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

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

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

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

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

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

Management of Post-Traumatic Subglottic Stenosis and Pharyngosubglottic Fistula
We report a very rare presentation of penetrating neck trauma presenting with fracture of the cricoid cartilage, subglottic stenosis and pharyngosubglottic fistula. The term ‘pharyngosubglottic fistula’ is used here for the first time to describe a communication tract between hypopharynx and subglottis. The successful surgical management of this case is discussed. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 4, 2018 Category: ENT & OMF Source Type: research

“Non-invasive Follicular Thyroid Neoplasm with Papillary like Nuclear Features”: An Institutional Retrospective Study with Re-nomenclature and Re-classification
AbstractThe cumulative efforts of pioneers in field of Thyroid pathology have resulted in proposed reclassification of Encapsulated Follicular Variant of Papillary Thyroid Carcinoma (EFVPTC) to “Non-invasive follicular thyroid neoplasm with papillary-like nuclear features” (NIFTWP) due to indolent clinical behaviour. To study the spectrum of EFVPTCs in our institute and to reclassify them as NIFTWP using stringent morphological criteria. This is a retrospective study conducted from Jan 2014 to July 2017. Institutional records were accessed and out of 485 thyroidectomy cases, 35 cases of EFVPTC were taken into s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 3, 2018 Category: ENT & OMF Source Type: research

Changing Indications for Pediatric Tracheotomy: An Urban Indian Study
AbstractTo review the changing indications, decannulation rates, complications and mortality in pediatric tracheotomies. Medical records of children who underwent primary or revision tracheotomy from April 2003 to December 2015 were retrospectively analyzed. Patient characteristics including age, sex, preoperative diagnosis and indications for tracheotomy. The complications, mortality and decannulation rates for the tracheotomies were studied. There were 101 patients who underwent tracheotomy over a period of 13  years. Out of these, complete data was available for 99 patients. There were 61 males and 38 females and t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 3, 2018 Category: ENT & OMF Source Type: research

Determination of Serum IgE and Eosinophils as a Diagnostic Indicator in Allergic Rhinitis
AbstractAllergic Rhinitis is a chronic, inflammatory disease induced by an IgE-mediated reaction and identified clinically by the presence of symptoms of nasal discharge, itching, sneezing and nasal congestion. The aim and objectives of the study was to determine serum IgE and eosinophil levels in patients with allergic rhinitis and healthy controls, men and women, different age groups and to establish a correlation between serum IgE and eosinophil. A retrospective study was conducted in the outpatient department of ENT in ICARE institute of medical sciences and research, Haldia during the time span of March 2016 to Februa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 2, 2018 Category: ENT & OMF Source Type: research

Peripheral T Cell Lymphoma of Parotid Gland: A Diagnostic Challenge
We present a case report with diagnostic challenge in identifying peripheral T cell lymphoma of salivary gland with the review of literature. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 2, 2018 Category: ENT & OMF Source Type: research

Analysis of Age-Related Differences of Risk Factors and Comorbidities in Laryngotracheal Stenosis Patients
AbstractLaryngotracheal stenosis (LTS) is a life threatening airway problem that is mainly caused by prolonged intubation. The authors intend to assess whether there was variability in the risk factors depending on age, and to determine which risk factors and comorbidities were more important in the development of LTS at older or younger ages. Fifty-two LTS patients were evaluated for comorbidities and risk factors retrospectively. The LTS etiologies, demographics, and medical and surgical histories of the patients were determined by the medical records. The patients under 40  years old were defined as group 1, and th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 2, 2018 Category: ENT & OMF Source Type: research

A Comprehensive Analysis of Benign Vocal Fold Lesions Causing Hoarseness of Voice and Our Experience with Cold Knife Endolaryngeal Surgery in a Tertiary Healthcare Centre
Abstract Benign vocal fold lesions (BVFL) frequently affect the general population and cause significant hoarseness by interfering with daily communication. Healthcare for low income groups in India is all about affordability and availability without giving up on quality and providing maximum satisfaction. (1) To analyse over a period of 4  years, the demographics, clinical profile, diagnostics and management options of BVFL. (2) To assess the diagnostic potential of rigid laryngoscopy in diagnosing these lesions. (3) Cold knife endolaryngeal surgery as a cost effective, satisfactory and efficient treatment modality...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 30, 2018 Category: ENT & OMF Source Type: research

Serum Adenosine Deaminase Levels and Human Papillomavirus as Prognostic and Predictive Factors for Laryngeal and Pharyngeal Carcinomas
AbstractHead and neck cancer is one of the most common cancers in the world, accounting for up to 30 –40% malignancies in India. Research is always on the lookout for parameters that help in early diagnosis of such disease and to explore the possibility of discovering such parameters that would assist in management of the disease by its potential to predict and prognosticate the disease. To estim ate serum ADA levels and to correlate with response to therapy and also to correlate between different clinical stages and serum ADA levels and to correlate HPV status to response to therapy. A prospective cohort study. 30 p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 30, 2018 Category: ENT & OMF Source Type: research

A Clinical Study of Effect of Hyperpyrexia on Otoacoustic Emissions in Children
This study demonstrated that hyperpyrexia causes hearing loss in children with fever probably due to cochlear inv olvement. We conclude that OAE can be used as a screening tool in detecting hearing loss among children because the technique is simple, reproducible, not expensive, not time consuming also effectively narrows down the children with high chances of hearing loss thereby effectively improves the chanc es of early diagnosis and hence children can be rehabilitated early, making a marked change in their future. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 26, 2018 Category: ENT & OMF Source Type: research

Barbed Reposition Pharyngoplasty in Indian Population: A New Palatal Surgery for OSAS
AbstractObstructive sleep apnoea (OSA) is a common problem affecting almost 4% of the population. Although continuous positive airway pressure  (CPAP) is considered the standard of care, the patient compliance for long term use is poor. Clinicians have explored surgical options for cure with varying success. Uvulopalatopharyngoplasty was considered as a standard of surgical care but long-term results were not satisfactory. Surgical resear chers have explored newer techniques to improve outcomes in the past decade with less morbidity and better quality of life outcomes. One of such development is Barbed Reposition Phar...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 24, 2018 Category: ENT & OMF Source Type: research

Laryngectomy With or Without Partial Pharyngectomy: A Systematic Review
Abstract Complications following the total laryngectomy with or without partial pharyngectomy with neck dissection for laryngeal and pyriform fossa malignancies like aspiration, pharyngocutaneous fistula wound infection, flap necrosis, haematoma, chyle fistula and carotid blowout can cause serious implication on the final outcome of the treatment, which leads to increased postoperative morbidity, hospital stay and hospital cost. A prospective study in the Department of Otolaryngology and Head –Neck Surgery, JSS Hospital, Mysore, from November 2014 to July 2016. 30 patients undergoing Total laryngectomy with or with...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 24, 2018 Category: ENT & OMF Source Type: research

Role of Adenoid-Nasopharyngeal Ratio in Assessing Adenoid Hypertrophy
This study has been conducted to determine the diagnostic accuracy of lateral neck X-ray (LNX) for assessing AH and to assess the correlation between adenoid size in LNX and clinical symptoms in a pediatric unit. Prospective study conducted in Department of ENT, Pathmavathy Medical Foundation, Kollam, Kerala, India from January 2015 to March 2016. 60 consecutive children of both genders, between the age group of 5 to 14  years, attending Department of Pediatrics with a provisional diagnosis of AH were included in the study. The symptom scores, radiographic ratio of adenoid to nasopharynx and endoscopic scorings were c...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 24, 2018 Category: ENT & OMF Source Type: research

Post Temporal Bone Fracture Facial Paralysis: Strategies in Decision Making and Analysis of Efficacy of Surgical Treatment
AbstractManagement of traumatic facial nerve injuries after temporal bone fractures is both challenging and controversial. The dilemma is whether to operate or not and if operating, when to operate and how much of the nerve to decompress. The aim of this study is to review our criteria for decision making in management of patients with temporal bone fracture induced facial nerve palsy, and analyze outcome of patients selected for surgical management. Review of 28 cases of temporal bone fracture between 2012 and 2016 was carried out. Patient assessment included clinical, audiological, computer tomography scans and electromy...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 19, 2018 Category: ENT & OMF Source Type: research

Virtual Bronchoscopy: Highly Sensitive Time and Life Saving Investigation in the Diagnosis of Foreign Body Aspiration —Our Experience
AbstractForeign body airway is a common cause of morbidity and mortality in children. Virtual bronchoscopy is a new investigative technique useful in locating non radiopaque FB missed on plain radiography. The aim of the study was to study the clinical profile of patients with suspected foreign body aspiration and to evaluate the changing trends in the diagnosis and quicker management of foreign body aspiration as a way of virtual bronchoscopy. This was a retrospective and prospective cross sectional study conducted in the Department of Otorhinolaryngology M.G.M.M.C. and M.Y. Hospital Indore for a period of 10  years....
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 19, 2018 Category: ENT & OMF Source Type: research

A Rare Case of Adenoid Cystic Carcinoma of the Sphenoid Sinus Presenting with Lateral Rectus Palsy
AbstractA rare case of adenoid cystic carcinoma arising from the sphenoid sinus causing lateral rectus palsy is presented here. Adenoid cystic carcinoma of the paranasal sinuses is an aggressive neoplasm which needs early diagnosis and treatment. Ideal treatment paradigm for paranasal sinus tumors is yet to be established. A combination of surgery and radiotherapy offers a better disease control and survival. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 19, 2018 Category: ENT & OMF Source Type: research

A Comparative Study of Various Office Procedures for the Management of Small to Medium Size Tympanic Membrane Perforations
AbstractA hospital based prospective study to compare and evaluate the efficacy and convenience of various office procedures like chemical cauterization, fat plug myringoplasty and butterfly cartilage tympanoplasty. This interventional, prospective, longitudinal study carried out on 300 patients in the ENT department of a tertiary care medical college hospital in central India between January 2009 and January 2015. The success rate was found to be 94.54, 91.12 and 97% in chemical cauterization, fat plug and butterfly cartilage tympanoplasty respectively (p value 0.246). In all the groups there were significant improvement ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 19, 2018 Category: ENT & OMF Source Type: research

Robot Assisted Trans Axillary Thyroidectomy: A Subcontinent Experience
Abstract To evaluate the outcome and initial hurdles of transaxillary robotic thyroidectomy in the Indian subcontinent. A total of seven (n  = 7) patients were operated from August 2016 to February 2017. Ultrasonography was used as a tool to decide the size of thyroid lobe and fine needle aspiration cytology for the type of lesion. All patients underwent ipsilateral brachial plexus nerve conduction studies preoperatively. Two arm po sitions were evaluated. The robot was docked at the contralateral side of the surgical field. Before discharge from hospital, all patients were given a questionnaire evaluate ou...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 19, 2018 Category: ENT & OMF Source Type: research

Comparison of Ossiculoplasty Using Autograft Ossicle Versus Allograft (Teflon)
AbstractChronic suppurative otitis media in almost any form can disrupt the integrity of ossicular chain. Various materials have been used for ossicular substitution or reconstruction, including both biologic and alloplastic materials. Teflon piston is now the most widely used prosthesis for reconstruction of the ossicular chain in cases of otosclerosis. The oto-surgeons are still confronted with problems of ossicular reconstruction regarding the surgical procedure to be done, type of graft to be selected especially in low and poor socioeconomic population. Thus, there is a need felt to comprehensively and holistically eva...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 19, 2018 Category: ENT & OMF Source Type: research

Sternocleidomastoid Flap in Parotid Surgery: A Case Series
AbstractSuperficial and deep parotidectomies are known treatments for benign and malignant neoplasms of parotid glands. Due to the gland ’s proximity to facial nerve and other vital structures, this surgery carries the highest risk of facial nerve palsy. Another frequently overlooked complication, which can be detrimental to patient’s life style is Frey’s syndrome, or gustatory sweating. Other complications include flap necrosi s and various contour deformities. We conducted this study on a group of 40 patients of parotid swellings to assess usage of sternocleidomastoid flap in prevention of Frey’s ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 18, 2018 Category: ENT & OMF Source Type: research

Correlation Between β-Catenin Expression and Staging in Nasopharyngeal Carcinoma Patients
AbstractNasopharyngeal carcinoma (NPC) is a malignant disease derived from nasopharyngeal epithelial cells that have a higher tendency for invasion and metastasis to the cervical lymph nodes than other head –neck malignancies. NPC patients with the same stages often show different progressions and prognoses. This suggests that clinical stages are not sufficient to predict progressivity, so biomarkers are required to provide better progression predictions. Some literature shows that the development an d progression of NPC is a complex mechanism involving various components of signal paths, it plays a role in regulatin...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 18, 2018 Category: ENT & OMF Source Type: research

Association Between Voice Handicap Index and Praat Voice Analysis in Patients  with Benign Vocal Cord Lesion Before and After Microscopic Laryngeal Surgery
This study aimed to analyse correlation between VHI score and praat voice analysis in benign vocal cord lesion before and after microscopic laryngeal surgery. This study was carried out from November 2009 to December 2010 at Outpatient Unit of Otorhinolaryngology, Head and Neck Surgery and Integrated Oncology Center of Dr. Soetomo General Hospital, Surabaya, Indonesia. Pearson ’s correlation test found a negative correlation between total VHI score with base frequency and harmonic-to-noise ratio (HNR) (r = − 0.186,p = 0.689; r = − 0.650,p =&th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 18, 2018 Category: ENT & OMF Source Type: research

Newborn Hearing Screening: Time to Act!
AbstractThe present study was carried out with the aim of assessing the outcomes of otoacoustic hearing screening in newborns coupled with the three stage protocol. It was a hospital based observational study which was conducted over a time period of twelve months at a tertiary care institute to screen 2000 live neonates for congenital hearing impairment using OAE, followed up by tympanometry and BERA, if required. 2000 neonates were screened for hearing impairment. 406 were in high risk group and the rest in non-high risk group. Seven neonates had absent V wave on BERA. Five of them were high risk babies and the rest two ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 17, 2018 Category: ENT & OMF Source Type: research

To Study the Role of FNAC in Pre-operative Diagnostic Work Up and Management in Parotid Tumours
Abstract Parotid gland is an important major salivary gland connected to the oral cavity. Salivary gland tumours are infrequent around less than 3% of head and neck tumours. Parotid gland is the most common site for the occurrence of salivary tumors. They are heterogeneous group of neoplasm characterized by the varying histological features and clinical behaviour. In our study we have examined the role of FNAC for preoperative diagnostic and management. We have concluded that Fine needle aspiration cytology is advocated routinely to know the type and nature of the tumour as an important pre-operatively diagnostic work up...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 17, 2018 Category: ENT & OMF Source Type: research

The Reliability of Polyvinylidene Fluoride Sensor for Intra- and Intersession Measurements
AbstractA new nasal sensor has been designed using Polyvinylidene fluoride (PVDF) film using its piezoelectric property to measure nasal patency. The aim of this study is to determine the intra- and intersession reliability of the new PVDF nasal sensor measurement of unilateral and combined nasal parameters in a group of healthy subjects. Two identical nasal sensors: for right nostril (RN) and left nostril (LN) were designed using piezoelectric natured PVDF films. Twenty subjects were studied. To evaluate the repeatability, total three sets of PVDF sensor measurements were recorded, two sets were taken 5  min apart du...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2018 Category: ENT & OMF Source Type: research

CBNAAT: A Boon for Early Diagnosis of Tuberculosis-Head and Neck
AbstractTuberculosis of head and neck has been an under diagnosed entity due to large number of smear negative cases, which results in missing out the positive cases, further increasing the burden of TB. The role of cartridge- based nucleic acid amplification test (CBNAAT) with a potential to diagnose TB and rifampicin resistance within 2  h is promising. The study highlights the extended implications of CBNAAT in infectious lesions of head and neck, where the pus or aspirate was subjected to this test, along with other investigations which have been routinely used for detection of extra pulmonary tuberculosis. Twelve...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2018 Category: ENT & OMF Source Type: research

Thyroid Dysfunction Following Management of Non-thyroid Head and Neck Cancers
Abstract Head and neck cancers are one of the commonest malignancies in India. Majority of cases of head and neck malignancy undergo chemoradiation with or without surgery. Thyroid bears the brunt in terms of either excision or the gland tends to get irradiated and fibrosed. In either scenario the functionality of gland is lost leading to hypothyroidism and other clinical manifestations. It tends to get subclinical and goes unnoticed. To identify the occurrence of clinical and subclinical hypothyroidism among head and neck cancer patients receiving radiation to the neck and to justify routine use of thyroid function tests ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2018 Category: ENT & OMF Source Type: research

A Study on Neck Nodes in Oral Cancers, with Special Reference to Skip Metastasis
Abstract To analyse the distribution of Neck metastases (NM) and to study frequency of skip metastases in oral squamous cell carcinoma (SCC) of oral cavity. From September 2012 to April 2013, 30 previously untreated patients with SCC of oral cavity underwent primary surgical treatment in our institution. From pathological report of Neck dissection specimen prevalence and distribution of NM were ascertained. All patients were classified according to American Joint Committee on Cancer 2005 TNM classification. Overall frequency of NM was 36.7%. Frequency of occult metastases was 33.3%. N+ metastases found in 37% cases. The ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2018 Category: ENT & OMF Source Type: research

Solitary Plasmacytoma of Frontal Bone: A Case Report
AbstractA 42  years old male presenting with complaints of swelling on the left supraorbital region since—5 months. Swelling was gradual in onset and progressive in nature. On examination it was a single swelling 5 × 6 cm, with diffuse margins, skin over the swelling was red and stretched, swelling is firm in consistency, fixed, tender on touch, non pulsatile with diffuse irregular margin. FNAC. Smears are positive for malignancy. Bone marrow examination was normal. Excision of the mass from the left frontal sinus, orbit and supraorbital region under GA and sent for HPR. Definitive ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2018 Category: ENT & OMF Source Type: research

Genetically Diversity of Pseudomonas aeruginosa Isolated from Chronic Suppurative Otitis Media with Respect to Their Antibiotic Sensitivity Pattern
AbstractPseudomonas aeruginosa is an important chronic suppurative otitis media (CSOM) pathogen that exhibits multiple resistances to antibiotics with increasing frequency, making patient treatment more difficult. The aim of the study is to ascertain the genetically diversity of this clinically isolatedP. aeruginosa with inter simple sequence repeat (ISSR) markers. All 25P. aeruginosa were isolated from CSOM patients by taking their ear swabs and culturing on blood agar and MacConkey agar. All strains were identified with morphological characters and biochemical testing. The antimicrobial susceptibility testing was carri...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2018 Category: ENT & OMF Source Type: research

Subjective Evaluation of Voice Characteristics of School Aged Children in a Basket Ball Team
AbstractVoice disorders have been estimated to be present in between 3 and 9% of general population. Sports children have vocal abusive behavior i.e. the extra effort which they put on their voice while playing, leading to voice disorders. It is imperative to find out the voice characteristics of children involved in sports activity. To assess voice characteristics of school aged children, who are active participants in a basket ball team. A group of twenty children (13 males and 7 females) were included in the study. He or she was member of school basket ball team and had participated in many events. The perceptual voice ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2018 Category: ENT & OMF Source Type: research

Congenital Cholesteatoma in Adults-Interesting Presentations and Management
AbstractTo report a series of adult patients diagnosed with congenital cholesteatoma (CC) with respect to symptoms, different varieties of presentation, surgical findings and approach used, complications and the postoperative results. A retrospective chart review of adult cases of CC who were treated in the period from January 2014 –2017 was carried out in a tertiary care center. Levenson’s criteria were used for diagnosis. Diagnosis was confirmed by imaging and intraoperatively. Postoperative results and complications were also analyzed. Six adult cases of CC were studied with a mean follow up of 10 month...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2018 Category: ENT & OMF Source Type: research

Airway Management and Bronchoscopic Treatment of Subglottic and Tracheal Stenosis Using Holmium Laser with Balloon Dilatation
Abstract Tracheal and subglottic stenosis are chronic inflammatory processes which can occur as a result of several possible aetiologies, most commonly as a result of prolonged intubation. All consecutive cases of subglottic and tracheal stenosis, secondary to prolonged intubation treated endoscopically over a period of 2  years were reviewed. The surgical approach consisted of radial incision and ablation using Holmium YAG laser, balloon dilatation and topical instillation of mitomycin C through flexible fiberoptic bronchoscope. Ventilation throughout was maintained through LMA. Laser fiber delivered through workin...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 12, 2018 Category: ENT & OMF Source Type: research

Small Cell Neuroendocrine Carcinoma: A Rare Nasopharyngeal Malignancy with Aggressive Clinical Course
We present a case of a 30-year-old woman who presented with a rapidly growing nasopharyngeal mass. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 12, 2018 Category: ENT & OMF Source Type: research

Reflux Finding Score (RFS) a Quantitative Guide for Diagnosis and Treatment of Laryngopharyngeal Reflux
AbstractThe study was under taken to know the prevalence of reflux signs in an individuals with throat complaints on the basis of reflux finding score (RFS) and quantitatively assess the effect of treatment. A cross-sectional study was done to evaluate the presence of laryngo-pharyngeal reflux signs in patients visiting ENT clinic with throat or voice problems in central India. There were 80 patients included in the study from 2017 to 2018 individuals. They were questioned regarding their symptoms. Their pharyngeal findings on rigid 70 ° laryngoscopy were viewed and RFS was made. The patients were reviewed at monthly i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 10, 2018 Category: ENT & OMF Source Type: research

Conventional Tracheostomy Versus Percutaneous Tracheostomy: A Retrospective Study
Conclusion In our study CT took lesser time with lesser blood loss and without any complications. But statistically, this difference was not significant. Thus person with refined skill in the technique is of utmost importance in deciding the choice of a technique. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 10, 2018 Category: ENT & OMF Source Type: research

Management of Mandible Fracture by Plating and Wiring: An Otolaryngologist Perspective at Teritiary Care Center
AbstractThe facial area is one of the most frequently injured parts of the body (Abiose in Br J Oral Maxillofac Surg 24(1):319,1986; Adi et al. in Br J Oral Maxillofac Surg 28(3):1949,1990; Allan and Daly in Int J Oral Maxillofac Surg 19(5):26871,1990), and the mandible is one of the most commonly fractured maxillofacial bones (1990; Azevedo et al. in J Trauma 45(6):10847,1998; Bremerich et al. in Acta Stomatol Belg 93:511,1996). Mandible is the only mobile bone of the skeleton, and hence vulnerable to fracture. This is a retrospective study of 50 mandibular fracture cases managed at the Department of ENT, Govt. Medical Co...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 10, 2018 Category: ENT & OMF Source Type: research

The Association Between Cochlear and Retrocochlear Disorders with Tinnitus with Normal Hearing Thresholds
AbstractTinnitus is the perception of hearing the sound without any sound stimulus. It is a symptom of abnormality in a form of conductive disorder when it comes from the outer ear canal and middle ear. A tinnitus complaint has a normal hearing threshold but it has been not fully recognized its causes. Thus, an objective evaluation is needed to locate the abnormality by using OAE and BERA test. To analyze the association of TEOAE, DPOAE, and BERA to locate cochlear and retrocochlear disorders in tinnitus patients with normal hearing threshold. The study was conducted from August to November 2010 until the number of samples...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 10, 2018 Category: ENT & OMF Source Type: research

Vagal Paragangliomas: From Reducing Morbidity to Improving Quality of Life
This study involves the retrograde evaluation of five patients of vagal paraganglioma histopathologically confirmed, all the patients were operated via trancervical approach. Preoperatively three of five had 9, 11 and 12th cranial nerve involvement, one had horner ’s syndrome. Postoperative vocal rehabilitation was done in all the patient by medialisation thyroplasty Issiki type 1. Though vagal paragangliomas are associated with mortality and morbidity. Surgical treatment should aim at reducing mortality. Vagal nerve morbidity can be taken care as a planned and staged procedure mainly involving restoring voice as res...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2018 Category: ENT & OMF Source Type: research

Correlation Between Objective Evaluation Result of Nasal Congestion and Life Quality in Patients with Acute Rhinosinusitis
AbstractRhinosinusitis is an inflammatory process involving the nasal mucosa and paranasal sinuses. Rhinitis and sinusitis generally occur simultaneously and thus the current terminology used is rhinosinusitis. The blind nose can negatively affect the overall quality of life including the physical or emotional condition of the sufferer and disruption to work or school (reduced productivity and difficulty in concentrating). To analyse correlation between objective evaluation results of nasal congestion through NIPF and life quality based on sinonasal outcome Test-20 score in patients with acute rhinosinusitis. The study was...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2018 Category: ENT & OMF Source Type: research

Xanthelasma Palpebrarum: More than Meets the Eye
Abstract Xanthelasma palpebrarum (XP) is the most common form of cutaneous xanthomata, and is important aesthetically, because of its close relation to the eyes, as well as medically for its association with cardiovascular disease (CVD). To provide avant-garde review discussing the various aspects of XP, including its aetio-pathogenesis and various treatment modalities. A structured Pubmed and Medline were searched for relevant articles. The finding of recent research has strongly espoused the link between XP and CVD, and mechanisms have been suggested for its formation. The new technologies have led to a multitude of tr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2018 Category: ENT & OMF Source Type: research

Prevalence of Oral Candidiasis in Indian HIV Sero-Positive Patients with CD4 + Cell Count Correlation
The objective of this study was to investigate the prevalence of oral candidiasis in human immunodeficiency virus/acquired immunodeficiency syndrome patients in India. A descriptive cross-sectional study. To compare the occurrence of candidiasis with the levels of CD4+ (cluster of differentiation) cell counts. A total of 100 patients infected with HIV were included. Oral lesions were observed, only patients with oral candidiasis were studied and classified. Standard methods were used for collection of oral specimens, culturing and identifying Candida species. Potential correlations between the presence and severity of oral...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2018 Category: ENT & OMF Source Type: research

Glossopharyngeal Nerve Block with Long Acting Local Anaesthetic Agent (Bupivacaine) and It ’s Effect on Early Post-operative Period in Adult Tonsillectomy: A Prospective Study
AbstractWe evaluated the benefit of glossopharyngeal nerve block with long acting local anaesthetic like bupivacaine. It was a randomized prospective study. Sixty-four patients were selected and divided into two groups. Group A received bilateral nerve block and Group B received no block. Pain score using Visual Analog Scale (0 –100 mm) was assessed at 30 min, 2, 6 and 12 h. In the immediate post operative period pain scores of Group A at rest and swallowing was significantly lower than Group B (p 
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2018 Category: ENT & OMF Source Type: research

Microscopic Versus Endoscopic Myringoplasty: A comparative study
AbstractTo compare the results of myringoplasty by using operating microscope (postaural) with that of myringoplasty by using endoscope (permeatal). Our study was conducted in Department of ENT of in Chirayu Medical College and Hospital. Total 60 patients of age group 18 –60 were taken for study having chronic otitis media or trauma with central perforation. Patients were randomly selected microscopic or endoscopic myringoplasty. 30 patients for Microscopic Myringoplasty and 30 patients for endoscopic Myringoplasty were selected. Out of total 60 patients 35 were f emales and the 25 were males, 27 were in the age grou...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2018 Category: ENT & OMF Source Type: research

Transcutaneous Columellar Strut for Correcting Caudal Nasal Septal Deviation
This study presents a technique to correct caudal septal deviation without weakening of tip support mechanisms. To evaluate the efficacy of insertion of a transcutaneous columellar strut during correction of caudal septal deviation. The study was performed in patients complaining from nasal obstruction with caudal septal deviation. After intranasal incision and elevation of mucoperichondrial flap, Caudal septum released from anterior nasal spine (ANS) and a band of cartilage removed from inferior and caudal part of septum and septum again fixed to ANS. Through a vertical transcutaneous incision, a cartilaginous strut is pl...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2018 Category: ENT & OMF Source Type: research