced but patient responded poorly to the treatment. (Source: Indian Journal of Otolaryngology ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 12, 2015 Category: ENT & OMF Source Type: research

Adenoid Cystic Carcinoma of Buccal Mucosa: A Rare Case Report
We report a case of adenoid cystic of buccal mucosa in a 40-year old female. We have discussed the clinical features, histopathology, diagnosis and treatment along with a brief review of the relevant literature. Although the buccal mucosa is an uncommon site for adenoid cystic carcinoma, the relatively indolent growth pattern of this case and its location which is rather atypical for this type of salivary gland malignancy primarily warrants the necessity behind reporting of this case. Secondly, adenoid cystic carcinoma should be considered in the differential diagnosis of mass of buccal mucosa. It is important to ident...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 11, 2015 Category: ENT & OMF Source Type: research

Ultrasonography Guided Excision of Isolated Cysticercosis of the Temporalis Muscle Causing Intractable Headache: A Rare Case Report
We report an extremely unusual case of isolated cysticercosis of the temporalis muscle causing intractable headache which presented a diagnostic challenge. The condition was surgically treated by ultrasonography guided excision of the cysticercosis swelling in the temporalis muscle. We also emphasize on the role of proper imaging modalities in the diagnosis and treatment of such unique cases. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 10, 2015 Category: ENT & OMF Source Type: research

Endoscopic Endonasal Repair of Sphenoid Sinus Cerebrospinal Fluid Leaks: Our Experience
Abstract Endoscopic endonasal approaches are becoming increasingly popular over transcranial approaches for repair of cerebrospinal leak defects. Sphenoid sinus CSF leaks pose a significant challenge and carry the risk of life-threatening intracranial complications. Their management depends upon identifying the leak using imaging techniques followed by intraoperative endoscopic localization. Our experience in the endoscopic endonasal management of sphenoid sinus CSF leaks is reported in this paper. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 10, 2015 Category: ENT & OMF Source Type: research

Novel Concept of Attaching Endoscope Holder to Microscope for Two Handed Endoscopic Tympanoplasty
Abstract The well established techniques in tympanoplasty are routinely performed with operating microscopes for many decades now. Endoscopic ear surgeries provide minimally invasive approach to the middle ear and evolving new science in the field of otology. The disadvantage of endoscopic ear surgeries is that it is one-handed surgical technique as the non-dominant left hand of the surgeon is utilized for holding and manipulating the endoscope. This necessitated the need for development of the endoscope holder which would allow both hands of surgeon to be free for surgical manipulation and also allow alternate us...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 6, 2015 Category: ENT & OMF Source Type: research

The Nasal Hemangioma
In conclusion, nasal hemangioma should always be differential diagnosis for nasal lesions and surgical excision is still the preferred first line treatment. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 2, 2015 Category: ENT & OMF Source Type: research

Presentations and Challenges in Tuberculosis of Head and Neck Region
This study was conducted at Department of ENT and Head and Neck Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh from January 2014 to June 2015. Patients presenting with lesions in the Head and Neck region suspected of tuberculosis were subjected for cytological and histological investigations. Those cases confirmed to be tuberculosis on the basis of either of these tests were included in the study. Study comprised of 113 proven cases of tuberculosis of Head and Neck region. A female preponderance of 1:1.97 (M:F) ratio was noted. Most commonly involved structure was cervical lymph node (92.92 %) followed by lar...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 22, 2015 Category: ENT & OMF Source Type: research

Obstructive Sleep Apnea: Role of an Otorhinolaryngologist
Abstract Obstructive sleep apnea is a disorder resulting from collapse of the upper airway during sleep. Its etiology is multifactorial, resulting from the interdependence of structurally vulnerable upper airway anatomy interacting with physiologic mechanism of ventilator instability during sleep. The ENT causes for OSA are relatively simple conditions that can be treated by safe and simple medical and/or surgical procedures. To assess the prevalence of ENT disorders in patients presenting to the sleep clinic. Patients presented to sleep clinic were submitted to an assessment protocol including clinical history, o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 20, 2015 Category: ENT & OMF Source Type: research

Evaluation of Role of Mastoid Surgery in the Management of Safe Chronic Suppurative Otitis Media
This study evaluates the outcome of type 1 tympanoplasty with and with out mastoidectomy. The comparative study comprises of 40 patients with CSOM safe type in dry ear. All cases were operated during a period of one and a half years. 20 of these cases were selected for tympanoplasty alone (Group A) and 20 cases were selected for Tympanoplasty with cortical mastoidectomy (Group B). Patients were reviewed after 3 weeks for inspection of the operated ear. The second and third postoperative reviews were done 6 and 12 weeks respectively for clinical assessment of the operated ear with respect to graft status, ear disc...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 13, 2015 Category: ENT & OMF Source Type: research

Tissue-Sparing Uvulopalatopharyngoplasty for OSA: Conservative, Compassionate and Possibly just as Effective
Abstract A common surgical treatment for obstructive sleep apnea (OSA) is uvulopalatopharyngoplasty (UPPP). Unfortunately, traditional UPPP can cause a foreign body sensation, chronic discomfort and in rare cases, nasopharyngeal stenosis or velopharyngeal insufficiency. Modifications to traditional UPPP have been developed over the years to help decrease side effects, while trying to maintain or improve OSA outcomes. Conservative, tissue-sparing UPPP techniques include preservation of soft palate tissues (muscle and/or mucosa), avoidance of plication or conservative plication of the uvula, partial instead of compl...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2015 Category: ENT & OMF Source Type: research

Sinonasal Anatomical Variants: CT and Endoscopy Study and Its Correlation with Extent of Disease
Abstract To evaluate the incidence of anatomical variations in sinonasal area by nasal endoscopy and CT scan paranasal sinuses and to correlate the anatomical variations in sinonasal area with extent of disease. The present study was conducted on 40 patients of chronic sinusitis. All the patients underwent CT scan paranasal sinus axial and coronal view and nasal endoscopy. The most common anatomical variations were agger nasi cells (80 %), deviated nasal septum (72.5 %) and concha bullosa (47.5 %). Other anatomical variations seen in sinonasal region were uncinate process variations, paradoxical mid...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 29, 2015 Category: ENT & OMF Source Type: research

An Intriguing Case of Ectasia of External Jugular Vein Presenting as Intermittent Neck Mass
Abstract Ectasia of external jugular vein is a rare entity presenting as an intermittent neck swelling. High index of suspicion is required to diagnose the condition. Ultrasonography with Doppler before, during and after valsalva manoeuvre is the preferred method for diagnosis. The treatment is conservative for asymptomatic patients and surgery is reserved for patients with complications. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 29, 2015 Category: ENT & OMF Source Type: research

A Study of Brainstem Auditory Evoked Responses in Normal Hearing Patients with Tinnitus
This study analysis the auditory brainstem responses in normal hearing patients with tinnitus. This study consisted of 100 patients divided into two groups. Group I (Control): 50 Normal hearing patients without tinnitus. Group II (Study): 50 Normal hearing patients complaining of tinnitus. Both groups were submitted to full audiological history taking, otological examination, basic audiologic evaluation and Auditory brainstem responses (ABR) followed by calculation of the absolute latencies of wave I, III and V and interpeak latencies between waves I–III, III–V and I–V. In the study group 20 patients show...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 26, 2015 Category: ENT & OMF Source Type: research

Central Skull Base Osteomyelitis: Diagnostic Dilemmas and Management Issues
Abstract The aim of this study is to describe the clinical presentation of central skull base osteomyelitis and to discuss the classical imaging findings and various diagnostic and therapeutic challenges faced in the management of this condition. This is a retrospective analysis of inpatient case records, carried out in a multidisciplinary tertiary care hospital. The study subjects included five elderly diabetic patients presenting to the ENT surgeon or neurologist with headache followed by multiple cranial nerve paralysis with no temporal bone involvement in four patients and a past history of otitis externa in o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 25, 2015 Category: ENT & OMF Source Type: research

Long-Term Outcomes of Radiofrequency Ablation of the Inferior Turbinates
Abstract Radiofrequency ablation of the inferior turbinates (RFAIT) is a minimally invasive surgical technique that reduces turbinate size and decreases nasal obstruction. Few studies have assessed long-term outcomes of this procedure using standardized, symptom-specific evaluation instruments. The primary aim of this study is to assess the long-term effectiveness of RFAIT using a standardized, symptom-specific evaluation instrument. An additional outcome evaluated is the effect of RFAIT on therapeutic CPAP pressures in centimetres of water pressure (cwp) and overall CPAP use. Patients who had received RFAIT>14...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 25, 2015 Category: ENT & OMF Source Type: research

Comparative Study of Diagnostic Nasal Endoscopy and CT Paranasal Sinuses in Diagnosing Chronic Rhinosinusitis
Abstract Evaluation of the accuracy of objective diagnostic modalities for chronic rhinosinusitis and their comparison to each other to reach the correct diagnosis with minimum cost and highest accuracy. Prospective diagnostic cohort study. Academic medical center. Subjects more than 10 years of age presenting for evaluation of chronic rhinosinusitis, not responding to 12 weeks of medical treatment, suffering from at least 2 or more of the following symptoms- nasal obstruction, anterior and or posterior nasal discharge, headache or facial pains, and abnormalities of smell were prospectively studied. All ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 23, 2015 Category: ENT & OMF Source Type: research

Giant Sclerosing Oral Rhabdomyosarcoma-A Unique Case
We present a case of oral Rhabdomyosarcoma in a 50 years old man presenting with a huge mass in the oral cavity. Pre operative investigations showed the mass to be Rhabdomyosarcoma. The mass was excised and subjected to histopathogical and immunohistochemical examinations which confirmed to be Rhabdomyosarcoma. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 22, 2015 Category: ENT & OMF Source Type: research

Evaluation of Liver Functions Based on Serum Aminotransferase Enzyme Levels in Patients with Obstructive Sleep Apnea Syndrome
Abstract Obstructive sleep apnea syndrome (OSAS) is associated with fatty liver disease. In the present study, relations between alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels and the severity of OSAS and polysomnography parameters were investigated. The study included 194 patients with OSAS and 114 control patients. The patients underwent an overnight polysomnography (PSG) in the Sleep Laboratory. ALT and AST levels were compared between the patients and the controls and between the subgroups of the patients. ALT and AST levels were also compared with the PSG parameters REM AHI, NREM A...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 22, 2015 Category: ENT & OMF Source Type: research

Does Separate Administration of Montelukast and Levocetirizine Provide Better Results in Perennial Allergic Rhinitis: A Hospital Based Study
Abstract To determine whether separate administration of Montelukast and Levocetirizine provide a better response in perennial allergic rhinitis (PAR) than their fixed dose combination. Total 151 patients underwent a hospital based clinical study, being divided in 3 discrete groups. One group was given non-bilayered combination of Montelukast and Levocetrizine, 2nd group was given their bilayered counterpart whereas 3rd group was given the drugs at 12 h interval. Medications were continued for 3 months before stoppage. All patients were followed up for 1 month more to note recurrence of symptoms of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 22, 2015 Category: ENT & OMF Source Type: research

Late Temporal Lobe Extensive Osteoradionecrosis Post Radiation for Nasopharyngeal Carcinoma: Case Series
We report three cases of osteoradionecrosis in temporal lobe who presented differently few years after completion of radiotherapy. Cranial magnetic resonance image showed lesions in temporal lobe either unilateral or bilateral with mass effect. One of the cases even showed disease progression few years after the initial diagnosis of osteoradionecrosis. Diagnosis of osteoradionecrosis for all three patients was confirmed by biopsy. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 22, 2015 Category: ENT & OMF Source Type: research

Sharp 3-Ended Metallic Foreign Body in an Infant Hypopharynx
We present a case of a 9 months old male infant who presented in ENT emergency with complaints of vomiting, refusal to accept solid as well as liquid feed for 5 days and sudden onset of abnormal grunting sounds on breathing for 1 day. Chest examination revealed intercostal retractions with decreased air entry bilaterally and conducted sounds in chest on auscultation. Abdomen examination revealed no abnormalities, and routine blood and urine investigations were also within normal limits. A metallic foreign body with three sharp ends was visualized in the neck X-ray, the retrieval of which by rigid hypopharyng...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 22, 2015 Category: ENT & OMF Source Type: research

Difficult Laryngeal Exposure in Microlaryngoscopy: Can it be Predicted Preoperatively?
Abstract The aim of the present study was to identify preoperative clinical predictors for difficult laryngeal exposure (DLE) and to define a simple grading system for laryngeal exposure. This is a prospective descriptive study carried out in a tertiary teaching hospital in South India. Patients above 18 years undergoing microlaryngoscopy had presurgical evaluation of 11 physical parameters. Grading of Modified Cormack–Lehane Score (MCLS) and rigid laryngoscopy were done during procedure. On logistic regression analysis, with a 95 % confidence interval (CI) MCLS was found to be a statistically sign...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 21, 2015 Category: ENT & OMF Source Type: research

Dermatitis Neglecta Affecting Nose: A Case Report
Abstract Dermatitis neglecta, a relatively uncommon condition, results from inadequate frictional cleansing leading to accumulation of sebum, sweat and corneocytes. It ultimately results in hyper-pigmented patch (or sometimes verrucous plaque). Proper diagnosis is important because recognizing this condition avoids unnecessary diagnostic and therapeutic procedures. Here we report one classical case of dermatitis neglecta in whom the dermatitis developed as a result of neglect of personal hygiene. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 21, 2015 Category: ENT & OMF Source Type: research

Role of Superior Turbinate Pneumatisation in Chronic Rhinosinusitis
Abstract The study was designed (1) to study the prevalence of pneumatisation of the superior turbinate in patients undergoing FESS, (2) to evaluate the role of superior turbinate pneumatisation in sinusitis involving the posterior sinuses. The study involved 50 patients being evaluated for FESS. Pre-operative CT scans were done and reviewed by a single observer with specific attention to superior turbinates. Record was also made for opacification/mucosal thickness of the sinuses. Each side of nasal cavity was examined separately. Therefore 50 patients had 100 sides. Of the 100 sides, superior turbinate was identi...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 19, 2015 Category: ENT & OMF Source Type: research

Parathyroid Hormone as a Marker for Predicting the Severity of Hypocalcaemia Following Parathyroidectomy
Abstract The purpose of this study is to determine preoperative predictors of the severity of the hypocalcaemia following parathyroidectomy. The case records of 70 patients who underwent parathyroidectomy for primary hyperparathyroidism from 2000 to 2013 was retrospectively studied. Their symptoms at presentation, biochemical parameters serum calcium, parathyroid hormone, alkaline phosphatase and parathyroid size on ultrasound were compared with their serial post-operative serum calcium levels at 24, 48, 72 and 96 h. For the purpose of analysis, patients were divided into three groups. Group 1—asymptoma...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 18, 2015 Category: ENT & OMF Source Type: research

Juvenile Nasopharyngeal Angiofibroma: A Rise in Incidence
Abstract Juvenile nasopharyngeal angiofibroma is a very rare, highly vascular, uncapsulated and locally invasive tumor. Recently a changing trend has been seen in its epidemiology, pathogenesis, diagnosis, medical management, pre-operative care, surgical management and post-operative care including radiotherapy. Study the changing trend basically in the north-eastern region of south-east Asia and its prospects. Retrospective study of patients presenting with JNA between the study period of 6 months (October 2014–March 2015) in the, Department of Otolaryngology and Head and Neck Surgery, Assam Medical Co...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 16, 2015 Category: ENT & OMF Source Type: research

Thyroiditis: a Clinico-cytomorphological Study with a Reference to the Ethnic Groups of Northeast Regions of India
Abstract Definite clinico-cytological criterion is outlined for thyroid lesions. Fine needle aspiration cytology (FNAC) makes it easier to segregate cases of thyroiditis (Chronic lymphocytic thyroiditis/Hashimoto’s thyroiditis—CLT/HT, and subacute thyroiditis—SAT) from other benign and malignant lesions of thyroid. The study was done for a period of 5½ years at a diagnostic centre in Guwahati. Patients underwent FNAC and smears were studied for cytomorphology. A correlation with clinical features and thyroid function, including antithyroid antibody estimation, was done, wherever possible. ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 15, 2015 Category: ENT & OMF Source Type: research

Role of Extracorporeal Septoplasty in Deviated Noses
Abstract Severe gross septal deviations present big surgical challenges for operating surgeon. Septal deviations has direct effect on aesthetic and functional part of nose. Correcting septal deviations during rhinoplasty is basic procedure. Extreme deviations of septum especially on dorsal and caudal end of cartilaginous septum are difficult to treat. The classical septoplasty approach becomes unsuitable for such severe deviations. Gubisch has first reported in 1995 about extracorporeal septoplasty. To report the experience of Extracorporeal septoplasty and the complication rates with the technique. Retrospective ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 15, 2015 Category: ENT & OMF Source Type: research

Intraoperative Frozen Biopsy of Central Lymph Node in the Management of Papillary Thyroid Microcarcinoma
Abstract The purpose of this study was to evaluate the usefulness and accuracy of intraoperative frozen section examination in the diagnosis of metastatic central lymph nodes in comparison to the final histopathological findings. A retrospective review was performed to evaluate patients with a preoperative diagnosis of papillary thyroid microcarcinoma (PTMC) and a plan to perform thyroid lobectomy at our Hospital from September 2011 to September 2013. Sixteen patients were identified. Intraoperative frozen section examination diagnosed ten patients as negative malignant cells of the central lymph node and the ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 15, 2015 Category: ENT & OMF Source Type: research

Cholesteatoma and Its Management
Abstract Cholesteatoma is probably one of the very few conditions in the body with as many controversies regarding its name, definition, genesis and pathology. It is essentially a benign tumour, which pushes away the middle ear cleft mucosa and any tissues that get in its way. The indisputable starting point is the presence of an inflammatory process of the upper airways and the middle ear cleft mucosa. The growth pattern of the cholesteatoma is dictated by the site of origin and the most common sites are the pars flaccida and the postero-superior quadrant of the pars tensa. The diagnosis of cholesteatoma is e...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 12, 2015 Category: ENT & OMF Source Type: research

Adenoid Cystic Carcinoma of Trachea: A Diagnostic and Therapeutic Challenge
We present a case of adenoid cystic carcinoma of trachea which was misdiagnosed and mistreated as asthma initially because of its inherent indolent progression. It is important to be acquainted with this condition to prevent delay in diagnosis and provide timely treatment. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 12, 2015 Category: ENT & OMF Source Type: research

Unusual Presentation of Chordoma in Nose
We present a case of chordoma in nasal cavity treated by wide local resection and also present a review of literature discussing various facets in its presentation and management. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 12, 2015 Category: ENT & OMF Source Type: research

A Rare Case: Cartilaginous Choristoma of the Soft Palate
We present a 38 year-old patient with cartilaginous choristoma located in nasopharyngeal surface of soft palate. Histopathological examination demonstrated a well demarcated mature hyaline cartilage tissue which was surrounded with seromucous salivary glands under a benign respiratory epithelium. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 11, 2015 Category: ENT & OMF Source Type: research

Functional Outcome Evaluation of Septorhinoplasty for Nasal Obstruction
Abstract A prospective single blinded interventional study was held in Otorhinolaryngology Clinic, Universiti Kebangsaan Malaysia Medical Centre in August 2010 until November 2012 to evaluate the functional outcome of septorhinoplasty objectively and subjectively. Objective assessment was done using rhinomanometry and subjective assessment using Nasal Obstruction Symptoms Evaluation (NOSE) scale and Health-Related Quality of Life Questionnaires (HRQOL) in Rhino Surgery. All measurements were taken preoperatively and 3 months postoperatively. A total of 29 patients were enrolled and completed the study. Septor...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 11, 2015 Category: ENT & OMF Source Type: research

Cochlear Implantation in Pediatric Patients: Comparison of Limited-Incision and Standard Cochlear Implantation
Abstract Today, cochlear implantation has become the standard procedure for rehabilitation of people with impaired sensory neural hearing. This procedure can be done through different techniques. The present study aimed to compare the standard technique (ST) with creation of “C” incision into the scalp with suture fixation and limited-incision technique (LIT) with creation of subperiosteal pocket without any fixation. The outcomes included operative time and complications. This retrospective study was conducted on 343 consecutive cochlear implantations. The patients received cochlear implants at our i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 1, 2015 Category: ENT & OMF Source Type: research

Prevalence of H . Pylori in Tonsillar Tissue of Patients with Chronic Recurrent Tonsillitis Using Rapid Urease Test in a Tertiary Referral Hospital in Sub Saharan Africa
Abstract There has been conflicting results regarding the presence of H. pylori in tonsillar tissue. Our objective was to analyze for the presence of H. pylori in tonsillar tissue in patients undergoing tonsillectomy for chronic recurrent tonsillitis using rapid urease test in a Tertiary care academic medical center in a sub Saharan hospital. A prospective cross-sectional analysis of 39 consecutive cases of patients undergoing tonsillectomy secondary to chronic recurrent tonsilitis was done. Rapid urease test was conducted on each tonsillectomy tissue and results were determined using color change at specific tim...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 1, 2015 Category: ENT & OMF Source Type: research