Nasopharyngeal Angiofibroma: Paradigm Shift in Management
We report a series of ten patients who presented to a tertiary care institution and were diagnosed to have NA from 2012 to 2014. Patients were categorized by Radkowski staging and data was collected to document differences in terms of presentation, operative technique, and postoperative course. All patients underwent preoperative embolization. Stage I and selected stage II lesions were approached endoscopically while the remainder underwent open resection. In comparison with open procedures, endoscopic procedures had less intraoperative blood loss (350 vs. 630  cc), operative time (90 vs. 150 min) and the average...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 3, 2017 Category: ENT & OMF Source Type: research

Juvenile ‘Perinasal’ Angiofibroma
AbstractThe extranasopharyngeal angiofibroma is a separate clinical entity but those involving infratemporal fossa and cheek resemble juvenile nasopharyngeal angiofibroma (JNA) and hence have been labelled as juvenile perinasal angiofibroma (JPA) in this paper. This paper presents a 7th case of JPA and attempts to review the world literature on JPA, along with a proposal of staging the disease. A 16  year male presented with a painless compressible facial swelling since 7 months without any epistaxis or nasal obstruction. Initially a vascular lesion was suspected but JNA without nasal extension was strongly suspe...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 3, 2017 Category: ENT & OMF Source Type: research

Neck Trauma: ENT Prospects
AbstractNeck trauma is a very important surgical emergency faced by ENT surgeons in day to day practice. They are potentially life threatening conditions due to the presence of many vital structures in this area. Timely presentation to the referral centre and proper multidisciplinary approach towards management plays a pivotal role in the healing pattern of the wound and prevention of serious complication like shock, sepsis, laryngeal stenosis or fistula formation. A retrospective study was done in ENT Department, NSCB Medical College, Jabalpur, Madhya Pradesh, India during the period of 2014 –2016. 17 patients were ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 3, 2017 Category: ENT & OMF Source Type: research

Assessment of treatment response in patients with laryngopharyngeal reflux
Abstract To evaluate treatment response in patients with laryngopharyngeal reflux (LPR). A prospective study of 100 patients with voice disorders was conducted. Patients were evaluated using reflux symptom index (RSI) and reflux finding score (RFS) by 70 ° rigid laryngoscope. Patients with RFS score of 7 or more were diagnosed of having LPR and were started with anti-reflux therapy for a period of 6 months. Patients were assessed at regular intervals using RSI and RFS. The prevalence of LPR in patients with voice disorders was found to be 25%. The mean RSI score improved gradually and significantly over a period o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 2, 2017 Category: ENT & OMF Source Type: research

Tuberculosis of Olfactory Area: A Rare Presentation
AbstractNasal tuberculosis is a rare clinical entity even in developing countries where tuberculosis of respiratory tract is extremely high. It becomes more difficult to diagnose if it presents with symptoms which are not commonly associated with nasal tuberculosis. Here we report the diagnosis, treatment and follow up of a rare case of primary nasal tuberculosis of olfactory groove region. Early diagnosis and timely treatment will certainly reduce the morbidity of this disease. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 28, 2016 Category: ENT & OMF Source Type: research

Isolated Congenital Midline Upper Lip Sinus in A 5-year Old Child: A Rarity
(Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 27, 2016 Category: ENT & OMF Source Type: research

Manoeuvres to Improve Endoscopic Visualization of Hypopharynx
AbstractThe more progress achieved in endoscopy, the more superficial cancers in head and neck region have been diagnosed. There are, however, some areas difficult to observe, particularly the hypopharynx, due to closure of this space. Examination of hypopharynx form an essential part of head and neck examination especially in the suspected malignancies as well as in the cases with unknown primary. As the flexible fiber-optic nasopharyngolaryngoscopy forms an essential part of examination of hypopharynx, the present study aims to evaluate the effectiveness of various manoeuvres devised to aid in better visualization of the...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 25, 2016 Category: ENT & OMF Source Type: research

Rapidly Evolving Large Rhinolith: Cause of Recurrent Nasal Bleed
We report a case of a rapidly evolving rhinolith in a  patient presenting with the complaint of recurrent epistaxis for 2 years. A high index of suspicion is needed for diagnosing this condition. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 25, 2016 Category: ENT & OMF Source Type: research

Imaging in Juvenile Nasopharyngeal Angiofibroma: Clinical Significance of Ramharan and Chopstick Sign
This study analysed preoperative and postoperative CECT of large series of JNA patients to evaluate the sites and pattern of spread of tumor. We evaluated the clinical significance of pterygoid wedge in preoperative and postoperative imaging and thus elucidating two new radiological signs. Retrospective analysis of the pre operative and post operative imaging data of 242 patients with JNA. The findings in the scan were clinically correlated with the endoscopic intraoperative findings. Preoperative evaluation of the pterygoid wedge revealed widening on the involved side in 99.1% of our cases which is 1.8 times greater compa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 22, 2016 Category: ENT & OMF Source Type: research

Tongue Base Schwannoma
We report a rare case of tongue base schwannoma in a 25  year old female managed surgically by lateral pharyngotomy approach. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 19, 2016 Category: ENT & OMF Source Type: research

A Decade of Experience of Management of Thyroglossal Duct Cyst in a Tertiary Care Hospital: Differentiation Between Children and Adults
AbstractVariations in thyroglossal duct cysts (TGDCs) between children and adult are mentioned very little in literature. The lesion mostly found in children but adult population also possesses this anomaly. The aim of this study was to determine the differences in clinical presentations and surgical outcomes of TGDC between children and adults. A retrospective chart review of all patients with TGDCs managed in our hospital from July 2004 to June 2014. All records were reviewed for age, sex, location of cyst in neck and with relation to hyoid bone, size, postoperative complication and recurrence rates. Differences between ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 18, 2016 Category: ENT & OMF Source Type: research

Phonatory Symptoms and Acoustic Findings in Patients with Asthma: A Cross-Sectional Controlled Study
This study is a cross-sectional study. A total of 50 subjects, 31 asthmatic and 19 control subjects matched according to age and gender were enrolled in this study. All subjects were asked about the presence or absence of dysphonia, vocal fatigue, phonatory effort, cough, dyspnea, and respiratory failure. Perceptual evaluation, acoustic analysis and aerodynamic measurements were also performed. Patient ’s self assessment using the Voice Handicap Index 10 was reported. The mean age of patients was 43.5 years with a female to male ratio of 2:1. There was a statistically significant difference in the prevalence of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 17, 2016 Category: ENT & OMF Source Type: research

Otological Manifestations of Nonseptic Lateral Sinus Thrombosis: A Review
AbstractNonseptic lateral sinus thrombosis differs from septic lateral sinus thrombosis in that it is not associated with ear or sinus infection. Etiologies of these conditions are different and management of these conditions are different. Nonseptic lateral sinus thrombosis requires medical line of management and anticoagulant therapy where as septic lateral sinus thrombosis treatment involves surgical exploration of the mastoid cavity, sinus decompression, and long-term antibiotic therapy. Mastoid changes are frequently detected on computed tomography or magnetic resonance imaging in cases of nonseptic lateral sinus thro...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 27, 2016 Category: ENT & OMF Source Type: research

Maxillofacial Infections of Odontogenic Origin: Epidemiological, Microbiological and Therapeutic Factors in an Indian Population
AbstractOdontogenic fascial space infections are commonly encountered by the oral and maxillofacial surgeon. A retrospective study of the epidemiological characteristics, microbiological analysis and treatment response to odontogenic infections treated in the oral and maxillofacial unit of a Dental school is presented. A retrospective analysis of case records of all odontogenic infections that reported to the oral and maxillofacial surgery unit in a Dental school over a period of 2  years was performed. Epidemiological data, microbiological profile and treatment responses were analysed. All data were subjected to stat...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 27, 2016 Category: ENT & OMF Source Type: research

Hemodynamic Effects of Topical Adrenaline During Septoplasty
AbstractVasoconstrictors agents is used in septal surgery, in attempt to improve haemostasis and thereby improve the surgical field. We aimed to compare the effect of lignocaine with adrenaline injection and alone lignocaine injection with topical adrenalin on perioperative hemodynamic effect, hemorrhage and postoperative pain. Patients undergoing surgery were randomised into two groups: group I in whom infiltration was performed with lignocaine (2  %) with adrenaline (1:100,000), group II in whom infiltration was performed with lignocaine (2 %) injection with topical adrenalin application (1:10,000). The two gro...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 27, 2016 Category: ENT & OMF Source Type: research

A Clinico-Pathological Study of Cervical Lymph Nodes
AbstractCervical lymphadenopathy is one of the commonest presenting complaint of patient in ENT OPD Fine Needle Aspiration Cytology (FNAC) is one of the most reliable, less expensive, and basic diagnostic procedure for the definitive and conclusive diagnosis for the immune system which reciprocates in the form of enlarged lymph nodes. A study was conducted in ENT Department of Santosh Medical College, Ghazibad from August 2015 to May 2016 on 64 patients with enlarged cervical lymph nodes. FNAC was done to make the diagnosis. Out of 64 patients (51.5  %) was reactive non-specific, 28 % tubercular, 3.1 % lymph...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 27, 2016 Category: ENT & OMF Source Type: research

Endoscopic Septoplasty —Two Handed Technique with Endoscope Holder: A Novel Approach
AbstractThe popularity of endoscopes has been expanding not only in diagnostics but also in therapeutics. The traditional septal surgery also has come under the purview of endoscopic surgery in the last few decades. Endoscopic septoplasty has definitely many advantages over the conventional procedure. But the only disadvantage of endoscopic surgery is that it is a single handed technique as the other hand is used for holding the endoscope which may compromise the overall surgical time as the hemostasis and suctioning of the surgical field off the blood cannot be done simultaneously, in addition to the surgeon fatigue ass...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 27, 2016 Category: ENT & OMF Source Type: research

A Short Term Subjective and Objective Analysis of Modified Endoscopic Lothrop ’s Procedure and Its Functional Outcome: Our Experience
AbstractTo study the short-term functional outcomes of the endoscopic modified Lothrop procedure with well defined subjective and objective criteria. It ’s a retrospective cohort study with chart review carried out at a tertiary referral center. 31 patients with chronic frontal sinusitis who underwent endoscopic modified Lothrop’s procedure with uncinate preservation during the period Jan 2011–2014 were followed up for a period of minimum 6 m onths. Assessment was done post-operatively based on subjective severity score and Kennedy’s 5 point endoscopic criteria. Subjective improvement was seen ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 27, 2016 Category: ENT & OMF Source Type: research

Grisel Syndrome in Otolaryngology: A Case Series with Literature Review
AbstractGrisel ’s syndrome is non traumatic atlanto axial subluxation usually associated with inflammatory conditions of head and neck region. Non traumatic atlanto axial joint subluxation is a rare entity for an unsuspecting otolaryngologist. The condition if missed and not treated properly can have serious imp lications with possible neurological deficit. We attempt to review the existing literature on the disease condition and also to highlight the proper management of the condition. Retrospective analysis of hospital record of last five years and an internet based literature survey on the current concep ts and ma...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 24, 2016 Category: ENT & OMF Source Type: research

Juvenile Nasopharyngeal Angiofibroma: Combined Approach for Excision, Transpalatal and Endoscopic; A New Perspective
AbstractJuvenile angiofibroma is a rare, highly vascular, histologically benign but locally invasive tumour, affecting predominantly male adolescents. To describe our experience in diagnosis of angiofibroma and treatment by combined endoscopic and transpalatal route. We analysed a case series of 50 patients of nasopharyngeal angiofibroma in Fisch stages I and II who presented at our institute during a period of four years 2011 –2014, their clinical presentation, their treatment by combined transpalatal and endoscopic approach, intraoperative and post operative course, complications and tumour recurrence. Patients wer...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 18, 2016 Category: ENT & OMF Source Type: research

Subluxation of the Cricoarytenoid Joint After External Laryngeal Trauma: A Rare Case and Review of the Literature
AbstractCricoarytenoid joint subluxation is rare condition. There are
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 17, 2016 Category: ENT & OMF Source Type: research

Rigid Bronchoscopic Placement of Fogarty Catheter as a Bronchial Blocker for One Lung Isolation and Ventilation in Infants and Children Undergoing Thoracic Surgery: A Single Institution Experience of 27 Cases
This study is a prospective study carried out in J.L.N. Hospital and Research Centre, Bhilai (CG), from January 2011 to December 2014. The study was designed to place Fogarty catheter for achieving OLV using rigid bronchoscope in children. The patient and anaesthesia characteristics, placement and positioning of Fogarty catheters, intraoperative course, complications and recovery of the patient were studied. The data were then compared with the relevant and available literature. Over the study period of 4  years, 27 cases were included, out of which 22 (81.48 %) cases had suppurative lung disease, three cases (11...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 14, 2016 Category: ENT & OMF Source Type: research

Role of CT Mastoids in the Diagnosis and Surgical Management of Chronic Inflammatory Ear Diseases
This study emphasizes on the importance of CT scan in diagnosis of inflammatory ear diseases and most importantly identifying pitfalls or complications which a surgeon can come across during surgery. The aims and objectives of this study is (1) to establish the efficacy of CT in the diagnosis of the complications and surgical management of chronic inflammatory pathologies of middle ear. (2) To find subgroups of CSOM where CT is particularly useful. In this series, a total of 25 cases presenting to our OPD at Govt. ENT Hospital between 2013 and 2014 have been diagnosed and findings of surgery correlated with HRCT scan of te...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 12, 2016 Category: ENT & OMF Source Type: research

Epithelial Myoepithelial Carcinoma of Parotid Gland
We report a case of epithelial myoepithelial carcinoma of parotid in a 40 year male that was treated with surgery followe d by post-operative radiotherapy. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 7, 2016 Category: ENT & OMF Source Type: research

Socio-demographic Correlates of Rhinosporidiosis: A Hospital-Based Epidemiologic Study in Purulia, India
AbstractThe present paper attempts to  explore the socio-demographic profile of patients with rhinosporidiosis in an endemic area. A cross-sectional study was carried out in a tertiary-care hospital in Purulia district, India, including consecutive patients with histologically-proved rhinosporidiosis. Their socio-demographic profiles w ere obtained through a pre-designed proforma with given epidemiologic parameters. Data was statistically analyzed with inputs from literature review. Of the 39 patients included, 87 % were fresh/new cases. The age-group of 10–20 years was mostly involved, with multiple p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 6, 2016 Category: ENT & OMF Source Type: research

Spontaneous Recurrent CSF Rhinorrhoea: A Rare Case and Review of Literature
We present a rare case of spontaneous (delayed onset post traumatic) CSF rhinorrhoea with multiple defect sites, which was treated with an endonasal endoscopic repair. The patient was asymptomatic for 9  years after surgery, and then presented with a spontaneous left frontal recess CSF leak, which was closed using endonasal approach. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 5, 2016 Category: ENT & OMF Source Type: research

Observations on Tympanic Membrane Perforations (Safe Type) and Hearing Loss
AbstractThe most commonly observed clinical findings in otological practice is discharging ear in which perforation of the tympanic membrane is the commonest, yet the patients hardly ever seek advice for deafness as the presenting symptom. In patients with the symptoms of ear ache or ear discharge when relieved seldom present for follow up and are not very much concerned about the hearing loss present there. There is a different correlation between surface area of tympanic membrane and amplification of sound. Conductive hearing loss is seen in lower tones than higher tones. When the surface area of tympanic membrane is red...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 30, 2016 Category: ENT & OMF Source Type: research

Nasopharyngeal Carcinoma: A 15  Year Study with Respect to Clinicodemography and Survival Analysis
AbstractNasopharyngeal carcinoma (NPC) is a rare malignancy in Kashmir with distinct pattern, hence we planned to study its clinicodemographic and survival profile. Kashmir has unique lifestyle and dietary habits which may be the source of carcinogenic compounds, most likely implicated in causation of NPC. A total of 148 patients of NPC registered from January 2000 to December 2014 were analyzed. The Mean  ± SD age was 45.15 ± 17.092 years (range 11–85 years). The males were 72.3 % (N = 107) with male: female ratio of 2.61:1. Most of the patients were from ru...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 18, 2016 Category: ENT & OMF Source Type: research

Combined Expansion Pharyngoplasty and Anterior Palatoplasty for the Treatment of OSA
Abstract To evaluate the success rates of combined Expansion Sphincter Pharyngoplasty and the Anterior Palatoplasty in the treatment of OSA. A two center prospective series of 73 patients with OSA. All patients were>18  years old, retro-palatal obstruction, concentric velo-pharyngeal collapse, BMI 
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 15, 2016 Category: ENT & OMF Source Type: research

Adult Thyroglossal Duct Carcinoma of Thyroid Epithelial Origin: A Retrospective Observational Study
AbstractThyroglossal duct or cyst carcinoma (TGDCCa) is uncommon. Current treatments follow those of thyroid cancer but controversy exists over the extent of thyroid and lymph node surgery. Our aim was to study the presentation, treatment strategies and clinical outcomes in patients presenting with TGDCCa. Of 637 patients diagnosed with thyroid cancer over 15-years, 4 patients (0.6  %) with TGDCCa were identified. Two patients were diagnosed outside this time period. Details of demographics, presentation, diagnosis, management and outcomes of all 6 patients were reviewed. 5 females and 1 male with a median (range) age...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 12, 2016 Category: ENT & OMF Source Type: research

Functional Endoscopic Sinus Surgery Versus Balloon Sinuplasty with Ethmoidectomy: A 2-year Analysis in Pediatric Chronic Rhinosinusitis
Abstract To evaluate the 2-year post-operative outcomes of pediatric patients with chronic rhinosinusitis (CRS) treated with balloon catheter sinuplasty (BCS) and ethmoidectomy compared to functional endoscopic sinus surgery (FESS). Two-group, retrospective cohort study of 28 children with CRS was performed. Of these 28 participants, 15 were treated with traditional FESS (53.6  %) and 13 (46.4 %) underwent traditional ethmoidectomy with balloon sinuplasty. Pre-operative and 2-year postoperative total symptom scores and medications were compared. To examine the potential long-term differences in surgical outcomes...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 26, 2016 Category: ENT & OMF Source Type: research

Comparative Study of Apo-Cetirizine Single Therapy and Intermittent Sequential Therapy with Cetirizine, Loratadine and Chlorpheniramine in Allergic Rhinitis
In this study, we compare single therapy of Apo-Cetirizine with a new regimen of intermittent sequential therapy with cetirizine, loratadine and chlorpheniramine in treatment of seasonal allergic rhinitis. This randomized clinical trial was performed between April and September at the peak prevalence of seasonal allergic rhinitis. Fifty-four eligible patients diagnosed clinically to have seasonal allergic rhinitis were randomized in two groups: 24 cases in single therapy arm, received Apo-Cetirizine 10  mg tablet daily and in other arm, 30 patients received sequential regimen of cetirizine 10 mg tablet, loratadin...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 26, 2016 Category: ENT & OMF Source Type: research

An Innovative Operative Method for Correction of Tracheal Stenosis
Abstract This is a case of failed attempt of hanging, resulted into cervical injury & amp; injury to the trachea. Patient was put on the ventilator for respiratory support for long period. Poor recovery of the patient resulted into prolong tracheostomy tube. Combine effect of all resulted into suprastomal tracheal stenosis. Due to complexity of the problem a novel method was customized to correct the tracheal stenosis. Strap muscle (Sternohyoid & amp; Sternothyroid) was raised as a flap; free cartilage was sandwiched in between and sutured to the created tracheal defect. Bovine collagen was placed over a stent and...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 19, 2016 Category: ENT & OMF Source Type: research

Apocrine Hidrocystoma: A Rare Case Report
Abstract Hidrocystoma is a cystic tumor originating from a dilated sweat gland. The tumor is typically small and located predominantly on the face, particularly in the eyelid margins. They are two classical types of hidrocystomas i.e., Apocrine and Eccrine. Apocrine hidrocystomas are cystic lesions that arise from the apocrine secretory coil and Eccrine hidrocystomas represent retention cysts of the eccrine duct. Multiple apocrine hidrocystomas confined to the eyelids have been recognized as a feature of a new variant of ectodermal dysplasia. Here we present a rare case of Apocrine hidrocystoma of supraorbital are...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 18, 2016 Category: ENT & OMF Source Type: research

Endoscopic Excision of Non-embolized Juvenile Nasopharyngeal Angiofibroma: Our Technique
Abstract To approach Juvenile nasopharyngeal angiofibroma extending to the sphenoid sinus, pterygoid wedge and minimal involvement of the pterygopalatine fossa (Radkowski Stage 2 A) with an endoscopic technique without embolization with no recurrence and minimal morbidity and mortality. This is a retrospective, descriptive study based on the medical records of 15 patients with histologically confirmed JNA who underwent endoscopic binostril four handed endoscopic excision in our centre without embolisation between 2010 and 2015. All 15 patients were young males with a mean age of 14.13 years who underwent endo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 11, 2016 Category: ENT & OMF Source Type: research

Disfiguring Giant Odontogenic Myxoma of Mandible: A Case Report with Brief Review of Literature
Abstract Odontogenic myxoma is an uncommon benign but locally aggressive tumor which exclusively arises from tooth bearing areas. We are reporting a case of a giant slow growing odontogenic myxoma of mandible in a 16-year-old girl causing significant functional and cosmetic problem. Giant size of the tumor has caused facial disfigurement, mental agony and foul smell, because of which the patient confined herself in the house and lived the reclusive social life. Tumor was widely excised and reconstruction done with titanium plate. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 10, 2016 Category: ENT & OMF Source Type: research

Proton Beam Therapy for Locally Recurrent Parotid Gland Cancer
Abstract The aim of this study was to evaluate the efficacy and safety of proton beam therapy for patients with locally recurrent parotid cancer. Between 2009 and 2012, ten patients with locally recurrent parotid gland cancer were treated with proton beam therapy (70.2 Gy equivalents in 32 fractions) with or without intra-arterial infusion chemotherapy of cisplatin (50 mg/body/week, for a total of 5–8 weeks). The median follow-up was 24 months (range 10–49 months). The 1-year overall survival and local control rates were 80 %, and the 3-year overall survival and local cont...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 8, 2016 Category: ENT & OMF Source Type: research

A Drastic Aftermath of Embolisation in Juvenile Nasopharyngeal Angiofibroma
We report an unusual case of JNA who developed cerebral edema, hemiplegia and aphasia following glue embolisation and underwent frontotemporal craniectomy. This drastic aftermath of embolisation challenges the safety of preoperative embolisation in such lesions. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 8, 2016 Category: ENT & OMF Source Type: research

Construction of Hindi Speech Stimuli for Eliciting Auditory Brainstem Responses
The objective of current study is to develop Hindi speech stimuli for recording auditory brainstem responses. The Hindi stop speech of 40 ms containing five formants was constructed. Brainstem evoked responses to speech sound |da| were gained from 25 normal hearing (NH) adults having mean age of 20.9 years (SD = 2.7) in the age range of 18–25 years and ten subjects (HI) with mild SNHL of mean 21.3 years (SD = 3.2) in the age range of 18–25 years. The statistically significant differences in the mean identification scores of synthesized for speech stimuli |da| and |ga...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 7, 2016 Category: ENT & OMF Source Type: research

Congenital Arhinia: A Rare Case Report and Review of Literature
Abstract Congenital absence of nose (Arhinia) is extremely rare. A male baby was born at term via uncomplicated vaginal delivery and presented with complete arhinia, bilateral microphthalmia, lower eyelid coloboma and feeding difficulty. Reconstructive surgery was postponed until preschool age. On follow up at 1 year of age baby is feeding liquid and semisolid food and growing well. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 7, 2016 Category: ENT & OMF Source Type: research

Role of Buccal Pad of Fat in Reconstruction of the Buccal Mucosa Defects
This study aims at evaluating the role of buccal pad of fat in reconstruction of defects following excision of the small to medium premalignant lesions and T1–T2 malignant lesions of buccal mucosa. This study has 20 patients who presented between January 2013 and January 2015, with biopsy proven premalignant lesions and early malignant lesions in the buccal mucosa. The lesions were excised and reconstructed with buccal pad of fat. Patients were followed up for a period of 3 months, in this period were evaluated for flap epithelisation, postoperative complications like flap necrosis and infection and also the fun...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 4, 2016 Category: ENT & OMF Source Type: research

Uses of Various Grafting Techniques in External Approach Rhinoplasty: An Overview
Abstract The surgeons performing rhinoplasty found Graft selection the greatest challenge. To avoid an immune response the preferred choice thus far for nasal reconstruction would be autograft compared to allograft due to its lower rate of rejection. We have evaluated 30 patients who underwent open rhinoplasty and We used conchal and septal cartilaginous grafts in various forms by the open approach to correct various nasal deformities compared our experience regarding the operative technique, graft availability, indications, and limitations. No bony graft material or synthetic materials were used. Preoperative ext...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 26, 2016 Category: ENT & OMF Source Type: research

A Preliminary Attempt to Profile Tympanometric Measures in Infants Using High Frequency Probe Tones
This study was a preliminary attempt to profile the tympanic measures. Ytm values were lesser or similar to other studies, TPP and Vea values had lower and narrow range, while TW were more than previous studies. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 20, 2016 Category: ENT & OMF Source Type: research

Why Cannot We have an Etiological Classification for the Patients with Granular Myringitis?
Abstract Though granular myringitis (GM) is not a very rare disease it does not have any classification. Its exact etiology is not known. The granulations on tympanic membrane also occur in association with other lesions of external auditory canal (EAC) and middle ear. The aims of this study were to know the etiological factors of GM and classify the disease according to its etiological factors and associated disorders of EAC and middle ear. Data were retrieved from the search of four electronic databases: PubMed, EMBASE, Cochrane Library, and Google scholar. Relevant articles were also sought by a hand search rev...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 12, 2016 Category: ENT & OMF Source Type: research

Challenges During Baha Surgery: Our Experience
Abstract Baha has proven performance and advantages for patients with aural atresia or chronic ear drainage. Being a per cutaneous osseo integrated implant the skin around the fixture is in contact with a foreign body that leads to chronic inflammatory reaction and complications such as skin irritation and overgrowth occur frequently. Challenges that are faced during Baha surgery include those during candidate selection, work up, anesthesia related as well as intra-operative and post operative complications. Ours was a retrospective and observational study where case records of 10 patients who underwent Baha surge...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 9, 2016 Category: ENT & OMF Source Type: research

Spectrum of Tuberculous Infection in Patients Suffering from HIV/AIDS and Its Correlation with CD-4 Counts: A Retrospective Study from Sikkim
Abstract To determine the spectrum of Tuberculous Infection in Patients suffering from HIV/AIDS and its correlation with CD-4 cell counts. A retrospective analysis of data of all the patient suffering from HIV/AIDS who are registered in the Sikkim State AIDS control society register during the past 7 years to look for tuberculosis as a opportunistic infection and its correlation with CD4 cell counts. Out of 268 patient registered, 51 were suffering with tuberculosis as co-infection, Amongst which cervical tuberculosis was common. There was significantly relation with CD4 cells count. Tuberculosis is one of th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 9, 2016 Category: ENT & OMF Source Type: research

Do we Need to Modify the Parotidectomy Incision?
Abstract The results indicate that the modified cervicofacial incision is a better aesthetic option for surgical procedures concerning all benign and malignant neoplasms of the parotid gland. The aim of this study was to present the results of the use of modification of modified Bailey incision in Parotid Surgery. This is a case series comprising 155 consecutive patients who were subjected to either partial or total parotidectomy using the modified incision. All parotid tumors were removed without encountering any problem with exposure, facial nerve delineation or tumor delivery. There was no need for any further ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 8, 2016 Category: ENT & OMF Source Type: research

The Epitympanum Revisited: Endoscopic Anatomy
Abstract In contrast to other means of studying the epitymapnum, the endoscope allows unparallel access without disruption of anatomy. The aim of this study is to delineate the anatomy of the epitympanum through transcanal endoscopy. Systematic dissection of anatomic specimens. We performed systematic endoscopic dissection of 20 ears in 10 fresh frozen anatomical specimens. A detailed flow sheet was filled up documenting the status of the lateral attic folds, the tensor fold, the cog and the tensor folds, the supratubal recess, and the patency of the anterior and posterior isthmus. None of the ears showed indicati...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 7, 2016 Category: ENT & OMF Source Type: research

Nasal Endoscopy Versus Other Diagnostic Tools in Sinonasal Diseases
Abstract Sinonasal endoscopy is an essential part of the rhinologic examination performed by otolaryngologists in the evaluation of sinonasal disease. The use of the endoscopes has been popularized with the advent of endoscopic sinus surgery. To evaluate the role of nasal endoscopy as primary examination in the early and accurate diagnosis of sinonasal diseases in comparison to other diagnostic tools in rhinology. A retrospective and prospective study was carried out on 200 patients with clinical evidence of sinonasal diseases. They were evaluated with anterior rhinoscopy, nasal endoscopy and CT paranasal sinus. ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Source Type: research

Importance of CT Scan of Paranasal Sinuses in the Evaluation of the Anatomical Findings in Patients Suffering from Sinonasal Polyposis
This study aimed to show importance of CT scan in evaluation of anatomical variations to prove a correlation with disease process and extent of disease in sinonasal polyposis patients. A study was done from Sept, 2010 to Sept, 2011 with 33 patients presenting with nasal polyps. All recruited patients, after thorough history, general examination and thorough ENT examination, were examined by nasal endoscopy and sinus CT scans. All scans were carried out using a 3 mm thickness in axial and coronal planes with sagittal reconstruction. An analysis was then carried out to see anatomical variations and disease extent in CT ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Source Type: research