Intraoral Basal Cell Carcinoma of Soft Palate: A Diagnostic Dilemma and Review of Literature
AbstractBasal cell carcinoma is the most common cancer worldwide. Most of basal cell carcinoma can be detected in the early stages and are generally well controlled with local resection. Despite the high incidence of BCC, intramucosal BCC is a very rare clinical entity. We hereby present a rare case report of pigmented BCC on soft palate and review the literature of this entity. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 26, 2023 Category: ENT & OMF Source Type: research

Underlay Myringoplasty Versus Overlay Myringoplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
AbstractMyringoplasty is still the most performed otological surgery. Nevertheless, the underlay vs. overlay approaches have yet to be determined. The purpose of this study is to compare the surgical and audiological outcomes of underlay and overlay myringoplasty in perforated tympanic membrane patients. A systematic review and meta-analysis synthesizing randomized controlled trials (RCTs), which were retrieved by systematically searching of Web of Science, SCOPUS, PubMed, and Google Scholar until January 25th, 2023. RevMan version 5.4 software was used to pooled dichotomous outcomes using the risk ratio (RR) with the corr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 23, 2023 Category: ENT & OMF Source Type: research

To Compare the Effects of Post-tonsillectomy Intra-operative Infiltration of Ropivacaine Versus Bupivacaine in Tonsillar Fossa
AbstractTonsillectomy is one of the most common surgical procedures practiced in Otorhinolaryngology. A significant obstacle for the speedy and smooth recovery is early post- operative pain. Pain leads to negative outcomes such as poor intake, tachycardia, anxiety, delayed wound healing and insomnia. Aim to assess and compare the effect of post-incisional infiltration of 0.75% Ropivacaine v/s 0.5% Bupivacaine on post tonsillectomy pain, the on start of oral intake and stay in hospital and to investigate any complications that can arise due to infiltration of the said drugs. 60 Patients above the age of 5  years were poste...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 23, 2023 Category: ENT & OMF Source Type: research

Supraclavicular Artery Perforator Based Flap in Reconstruction of Neck Soft Tissue Defects: Our Experience
AbstractNeck reconstruction is challenging task as it requires achievement of both function and aesthetic form as it is exposed and visible part of body. Various reconstruction modalities like Skin graft to free flap has been described in literature (Achauer and Sood ’s Burns Surgery, edition 2006). We used Supraclavicular artery perforator based island Flap for resurfacing defect in Five patients. After localization of Supraclavicular artery perforator with hand held Doppler; flap was raised in subfascial plane and inset was given under anesthesia. Out of fiv e patients, there were two males and three females. Three pat...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 23, 2023 Category: ENT & OMF Source Type: research

Use of Navigation System in the Management of Deep Neck Space Infection —A Case Report
AbstractDeep neck space infections are an ENT (Ear, Nose, Throat) emergency. Navigation system (NS) can be utilized to assist in locating the exact site of pathology and avoiding iatrogenic injury especially in paediatric patients. This manuscript explores the importance of NS in managing retro pharyngeal abscess (RPA) in an 11 month old baby. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 23, 2023 Category: ENT & OMF Source Type: research

Nasal Sebaceous Carcinoma ? A Rare Presentation
AbstractSebaceous carcinoma (SC) is a slow-growing but aggressive malignant skin tumour derived from sebaceous glands. SC most commonly occurs in the periocular region, whereas extraocular sites are rare. SC of the nasal dorsum is a rare pathology, and only a few cases are reported worldwide. Here, we report a case of an 80-year-old man who presented with a mass over the nasal dorsum, diagnosed morphologically and immunohistochemically as sebaceous carcinoma. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 23, 2023 Category: ENT & OMF Source Type: research

Meta-analysis of the Relationship Between Neutrophil to Lymphocyte Ratio and Nasal Polyps
AbstractOur study aimed to enhance understanding of nasal polyp pathophysiology by reviewing the data for variations of NLR values between patients with nasal polyp and healthy controls. We searched Web of Science, PubMed, ProQuest, and Scopus up to 2 April 2023. The search strategy was not limited to any specific language. Twelve studies were included in our study. Of them, ten studies, involving 898 nasal polyp patients and 590 control patients, were included in the meta-analysis. The NLR levels in nasal polyp patients were statistically greater than in the control group (SMD  = 0.56; 95%CI 0.04–1.08,P = 0.036)...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 22, 2023 Category: ENT & OMF Source Type: research

Adenoid Cystic Cancer of the Lacrimal Gland: Management Aspects and Treatment Outcomes
AbstractAdenoid cystic carcinoma (ACC) of the lacrimal gland is the most common malignant epithelial tumor of the lacrimal gland. The biological behavior of these tumors is characterized by a slow growth with frequent nerve invasion but rare invasion of the neck nodes. Local extension intracranially with bone erosions is seen in locally advanced tumors. Distant metastasis to lungs bone and liver are commonly reported. Treatments using surgery and radiotherapy are generally preferred for adequate tumor control. However there is still no consensus on the best treatment approach. (Source: Indian Journal of Otolaryngology and ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 21, 2023 Category: ENT & OMF Source Type: research

Office Rigid Laryngoscopy as a Predictor for Glottic Exposure in Microlaryngoscopy
This study aims to evaluate the utility of office-based rigid laryngoscopy (70 °) as a screening tool to predict laryngeal exposure during micro laryngoscopy. Sixty-nine patients underwent office-based rigid laryngeal examination followed by micro laryngoscopic surgery for benign vocal cord lesions. Office-based laryngoscopy was classified as grade 1 when the entire glottis w ith anterior commissure (AC) was visualized without undue traction of tongue; grade 2 when AC was visualized only during phonation and with some traction of tongue and grade 3 when there is an inability to visualise the glottis adequately despite mod...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 21, 2023 Category: ENT & OMF Source Type: research

Plunging or Cervical Ranula as a Rare Cause of Respiratory Distress
AbstractThe Plunging or cervical ranula is a mucus pseudocyst extension of the sublingual gland that is located below the mylohyoid muscle. In infants, owing to small sublingual and cervical space, clinically large cervical ranulas can lead to a significant impact on swallowing, crying, and even breathing (Carlini et al. in Pediatr Rep 8(4):6576, 2016; Övet et al. in Turk Arch Otorhinolaryngol 53(3):133–135, 2015). In these clinical pictures, we present a case of cervical ranula that grew in a short period leading to respiratory distress. This ranula was aspirated in a PICU setting to relieve respiratory obstruction bef...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 21, 2023 Category: ENT & OMF Source Type: research

Olfactory Sensitivity in Covid 19 Infection Recovered Subjects
AbstractSense of smell is a vital perception in mammals. Temporary loss of smell is the main neurological symptom and one of the earliest and most commonly reported indicators of COVID-19. A observational hospital based analytical study carried out at a tertiary care centre for a period of 22  months from January 2021 to October 2022. All the patients were subjected to sniffin stick test and all the data were noted, tabulated and compared to know the correlation of olfactory sensitivity to different parameters. Males were affected with hyposmia slightly more than females. There was not much difference in the olfactory sen...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 20, 2023 Category: ENT & OMF Source Type: research

Imaging Update of Congenital Hearing Loss: A Recent Insight Imaging Including 3D MRI Cisternography Prior to Cochlear Implant
AbstractSNHL in children is an important issue. Cochlear implant is a highly technological device that is surgically inserted in the cochlea to solve this issue. To evaluate types of anomalies of the inner ear in children with sensorineural hearing loss in a tertiary care hospital and confirm that the routine MRI, MR cisternography and HRCT provides the surgeon with the imaging finding and criteria of patients candidates for CI. Patients and method: 600 patients with SNHL underwent HRCT and MRI. CT examinations were normal in 457 patients (76.2%) and 143 patients (23.8%) with inner ear anomalies. MRI examinations were norm...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 20, 2023 Category: ENT & OMF Source Type: research

Advancements in Skull Base Surgery: Navigating Complex Challenges with Artificial Intelligence
ConclusionAI contributes to accurate diagnosis, surgical planning, navigation, predictive analysis, and postoperative care. Ethical considerations and data quality assurance are essential, ensuring responsible AI implementation. While AI serves as a valuable complement to clinical expertise, its potential to enhance decision-making, precision, and efficiency in skull base surgery is evident. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 20, 2023 Category: ENT & OMF Source Type: research

Role of CD34-immunopositive Microvascular Density in Juvenile Nasopharyngeal Angiofibroma
ConclusionMVD is significantly associated with tumour volume in JNA, which implies a robust role of angiogenesis in the pathology of the tumour. Also, higher MVD may be a risk factor for recurrence. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 20, 2023 Category: ENT & OMF Source Type: research

Otoplasty in Adults: Psychological Impacts on Quality of Life
This study aimed to investigate the changes in the psychological impact on quality of life after Otoplasty. The study used several measures, including the Glasgow Benefit Inventory, Social Appearance Anxiety Scale (SAAS), Body Image Scale (BIS), Rosenberg Self-Esteem Scale (RSES), and Visual Analogue Score (VAS), which were completed before and six months after the surgery. The GBI questionnaire was used to detect the health-related quality of life changes after Otoplasty, as it is a reliable, valid, and responsive measure. Six months after the surgery, BIS total scores, VAS scores, and SAAS scores decreased significantly,...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 20, 2023 Category: ENT & OMF Source Type: research