Mitomycin-C in Post-endoscopic Septoplasty Synechiae: Does it Really Helps?
AbstractEndoscopic septoplasty has advantage of magnified image and access to posterior part of the septum. Synechiae formation is a common complication of this procedure. The incidence of adhesions rises particularly in cases of submucosal flap tears which is sometimes unavoidable during spurectomy. Various procedures like septal splints, nasal packings have been tried to reduce the incidence of adhesions. Recently mitomycin-C is being tried to decrease post operative adhesions after Functional Endoscopic Sinus Surgery, endoscopic Dacrocystorhinostomy, with varying degree of success. Mitomycin-C has got anti fibroblastic ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 19, 2018 Category: ENT & OMF Source Type: research

Improving the Results of Endonasal Dacryocystorhinostomy with Mitomycin C Application: A Prospective Case –Control Study
The objective of the study was to evaluate the advantage of mitomycin C in primary endoscopic endonasal dacryocystorhinostomy without stenting. Randomised case control design. Tertiary academic centre in central India. 112 patients who presented with epiphora and diagnosed as chronic dacryocystitis after syringing by ophthalmologist, were selected and randomised into two groups with or without mitomycin C intraoperative application. 112 eyes underwent endoscopic-dacryocystorhinostomy. Additional surgeries were done according to necessity. Mitomycin C was applied in concentration of 0.4  mg/dl for 5 min. Patients ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 19, 2018 Category: ENT & OMF Source Type: research

Role of Proton Pump Inhibitors in Laryngopharyngeal Reflux: Clinical Evaluation in a North Indian Population
This study was undertaken to evaluate the effect of various proton pump inhibitors in the treatment of LPRD using Reflux symptom index (RSI) and Reflux finding score (RFS). This was a prospective study conducted from June 2016 to February 2017 with a total of 240 patients with symptoms and signs of LPR. The patients were divided into 5 groups. Each group was subjected to particular proton pump inhibitor. There were 124 males 116 females with a mean age 34.3 and rural to urban ratio being 11. After 3  months, RFS and RSI score within each group, improved significantly with Proton pump inhibitor therapy. In our study pa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 17, 2018 Category: ENT & OMF Source Type: research

“AIR LEAK SYNDROME”: An Unusual Presentation of Foreign Body in the Airway
AbstractSpontaneous onset pneumomediastinum, pneumothorax and subcutaneous emphysema are rare presentations of a foreign body in the airway. The possible mechanism for unexplainable and non traumatic subcutaneous emphysema can be attributed to “Air leak syndrome” following inhalation of foreign body in the airway. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 17, 2018 Category: ENT & OMF Source Type: research

The Prevalence and Causes of Auditory Neuropathy/Dys-synchrony (AN/AD) in Children with Hearing Impairment
This study was a descriptive cross-sectional survey. The sample size consisted of 105 hearing impairment children. All them were under hearing screening tests (tympanometry), distortion and transient evoked otoacoustic emissions (DPOAEs  + TEOAE) and automated auditory brainstem response (AABR). If they were suspected to AN/AD, for complete diagnostic measurements were referred to our hospital. Four cases (8 ears) with AN/AD were diagnosed, which had an average age 37 months (SD = 8.67). So, the prevalence of AN/AD was 3.8 % among hearing impaired children. The findings of this study showed that the...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 17, 2018 Category: ENT & OMF Source Type: research

Role of Proton Pump Inhibitors in Laryngopharyngeal Reflux: Clinical Evaluation in a North Indian Population
This study was undertaken to evaluate the effect of various proton pump inhibitors in the treatment of LPRD using Reflux symptom index (RSI) and Reflux finding score (RFS). This was a prospective study conducted from June 2016 to February 2017 with a total of 240 patients with symptoms and signs of LPR. The patients were divided into 5 groups. Each group was subjected to particular proton pump inhibitor. There were 124 males 116 females with a mean age 34.3 and rural to urban ratio being 11. After 3  months, RFS and RSI score within each group, improved significantly with Proton pump inhibitor therapy. In our study pa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 17, 2018 Category: ENT & OMF Source Type: research

“AIR LEAK SYNDROME”: An Unusual Presentation of Foreign Body in the Airway
AbstractSpontaneous onset pneumomediastinum, pneumothorax and subcutaneous emphysema are rare presentations of a foreign body in the airway. The possible mechanism for unexplainable and non traumatic subcutaneous emphysema can be attributed to “Air leak syndrome” following inhalation of foreign body in the airway. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 17, 2018 Category: ENT & OMF Source Type: research

The Prevalence and Causes of Auditory Neuropathy/Dys-synchrony (AN/AD) in Children with Hearing Impairment
This study was a descriptive cross-sectional survey. The sample size consisted of 105 hearing impairment children. All them were under hearing screening tests (tympanometry), distortion and transient evoked otoacoustic emissions (DPOAEs  + TEOAE) and automated auditory brainstem response (AABR). If they were suspected to AN/AD, for complete diagnostic measurements were referred to our hospital. Four cases (8 ears) with AN/AD were diagnosed, which had an average age 37 months (SD = 8.67). So, the prevalence of AN/AD was 3.8 % among hearing impaired children. The findings of this study showed that the...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 17, 2018 Category: ENT & OMF Source Type: research

Cystic Myoepithelioma of Parapharyngeal Space
We present such a case and discuss its diagnostic and therapeutic aspects. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 10, 2018 Category: ENT & OMF Source Type: research

Ossifying Fibroma of Maxilla in a Female Affected by Neurofibromatosis Type 1
We report a case of OF of the maxilla in a 45 year old female suffering from NF1. To the best of our knowledge this is the first case report where OF occurred in the maxilla in patient with NF1. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 10, 2018 Category: ENT & OMF Source Type: research

Ahila ’s Diathermy Round Knife for Endoscopic Ear Surgery
AbstractAs endoscopic ear surgery is evolving day by day there is a constant need for improvisation in terms of instrumentation, visualization and clear bloodless surgical field. The applications of Ahila ’s Diathermy Round Knife for Endoscopic Ear Surgery are presented. The development of Ahila’s diathermy round knife will prevent shifting to two handed ear surgery or the need for Endo holders. This new instrument is a game changer in endoscopic ear surgery creating a clean incision and bloodles s field to operate. Surgical Instruments represent a major financial asset to the healthcare facility. Careful atten...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 10, 2018 Category: ENT & OMF Source Type: research

Pediatric Otolaryngological Emergency: An Experience from a Tertiary Care Teaching Institution at Kolkata, India
AbstractOtolaryngological conditions constitute a major share of emergency medical problem among children. The present study was conducted to assess the patient profiles, incidences morbidities, mode of presentation and managements of different otolaryngological emergencies among pediatric patients presented in a tertiary care hospital. Descriptive cross-sectional study by analysing retrospectively collected information pertaining to the patients attended ENT emergency service department of a tertiary care hospital, Kolkata. Data were collected using predesigned proforma and were analysed with the help of SPSS version 20. ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 10, 2018 Category: ENT & OMF Source Type: research

Cystic Myoepithelioma of Parapharyngeal Space
We present such a case and discuss its diagnostic and therapeutic aspects. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 10, 2018 Category: ENT & OMF Source Type: research

Ossifying Fibroma of Maxilla in a Female Affected by Neurofibromatosis Type 1
We report a case of OF of the maxilla in a 45 year old female suffering from NF1. To the best of our knowledge this is the first case report where OF occurred in the maxilla in patient with NF1. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 10, 2018 Category: ENT & OMF Source Type: research

Ahila ’s Diathermy Round Knife for Endoscopic Ear Surgery
AbstractAs endoscopic ear surgery is evolving day by day there is a constant need for improvisation in terms of instrumentation, visualization and clear bloodless surgical field. The applications of Ahila ’s Diathermy Round Knife for Endoscopic Ear Surgery are presented. The development of Ahila’s diathermy round knife will prevent shifting to two handed ear surgery or the need for Endo holders. This new instrument is a game changer in endoscopic ear surgery creating a clean incision and bloodles s field to operate. Surgical Instruments represent a major financial asset to the healthcare facility. Careful atten...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 10, 2018 Category: ENT & OMF Source Type: research

Understanding Malignancies of the Thyroid Gland: Institutional Experience
AbstractTo study the epidemiological, pathological characters and determine survival in patients diagnosed of having thyroid gland malignancies. Retrospective chart review of patients having thyroid gland malignancies, which were managed by the two senior authors at our tertiary care institute from January 2000 to December 2006, were performed and evaluated in terms of various clinical, operative and histological parameters. Patients in which follow up of at least 10  years are available were included in the study. Survival was enquired telephonically in those patients who got cured and did not consent to come for fol...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 5, 2018 Category: ENT & OMF Source Type: research

Bacteriological Profile in Attico-antral type of Chronic Suppurative Otitis Media
AbstractChronic suppurative otitis media is defined as a chronic inflammation of the middle ear cleft, which presents with recurrent ear discharge through a tympanic membrane perforation. The purpose of this study was to find pattern of bacteriology in patients of atticoantral type of chronic suppurative otitis media as it will help the clinician to decide the effective antibiotics to be prescribed. This prospective and observational study was conducted in the Department of ENT in collaboration with Department of Microbiology, Government Medical College and Hospital, Chandigarh. The ear discharge specimen of all patients m...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 4, 2018 Category: ENT & OMF Source Type: research

Management of Nasoorbitoethmoidal Fracture: An Institutional Experience
AbstractThe nasoorbitoethmoidal fractures remain the most complex of all facial fractures to diagnose and treat mainly because of the intricate anatomy and difficulty in fracture fixation. The number of such fractures are increasing with the more incidence of high-speed, high-force accidents. The nasoorbitoethmoidal fractures rarely occur as an isolated event. Associated injuries often include central nervous system injuries, cribriform plate fracture, cerebrospinal fluid rhinorrhea, and fractures of the frontal bone, orbital floor, and middle third of the face as well as injury to the lacrimal system. The appropriate mana...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 4, 2018 Category: ENT & OMF Source Type: research

Outcome of Endoscopic Cerebrospinal Fluid Rhinorrhoea Repair: An Institutional Study
AbstractCerebrospinal fluid Rhinorrhoea is caused by an abnormal open communication between the subarachnoid space and the nasal cavity. The most common anatomic sites of such abnormal communication are found in the anterior skull base, namely, ethmoid roof, olfactory groove, roof of the sphenoid sinus and the posterior wall of the frontal sinus. It can be classified into traumatic or spontaneous. Spontaneous leaks are associated with highest recurrence rates following surgical repair. The repair of CSF Rhinorrhoea has rapidly evolved over the past 30  years. Prior to the advent of the endoscopic approach, craniotomy ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 30, 2018 Category: ENT & OMF Source Type: research

Evaluation of Lateral Temporal Bone Resection in Locally Advanced Tumours of the Parotid Gland
This study evaluated the effects of lateral temporal bone resection (LTBR) on local tumour control in patients with locally advanced parotid gland tumours. The medical records of seven patients treated with radical parotidectomy combined with LTBR for locally advanced primary parotid tumour at the Otolaryngology Department of Dokuz Eylul University between January 1995 and December 2016 were retrospectively evaluated. Demographic variables, tumour characteristics, treatment properties, postoperative complications, follow-up durations and local, regional and distant recurrences were analysed. Before referral to our clinic, ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 30, 2018 Category: ENT & OMF Source Type: research

Aural Polyp is not Always Due to Chronic Otitis Media (COM): Preoperative Computed Tomographic Scan is Good Pointer for Sinister Lesions
Conclusion: Aural polyp with preservation of pneumatisation of mastoid air cells points towards diagnosis other than COM. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 30, 2018 Category: ENT & OMF Source Type: research

Study of Variation and Latency of Wave V of Brain Stem Evoked Response Audiometry in North Central India
AbstractThe brainstem evoked response audiometry (BERA) is an objective electrophysiological method for assessing the auditory pathway from the auditory nerve to the brain stem. To access the hearing pathway by BERA and compare differences in latency of wave five associated with age, gender and side of ear (left and right) in our set up. Total 257 patients were selected, there were 125 males and 132 females. All patients with auditory and vestibular complaint were assessed and underwent otoscopic examination, Pure Tone Audiometry (free field audiometry in children), Impedence and BERA. The analysis revealed that there has ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 30, 2018 Category: ENT & OMF Source Type: research

Fronto Ethmoidal Mucocele Associated with Type 4 Kuhn Cells
We report a case with unilateral frontoethmoidal mucocele in relation with type IV Kuhn cell. A 26 year old man came to the  ENT department at SDUMC, Tamaka, Kolar, presenting complaints of proptosis of left eye since 3 years. After detailed examination and investigations patient was Diagnosed to have mucocele of left frontoethmoidal region. Intraoperatively we found a rare picture of type IV kuhn cells completely seate d in the frontal sinus. After externally assisted modified Lothrop’s approach, marsupialization of mucocele was done in the nasal cavity and symptoms of the patient relieved. We state t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 25, 2018 Category: ENT & OMF Source Type: research

Access to Round Window Niche via Posterior Tympanotomy and Impact of Drilling Its Overhangs: A Cadaveric Descriptive Study
AbstractWe intended to study the morphological parameters of round window region and assess the gain in exposure achieved by drilling the round window niche overhang. The Exposure of the round window membrane (RWM) is of prime importance to carry out atraumatic electrode insertion for cochlear implantation. The anatomy of round window has been a subject of considerable debate in literature. Fifty-one Formalin preserved adult cadaveric temporal bones were micro-dissected to carry out an ‘optimal’ posterior tympanotomy to expose the round window region. The bony overhangs of round window niche (RWN) were next dri...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 25, 2018 Category: ENT & OMF Source Type: research

Hearing Improvement in Interposition Ossiculoplasty and Myringostapediopexy
In this study t he mean ABG closure for interposition ossiculoplasty and myringostapediopexy was 15.4 dB and 21.8 dB, respectively. Hearing gain with cortical bone graft was higher than hearing gains with incus in both the groups, but not statistically significant. Myringostapediopexy provides marginally better h earing gain compared to interposition ossiculoplasty. Aulogous incus, and cortical bone graft are suitable autologous materials for ossicular reconstruction and provide similar hearing outcome. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 25, 2018 Category: ENT & OMF Source Type: research

Sinonasal Metastatic Renal Cell Carcinoma: A Report of Two Cases with Varied Presentation and a Review of Literature
AbstractRenal cell carcinoma is usually slow growing with delayed vague symptoms and may not be detected until an advanced stage. In only 9% of the cases the classical triad of “haematuria, costovertebral pain and abdominal mass” is seen. Less commonly, sinonasal metastasis may also be the presenting feature of RCC. So, in any case of sinonasal mass, possibility of metastasis from renal malignancy should be considered. Sinonasal metastasis from renal malignancy can oc cur even several years after the primary is treated with nephrectomy. In sinonasal region maxillary sinus is the most commonly affected. Iso...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 24, 2018 Category: ENT & OMF Source Type: research

Evaluation of Mucociliary Activity in Maxillary Antra in Patients with Squamous Cell Carcinoma of Buccal Mucosa Undergoing Post Operative Radiotherapy
AbstractA prospective longitudinal observational study was conducted on 24 patients of histopathologically confirmed squamous cell carcinoma of buccal mucosa upon whom bilateral ‘middle meatal antrostomy was performed during the same sitting as the tumour resection with the main aim to assess the maxillary mucociliary clearance, pre-, during and post-irradiation; and compare the findings with the non-irradiated side in the same patient to avoid any confounding factors. Al l patients underwent methylene blue dye clearance and saccharine clearance tests before the commencement of radiation therapy, weekly during irradi...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 24, 2018 Category: ENT & OMF Source Type: research

Design and Implementation of Competency Based Postgraduate Medical Education in Otorhinolaryngology: The Pilot Experience in India
AbstractThe worldwide call for a shift towards competency based postgraduate medical education has until recently gone largely unheeded in India, despite the Medical Council of India enshrining the principle in its regulations for postgraduate institutions. This paper details the first concrete attempt at establishing a CBME curriculum in Otorhinolaryngology in India. The design and implementation of the CBME curriculum was carried out in four phases, in a time-bound manner over a period of 6  months. Phase I consisted of an extensive literature review and a clarification of the major objectives of the program. Phase ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 23, 2018 Category: ENT & OMF Source Type: research

Effect on Quality Of Life of Patients Before and After Functional Endoscopic Sinus Surgery
AbstractRhinosinusitis is defined as an inflammatory process involving the mucosa of the nose and one or more of the paranasal sinuses. Rhinosinusitis is not associated with increased mortality, but may have an impact on the quality of life (QOL). Current study is aimed at investigating the role of FESS in the enhancement of QOL of the patients with rhinosinusitis. Several instruments have been designed to assess the QOL, among whichGlasgow Benefit Inventory (GBI) questionnaire, has been used in this study. This cross sectional study of duration of 1  year and 6 months was conducted on 30 patients between the age...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 23, 2018 Category: ENT & OMF Source Type: research

Laryngopharyngeal Reflux and GERD: Correlation Between Reflux Symptom Index and Reflux Finding Score
This study also illustrates the importance of PPI therapy in LPR patients with no evidence of GERD. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 23, 2018 Category: ENT & OMF Source Type: research

Tonsillectomy by Cold Dissection and Coblation Techniques: A Prospective Comparative Study
This study was carried out at the outpatient Department of Otorhinolaryngology an d Head and Neck Surgery in Meenakshi Medical College, Hospital and Research Institute, Tamil Nadu. Patients with chronic and recurrent tonsillitis who were planned electively for tonsillectomy were included in this study. Study was based on the analysis of 60 patients aged between 5 and 40 years. A ll these 60 patients were thoroughly investigated by doing a complete surgical workup. They all were subjected to 2 different tonsillectomy procedures—dissection and snare method and coblation technique. Patients were assigned into two g...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 23, 2018 Category: ENT & OMF Source Type: research

Management of Difficult Laryngeal Exposure During Suspension Microlaryngoscopy
This study is intended to determine the utility of angled rigid endoscope along with malleable endoscopic instruments to improve surgical access in cases with inadequate glottic exposure during suspension microlaryngoscopy. In this cross sectional study conducted at Lokmanya Tilak Municipal Medical College and General Hospital in Mumbai, 50 patients of voice disorders who underwent Suspension Microlaryngoscopy from July 2014 to December 2017 were included. Out of these patients, 5 patients (10%) presented with difficult laryngeal exposure that were operated using readily available angled rigid endoscope along with malleabl...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 23, 2018 Category: ENT & OMF Source Type: research

Prevalence of HPV in Oral Squamous Cell Carcinoma in South West India
This study involved Department of ENT-Head and Neck Surgery and Department of Virology, Manipal Academy of Higher Education. Fifty histologically confirmed oral squamous cell carcinoma patients undergoing wide local excision of the tumour were enrolled for the study. Intraoperatively 4 –5 mm of tissue samples were transported in sterile normal saline at 4–80 °C. The primary screening of tissue samples was performed by nested PCR using PGMY09/11 consensus primers and GP5+/6+ consensus primers and TaqMan based real time multiplex PCR for HPV-16, HPV-18, HPV-31 and HPV-45. All samples tested negative...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 21, 2018 Category: ENT & OMF Source Type: research

Endoscopically-Associated Hairline Approach to Excision of Second Branchial Cleft Cysts
AbstractTo improve the treatment outcome and post-operation rehabilitation of patients with second branchial cleft cysts (SBCC), 46 patients were operated for SBCC. 22 patients were operated by conventional approach, 22 patients were operated by original occipital hairline approach and 2 patients were operated via axillary approach. Assessment of intra-operation and post-operation complications was done and comparative evaluation of the preparations of the  morphological structure in the main and reference group I was conducted. Clinical psychological assessment was performed in the post-operation period. Based o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 13, 2018 Category: ENT & OMF Source Type: research

Maffucci Syndrome with Clival Enchondroma in Nasopharynx: A Case Report
This report describes the case of 21  years-old male complain of right sided nasal obstruction for 10 months, and right sided aural fullness. Examination revealed multiple asymptomatic nodules in both hands since childhood, that have not been investigated and a large nasopharyngeal mass. Computed tomography, showed a 36 mm in 30 mm diameter lesion extending from the inferior aspect of the clivus and basisphenoid into the nasopharynx, which did not seems to be highly vascular with angiogram. Incidental radiological findings of multiple bubbly lytic bony lesions. Endoscopic sinus surgery and clival lesion...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 10, 2018 Category: ENT & OMF Source Type: research

High Resolution Computed Tomography of Temporal Bone: The Predictive Value in Atticoantral Disease
This study demonstrates the predictive value of HRCT of temporal bone as a diagnostic modality in atticoantral disease. HRCT shows 100% sensitivity (Sn) of soft tissue density detected in middle ear, aditus and attic. Specificity (Sp) was more for eustechian tube area and sinus tympani. Ossicular erosions of malleus (Sn  = 90.9%, Sp = 75%), incus (Sn = 93.2%, Sp = 80%), stapes (Sn = 78.8%, Sp = 68.8%) were detected. Erosion of scutum (Sn = 94.1%, Sp = 80%), tegmen (Sn = 66.7%, Sp = 100...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 10, 2018 Category: ENT & OMF Source Type: research

Study the Role of Nasal Scrap Cytology in Allergic Rhinitis Patients in Rural Population
This study was done to perform simple and cost effective test to understand the severity of Allergic Rhinitis. To investigate the patients of allergic rhinitis with specific focus on nasal scrape cytology. After applying inclusion and exclusion criterion were found suitable and hence selected for the present study. 100 patients who were clinically diagnosed on history and examination as allergic rhinitis were included as cases while control group consisted of 100 subjects having no symptoms of allergic rhinitis. These patients were a subjected to nasal scrape cytology for which Cytobrush Plus (Medscand Cell Sampling Kit), ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 3, 2018 Category: ENT & OMF Source Type: research

Nasal Tuberculosis in a Teenage Female
We present a 14  year female with non-healing ulcer over the upper lip extending and destroying the collumela and part of anterior nasal septum. Histopathological examination revealed TB as a possible cause of the lesion. Identification of acid-fast bacilli on direct stained smears confirms the diagnosis of TB. Co mplete healing of the ulcer was achieved with anti-tuberculous regime leaving a residual fibrosis over the site of the ulcer. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 3, 2018 Category: ENT & OMF Source Type: research

Long-Term Therapy with Corticosteroids in Nasal Polyposis: A Bone Metabolism Assessment
AbstractChronic rhinosinusitis associated with nasal polyposis (RSCwNP) affects 4% of the general population. As chronic condition, it requires chronic pharmacological treatment, whereas the surgical approach becomes necessary in obstructive and/or complicated cases. Intranasal and systemic corticosteroids (CS) represent the “Gold Standard” treatment for RSCwNP. The present study aimed to evaluate the side effects of prednisone in a group of patients with RSCwNP treated with long-term CS. In particular, attention was focused on bone disorders (osteopenia and osteoporosis) and prospective fracture risk increase....
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 1, 2018 Category: ENT & OMF Source Type: research

New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications
AbstractCartilage-perichondrium composite graft is used in middle ear surgery for tympanic membrane, ossicular and for soft wall reconstruction. The thickness of the cartilage is thought to interfere with the sound conduction. In our otology practice for tympanic membrane reconstruction, we prefer the sliced cartilage graft to achieve acoustic benefit. At times in the process of slicing, the cartilage gets wasted if not sliced with a precision slicing instrument. We have designed and developed a multi-purpose cartilage slicer for precise reduction of the thickness of the cartilage. To describe the design of our cartilage s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 31, 2018 Category: ENT & OMF Source Type: research

Endoscopic Removal of Intranasal Supernumerary Tooth: A Case Report
We report a case of a female presenting with nasal obstruction and foul smell, diagnosed with nasal tooth and successfully removed with endoscopic approach. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 31, 2018 Category: ENT & OMF Source Type: research

An Unusual and Neglected Foreign Body in the Ethmoid Sinus
We report a case of 7  years old male who was referred from Eye OPD with chronic discharge from right periorbita near inner canthus with suspected foreign body after 3 months of injury. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 28, 2018 Category: ENT & OMF Source Type: research

The Association of Reactive Oxygen Species Levels on Noise Induced Hearing Loss of High Risk Workers in Dr. Soetomo General Hospital Surabaya, Indonesia
AbstractExcessive noise exposure could increase the production of reactive oxygen species in the cochlea, thus causing the risk of noise-induced hearing loss (NIHL). Noise is commonly found in the industrial sites. However, public places like hospital also can have noisy location which risk the workers of NIHL. To analyzed the correlation of reactive oxygen species and hearing impairment to employees at risk in the hospital. Participants were obtained by identifying the employees in hospital from 3813. They were examined for baseline characteristics, hearing loss and reactive oxygen species. Hearing loss was defined as aud...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 28, 2018 Category: ENT & OMF Source Type: research

A Comprehensive Study of Oxidative Stress in Tinnitus Patients
AbstractOxidative stress is considered to be one of the molecular changes that are the underlying causes of tinnitus. The aim of this study was to investigate the dynamic thiol/disulphide homeostasis as a new oxidative stress parameter in tinnitus patients as well as to investigate the  lipid hydroperoxide (LOOH), total antioxidant status (TAS), total oxidant status (TOS) and oxidative stress index (OSI) parameters and compare the results with the results of the healthy control group. A prospective controlled trial was performed on tinnitus patients in Harran University hospit al. A total of 70 subjects...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 27, 2018 Category: ENT & OMF Source Type: research

Varied Presentation of Venous Ectasia Head and Neck: Case Series and Review of Literature
Abstract Jugular venous ectasia in head and neck region is a rare entity. They may present as asymptomatic neck masses and should be considered in the differential diagnosis of cystic neck masses. Management is individualised based on the patient and includes conservative or surgical management. We hereby report three cases of venous ectasia (2 —external jugular and 1—facial vein) managed at our institute. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 26, 2018 Category: ENT & OMF Source Type: research

A Revisit to High Jugular Bulb: A Newer Clinical Grading
AbstractA revisit to high riding jugular bulb with a newer classification. Observational study. Patients in the age group between 15 to 60  years, who underwent various Tympanomastoid and otosclerotic surgeries from April 2015 to 2018, have been included in the study. An analysis was made on high riding jugular bulb which encountered and different anatomical variations were noticed. A total of 531 patients underwent various tympanomas toid surgeries and 48 patients underwent otosclerotic surgeries. Out of which 8% of the cases (n = 49) were noticed to have high riding jugular bulb. In those 49 cases, 81%...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 26, 2018 Category: ENT & OMF Source Type: research

Silastic “Spring” Spacers for Use Following Endoscopic Sinus Surgery
We present our technique to modified silastic sheets to circumvent these problems and improve ventilation and drainage of sinuses after surgery. The aim of this paper is to present how this silastic sheeting can be easily customized to the shape of the ethmoid cavity after ESS, allowing for ventilation of the aerated sinonasal cavities and at the same time preventing problematic synechiae/scar formation. A practical and easy technique to customize silastic stents following ESS is presented. Silastic sheets could be easily customized of the ethmoid cavity after ESS providing an excellent alternative to reduce middle turbina...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 25, 2018 Category: ENT & OMF Source Type: research

Cortical Auditory Evoked Potentials in Children with Auditory Neuropathy/Dys-Synchrony
AbstractAuditory neuropathy/spectrum disorder (ANSD), also referred to as auditory neuropathy/dys-synchrony (AN/AD) is a recently described form of hearing impairment. Many studies have shown that changing the pattern of afferent input to the cortex significantly affects cortical organization and there is little studies about cortical neuromaturation and plasticity in children with ANSD. Study of P1 component of cortical auditory evoked potentials (CAEPs) in children with ANSD. This survey was descriptive cross-sectional. During that 97 hearing impairment children were under hearing screening tests. Of these, 14 selected s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 23, 2018 Category: ENT & OMF Source Type: research

Endoscopic DCR: A 10  Years Personal Experience
In this study, both primary and revision cases were reviewed including non-stented primary cases and bilateral simultaneous su rgeries at the same session. Causes of failure in primary surgeries were stated, and indications of secondary cases were also reviewed. As a conclusion, endoscopic DCR remains the standard procedure in treating nasolacrimal duct obstruction with its consequent symptoms of epiphora, recurrent or chro nic dacryocystitis. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 23, 2018 Category: ENT & OMF Source Type: research

Matrix Metalloproteinase-9 Expression and Status of Cervical Lymph Nodes in Patients with Nasopharyngeal Carcinoma
AbstractTumor growth and metastasis in nasopharyngeal carcinoma (NPC) patients was suspected as a role of several molecular biomarkers that have been identified in tumor specimens of patients with NPC. Invasion and metastasis process was a complex mechanism which involved some proteolytic enzymes, such as matrix metalloproteinase-9 (MMP-9). To analyze the association of MMP-9 expression of NPC patients with cervical lymph node metastasis. The study was conducted in oncology unit of ORL-HNS at Dr. Soetomo General Hospital Surabaya from May to July 2015. Formalin-fixed paraffin-embedded biopsy specimens from NPC patients wit...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 18, 2018 Category: ENT & OMF Source Type: research