Sublingual Space Schwannoma: An Uncommon Tumour in a Unique Anatomical Location
AbstractA Schwannoma is a benign tumour originating from Schwann cells within the  peripheral, cranial, or autonomic nerves. Typically, these tumours manifest as a solitary, slow-growing mass with smooth surface, usually devoid of significant symptoms. Schwannomas most frequently appear in individuals aged 30–50 years. Although they are relatively uncommon, approximately one- fourth of all Schwannomas are found in the head and neck area. Its occurrence within the oral cavity, with the tongue being the most common site, followed by the palate, floor of the mouth, buccal mucosa, lips, and jaws. Diagnosing these tumours b...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 9, 2024 Category: ENT & OMF Source Type: research

Diagnostic Accuracy of Plain Computed Tomography Temporal Bone in Detection of Pre-operative Ossicular Status versus Per-operative Findings in Chronic Otitis Media
This study aims to check the diagnostic accuracy of computed tomography temporal bone for the detection of ossicular erosion in comparison with the surgical findings taken as a gold standard. The use of this investigation as an adjunct can prove to be helpful in planning mastoid exploration as well as a primary reconstruction surgery especially in mucosal and early squamosal diseases. It ’s a cross-sectional validation study done on 50 patients with chronic otitis media (both mucosal and squamous type) from July 2022 to November 2023. Patients underwent CT scanning of temporal bone and ossicular status was reported by th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 7, 2024 Category: ENT & OMF Source Type: research

Assessing Swallowing and Mastication Using the Swallowing Proficiency for Eating and Drinking Protocol Among Healthy Adults
Conclusion. In summary, the SPEAD test was found to be feasible, reliable, and valid in healthy adults of India between 20 and 79 years of age. The age and sex based normative data established in this study will enable SLPs in assessing the presence and / or absence of swallowing difficulti es in the oral and pharyngeal phases across different consistencies using one test. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 7, 2024 Category: ENT & OMF Source Type: research

Evaluation of Rhinology Fellowship Program Websites
ConclusionWebsites included information on clinical training and research more often than on incentives, even though these factors are important to many applicants. Few programs detailed past or ongoing research opportunities, which if included could help applicants identify mentors with similar research interests. Most websites had less than half of factors analyzed, emphasizing need for continued improvement. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 7, 2024 Category: ENT & OMF Source Type: research

Serum Galactomannan as a Minimally Invasive Diagnostic Tool for Fungal Skull Base Osteomyelitis
AbstractMultidrug resistant strains and fungi add to treatment conundrums in skull base osteomyelitis (SBO). Deep tissue culture in these patients is challenging due to their advanced age and co-morbidities. Besides, fungal culture positivity is seen only in 60% of invasive aspergillosis. To determine the efficacy of a minimally invasive test —Serum Galactomannan (sGM)–for diagnosing fungal SBO. Prospective observational study. Thirty- three patients, clinically diagnosed with SBO were included in this study. Baseline ESR (Erythrocyte Sedimentation Rate), CRP (C- Reactive Protein), pain score, and sGM were noted for al...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 5, 2024 Category: ENT & OMF Source Type: research

Recent Trends in Treatment of Vestibular Migraine: A Systematic Review
AbstractTo summarize current knowledge of the literature on treatment of vestibular migraine. A review of the literature was conducted to collect all available published data on the treatment of vestibular migraine. The therapeutic approaches are based on case reports, retrospective cohort studies, and open-label trials from Medline search. Overall, 23 publications were related only to the specific treatment of vestibular migraine. Vestibular migraine remains still clinically under-diagnosed. Future studies are needed to understand the pathophysiological mechanisms and to introduce new effective therapies. (Source: Indian ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 4, 2024 Category: ENT & OMF Source Type: research

Impact of Surgeon ’s Experience and Tumor’s Nature in the Use of Intraoperative Facial Nerve Monitoring in Superficial Parotidectomy. Preliminary Results from a Single-Center Retrospective Analysis
AbstractTo assess the effectiveness of intraoperative facial nerve monitoring (IFNM) compared to non-monitoring in the prevention of post-operative facial nerve palsy during superficial parotidectomy. Patients treated with curative intent for parotid gland tumors between January 2020 and January 2022 were included. The study population has been divided in 2 groups, based on IFNM: the group A included patients operated with IFNM, whilst group B was the non-monitoring group. A further classification focused on the pathologies and the surgeons ’ experience. The study group included 58 patients, 27 female and 31 male. The me...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 4, 2024 Category: ENT & OMF Source Type: research

Correlation Between Pure Tone Audiometry Values and Middle Ear Ossicular Chain Status in Chronic Otitis Media: Study in a Tertiary Health Care Centre
ConclusionThere is a good correlation between the hearing threshold of the patient and the status of ossicular chain. Preoperative knowledge of the degree of hearing loss and status of ossicular chain would allow the surgeon to plan proper ossicular reconstruction and give the patient a better advice regarding prognosis of hearing improvement after surgery. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 2, 2024 Category: ENT & OMF Source Type: research

A Retrospective Study of Glottic Cyst Histopathology and Its Clinical Presentation
AbstractTo understand the frequency and clinical presentation of the four types of vocal-fold cyst described by the Koren classification. Glottic cysts operated in a 1-year period were grouped retrospectively into Koren A, B, C and D (KA, KB, KC, KD). The age and sex of the patient, cyst location, laterality, associated lesions, profession, daily water consumption, duration of symptoms prior to surgery and postoperative healing time were noted. Of 30 cysts, 14 KA, 10 KB, 4 KC and 2 KD were identified. Average age of symptoms in KA to KD was 45, 52, 40 and 37 years. KC and KD were found only in females unlike the male predo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 2, 2024 Category: ENT & OMF Source Type: research

Myofibrosarcoma of Maxilla – Case Report and Review of Literature
AbstractMyofibrosarcoma is a distinct mesenchymal malignancy which commonly occurs in head and neck region. It has a high tendency for local recurrence and distant metastasis. 39-year-old male presented with epistaxis, nasal obstruction and left sided complete loss of vision. He underwent functional endoscopic sinus surgery and guided biopsy. MRI scan showed a lesion epicentred in the left maxillary sinus, superiorly extending into the orbit. He underwent Class 4b maxillectomy with neck dissection, tracheostomy and free flap reconstruction. Histopathological examination yielded final diagnosis as myofibrosarcoma of maxilla...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 2, 2024 Category: ENT & OMF Source Type: research

Intraoperative ossicular chain status in patients with chronic otits media
This study aimed to evaluate the ossicular status in COM patients undergoing surgery and correlate the findings with preoperative otoscopic and audiogram assessments. The primary focus was to discern differences in ossicular involvement between squamous and mucosal diseases, shedding light on distinct pathologies crucial for tailoring surgical interventions.A total of 98 patients with COM (26 squamous disease, 72 mucosal disease) were included in the study. Analysis revealed the incus as the most commonly eroded ossicle, observed in 25 of 26 patients with squamous disease and 19 of 72 patients with mucosal disease. Convers...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 2, 2024 Category: ENT & OMF Source Type: research

Mpox Pharyngitis
AbstractA case of mpox pharyngitis in absence of cutaneous lesions is reported. Usually, clinical presentation is either a cutaneous eruption or a combination of cutaneous and mucosal lesions. In patients with atypical pharyngitis, regardless of the presence of skin lesions, pharyngeal swabs should be collected to rule out mpox. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 2, 2024 Category: ENT & OMF Source Type: research

Comparing the Clinical Orientation Benefits of Endoscopic demonstration on the Nose, Paranasal Sinuses, and Skull Base Versus Cadaveric Dissection for First-Year Medical Undergraduates
In this study, 100 first-year medical students were split into two groups: Group A and Group B, each with 50 students. Group A received teaching through endoscopic demonstrations, while Group B had cadaveric demonstrations, both focused on nose, paranasal sinuses, and skull base anatomy. To assess comprehension and clinical orientation, both groups completed a questionnaire with clinically relevant questions, and their responses were collected and compared for analysis. Students who received endoscopic training showed better accuracy in addressing clinical queries than those only exposed to cadaveric dissection. Many parti...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 2, 2024 Category: ENT & OMF Source Type: research

A Study of Comparison of Outcomes of Submucous Diathermy, Coblation and Micro-debrider Assisted Inferior Turbinoplasty in Patients Having Inferior Turbinate Hypertrophy
AbstractThe cause of nasal obstruction in most of the patients is either nasal septal deviation or turbinate hypertrophy owing to vasomotor or perennial allergic rhinitis. Most cases of hypertrophic turbinate are usually mild and respond to antihistamine therapy, local decongestions, or allergy desensitization; however, surgery is required in some cases. In our present study, three surgical methods were used for inferior turbinoplasty i.e. Sub-mucous Diathermy, Coblation and Micro-debrider and patients were divided randomly in these groups. The efficacy and outcomes of these methods was compared on the basis of subjective ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 1, 2024 Category: ENT & OMF Source Type: research

Giant Cell Tumor of the Temporal Bone with Direct Invasion into the Middle Ear and Skull Base: A Case Report
AbstractGiant cell tumor (GCT) of bone is a rare, benign, osteolytic neoplasm that most commonly occurs in early adulthood and often involves the long bones of the body. Although GCT largely affects the epiphyses of long bones, several reports of GCT involvement of the cranial and facial bones exist in the literature. In addition to reviewing other reported cases of GCT of the lateral skull base in the literature, the authors report here on the clinical presentation, radiographic findings, and management of a patient found to have a GCT of the squamous part of temporal bone invading the middle ear and infratemporal fossae,...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 29, 2024 Category: ENT & OMF Source Type: research