Distribution of Tryptophan Hydroxylase Immunoreactivity in the Spiral Ganglion Neurons of Mouse Cochlea
AbstractSerotonin, also known as 5-hydroxytryptamine, is an important neurotransmitter and neuromodulator in the nervous system. Spiral ganglion neurons (SGNs) are the first station of the peripheral afferent auditory nervous system. We have previously demonstrated positive serotonin immunoreactivity in mouse SGNs. Whether serotonin in the SGNs is absorbed from the circumstances, or is synthesized by the neurons themselves is unknown. The purpose of this study was to find out the source of serotonin in the SGNs. Tryptophan hydroxylase is the rate-limiting enzyme in the process of serotonin biosynthesis. We detected tryptop...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 9, 2018 Category: ENT & OMF Source Type: research

Anthropometric Overview of Lower Alar Cartilage: An Indian Perspective
AbstractThe anatomy of the lower lateral cartilage varies according to the ethnicity of the patient. Considering that the manipulation of the lower lateral cartilage has become more prevalent in Indian rhinoplasties, understanding the comprehensive anatomy is of utmost importance. The aim of this descriptive study was to evaluate the anthropometric and morphological variations of the lower lateral cartilage in Indian noses and to compare this data from studies of various ethnic groups. Seventy lower lateral cartilages of thirty-five patients of Indian origin who underwent primary open rhinoplasty were dissected and assesse...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 9, 2018 Category: ENT & OMF Source Type: research

Evaluation of Multimodality Management of Adenoid Cystic Carcinoma of the Head and Neck
AbstractAdenoid cystic carcinoma is a relatively rare tumour arising from salivary glands of head and neck region. Surgery and radiotherapy form standard treatment modalities in the management of this tumor. In this analysis we present results of multimodality treatment in our cohort of patient. This retrospective analysis evaluated results of treatment in forty patients diagnosed with adenoid cystic carcinoma of  the head and neck. Evaluation was done to identify prognostic factors affecting the disease free survival. A median disease free survival of 34 ± 2.42 (Median ± SE) ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 7, 2018 Category: ENT & OMF Source Type: research

Ivermectin: A Novel Method of Treatment of Nasal and Nasopharyngeal Myiasis
AbstractTo evaluate the efficacy of oral Ivermectin, in patients suffering from nasal and nasopharyngeal myiasis. This was a prospective study, comprising 80 patients of nasal and nasopharyngeal myiasis. Patients underwent clinical examination and nasal endoscopy at the time of presentation and findings were recorded. The patients were randomly divided in two groups. In group-I the patients underwent manual extraction of the maggots after instillation of chloroform and turpentine oil mixture, whereas the group-II patients underwent manual extraction with administration of two doses (24  h apart) of oral Ivermectin (6&...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 6, 2018 Category: ENT & OMF Source Type: research

Sutureless Tragal Cartilage Island Tympanoplasty: Our Experience
AbstractTo evaluate graft take up and hearing improvement using the technique of tragal cartilage island in COM-mucosal type. Prospective study. A total of 258 type 1 tympanoplasty surgeries were done using tragal cartilage island graft from December 2013, to December 2015; in Jubilee Mission Medical College and Research Institute with a follow up of 1  year. Inclusion criteria—all the patients undergoing type 1 tympanoplasty for chronic otitis media (mucosal type, inactive) with an intact ossicular chain by the senior author. The youngest patient was 6 years old and the oldest was 64 years. This patte...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 6, 2018 Category: ENT & OMF Source Type: research

Branchial Cyst with Branchial Fistula: A Rare Association
AbstractBranchial arch anomalies are the most common congenital neck masses. The second branchial arch anomalies followed by first arch anomalies are seen commonly in the descending order. They originate from remnants of branchial arches and clefts. They may present as cysts, sinus tracts, fistulae or cartilaginous remnants. They are mostly located in the lateral aspect of the neck anterior to the sternocleidomastoid, anterior to the hyoid bone, preauricular region or at the angle of the mandible. A complete fistula communicating with a branchial arch cyst is a very rare congenital anomaly of the branchial apparatus. These...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 6, 2018 Category: ENT & OMF Source Type: research

Vallecular Neurofibroma Successfully Managed with Endoscopic Assisted Coblation: A Novel Technique
AbstractAlthough solitary neurofibroma can affect the various subsites of the head and neck region, oropharyngeal neurofibroma is very rare and total five cases (four in the soft palate and one in the  palatine tonsil) have been reported. Here we present a 42-year old female patient presented to the out patient department with respiratory obstruction and voice change for 3 months. Complete excision of the mass was achieved by endoscopic coablation and which was confirmed to be a neurofibrom a. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 6, 2018 Category: ENT & OMF Source Type: research

Ectopic Cervical Thymus in an Infant with Normal Orthotopic Thymus: Role of Imaging in Diagnosis and Management
We present a case of ECT presenting as a right upper neck mass in a 2  month old child. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 5, 2018 Category: ENT & OMF Source Type: research

Do Aesthetic Average Nasal Parameters Matter For Rhinoplasty in India?
This study is the first one to propose the aesthetic average nasal parameters for corrective rhinoplasty in Indian population.Level of Evidence IV. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 5, 2018 Category: ENT & OMF Source Type: research

Alteration of Serum Lipid in Oral Sub Mucous Fibrosis in Central India
AbstractOral sub mucous fibrosis is the most common precancerous lesion in India. Lipids are the major cell membrane components essential for various biological function including cell growth and division for the maintenance of cell integrity of normal and malignant tissue. Low levels of lipids serves as a marker and prognostic indicator in the early detection of oral precancerous and cancerous states. In spite of high prevalence and its potential to undergo malignant transformation, this condition has not widely been investigated with respect to serum lipid levels. In present study an attempt is made to analyze the comple...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 28, 2018 Category: ENT & OMF Source Type: research

Differential Diagnosis of Post Auricular Swelling with Mastoid Bone Involvement
Abstract Post auricular swelling with mastoid bone involvement most commonly occurs as a cranial complication of chronic or acute suppurative otitis media. Aim of this study, to detect etiology of postauricular swelling with mastoid bone involvement. This is a retrospective study which was done on all patients whom underwent mastoidectomy for post auricular swelling with mastoid bone involved in El Minia University Hospital from January 2014 to June 2017. A total of 49 patients were identified in this study, 23 males and 26 females, their ages ranged 5 –28 years old with a mean of 25.8 years old. Group A:...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 24, 2018 Category: ENT & OMF Source Type: research

Long Term Outcomes of Intratympanic Dexamethasone in Intractable Unilateral Meniere ’s Disease
AbstractTo evaluate the long term effect of Intratympanic dexamethasone in intractable Meniere ’s disease. 30 patients with refractory Meniere’s disease which did not respond to the standard medical management, were treated with Intratympanic dexamethasone injections. Post treatment hearing outcome and dizziness scores were compared with the pretreatment values respectively. The mean dizz iness handicap inventory (DHI) score was reduced from 91.58 (range 80–100) to be 31.00 (p = 0.00) at 3 months of treatment. With the successive follow-up periods, the mean DHI scores were reduced to 51...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 24, 2018 Category: ENT & OMF Source Type: research

Does the Angle of Rigid Endoscope Makes a Difference in Videolaryngoscopy
AbstractAuthors describe the technique of office based rigid video laryngoscopy with 0 ° endoscope and compare with technique of 70° 4 mm videolaryngoscopy. (1) To compare and assess the efficacy of techniques of 0° and 70° office based video laryngoscopy for examining laryngopharyngeal disorders at Ear Nose Throat (ENT) Out Patient Department level. (2) To assess whether the deg ree of angle of the rigid endoscope makes any difference in the visualisation in videolaryngoscopy. Prospective non randomised double blinded study of direct videolaryngoscopies using 0° and 70° 4 mm rigid endosco...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 24, 2018 Category: ENT & OMF Source Type: research

Cochlear Implant in Prelingually Deaf Children: Our Experience
AbstractRetrospective study of the prelingual cochlear implantation programme under government scheme done at medical college hospital in central India. Forty-two prelingually deaf children screened and sent for cochlear implantation at our centre From March 2015 to Feb 2018 were reviewed with respect to their age, sex, preimplantation hearing aid use, surgical technique for cochlear implantation, type of FDA (USA) approved cochlear implant, post operative speech therapy and its outcome with respect to categories of auditory perception and speech intelligibility scoring were compared for children younger than 4  years...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 21, 2018 Category: ENT & OMF Source Type: research

CO 2 Laser for De-epithelialization in Tympanoplasty
AbstractTympanoplasty repairs tympanic membrane perforations but also covers an umbrella of procedures characterized by surgery of the mastoid bone. Tympanoplasty is widely regarded as a beneficial procedure with an over 90% graft closure success rate and an over 80% return to normal hearing range. Though surgical technique and graft type are important in determining surgical outcomes of the procedure, results are most greatly correlated with location of the perforation. Marginal perforations are associated with the most complications in reconstruction of the tympanic membrane, lack of vascularization and limited membrane ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 21, 2018 Category: ENT & OMF Source Type: research

Role of Preincisional Peritonsillar Infiltration of Bupivacaine in Postoperative Pain Relief in Tonsillectomy Patients
AbstractTonsillectomy is one of the most common surgical procedures carried out in ENT since ancient time, is associated with several morbidities in which the pain and bleeding being the commonest and can cause considerable delay in starting oral intake and discharge from the hospital. Different methods have been used to reduce posttonsillectomy pain including use of opioids, sucralfate and local anaesthetics. Local anaesthetics in the form of pre-incisional or post-incisional peritonsillar infiltration and also topical post-incisional spray or packing are some of the most effective methods for post-tonsillectomy pain mana...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 21, 2018 Category: ENT & OMF Source Type: research

Skull Base Mucormycosis in an Immunocompetent Patient: A Case Report and Literature Review
Abstract To demonstrate the affection of skull base by mucormycosis in an immunocompetent individual. Mucormycosis is an opportunistic infection principally seen in immunocompromised individuals, but recently being increasingly recognized in otherwise healthy individuals. Skull base involvement secondary to otogenic nidus, mimicking otitis media was rarely reported. A 34  year-old male, an otherwise healthy patient presented with facial nerve palsy followed by trismus, neck swelling and neck stiffness. Radical mastoidectomy with tympanoplasty and Facial nerve decompression along with Endoscopic guided debridement of...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 20, 2018 Category: ENT & OMF Source Type: research

The EBV-DNA Can be Used as a Diagnostic and Follow-up Parameter of the Rhinopharyngeal Tumors in the Non-Endemic Population of the Western Sicily
AbstractTo evaluate whether EBV-DNA can be used as a diagnostic and follow-up parameter for nasopharyngeal tumors in a non-endemic population. The study was carried out in a university hospital. A retrospective study was conducted on 40 paraffin samples of histological preparations. EB-DNA was detected by real-time PCR technique. A prospective study was also conducted on a group of 30 patients who underwent nasopharyngeal biopsy for suspected nasopharyngeal carcinoma (NPC) by comparing EBV-DNA concentrations between the histological specimen and the serum. Quantification of genomic copies of EBV-DNA in serum and detection ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 20, 2018 Category: ENT & OMF Source Type: research

Pectoralis Major Myocutaneous Flap Reconstruction for the Mandibular Defects in Advanced Oral Cavity Malignancies: A Retrospective Study of 30 Cases
AbstractTo evaluate the utility of the pectoralis major myocutaneous (PMMC) flap for the reconstruction of the mandible in advanced oral cavity malignancies in the Indian population. It was a retrospective study contained 30 patients with advanced oral cancer from July 2012 to August 2016. The PMMC reconstruction was done in all the patients to repair the bony defects in segmental/hemi mandibulectomy. The patients were followed up for a mean period of 6  months in the postoperative period and the utility of the PMMC flaps were evaluated. The mean age of the patients was 45 years (range 30–63 years). Th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 20, 2018 Category: ENT & OMF Source Type: research

The Role of Surgical Debridement in Cases of Refractory Malignant Otitis Externa
Abstract Malignant Otitis externa is a necrotizing condition of external ear involving causing the osteomyelitis of the bone and surrounding soft tissue leading to multiple cranial nerve palsies. Though most patients respond to oral ciprofloxacin but due to emerging resistance cases of refractory malignant otitis externa which are unresponsive to antibiotic therapy for at least 6  weeks are being encountered lately. A study of 20 patients of refractory malignant otitis Externa was conducted at a tertiary care centre in north India; 10 patients were randomly allotted in group A and group B each. Group A was subjected...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2018 Category: ENT & OMF Source Type: research

Study the Effect of Tubotympanic Disease on Bone Conduction Threshold
AbstractTubo-tympanic disease of middle ear cleft can temporarily detoriate the bone conduction threshold specially in higher frequency in long standing cases. It mainly affects the inertial ossicular component of the bone conduction mechanism. (1) Study the effect of tubotympanic disease on bone conduction threshold (SN loss). (2) Study the duration of the disease on bone conduction threshold. 84 cases of tubotympanic disease were taken for the study. There pre-operative PTA was done and effect of the disease on the bone conduction threshold was noted. Results were analyzed by using analysis of variance. The significance ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2018 Category: ENT & OMF Source Type: research

Kimura ’s Disease: A Rare Cause of Parotid Swelling
AbstractKimura ’s disease also known as subcutaneous angioblastic lymphoid hyperplasia with peripheral eosinophilia is a rare clinicopathological entity. It is a chronic granulomatous disease of unknown etiology. The clinical presentation varies from subcutaneous swellings of the head and neck region with region al lymphadenopathy with salivary gland involvement to systemic manifestations like nephrotic syndrome. The clinical features are mild, rarely life threatening. The present article is a case report of Kimura’s disease presenting as multiple swellings at the left temporal region, left parotid and bi later...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 18, 2018 Category: ENT & OMF Source Type: research

Classification of Naso Septal Deviation Angle and its Clinical Implications: A CT Scan Imaging Study of Palakkad Population, India
AbstractComputerized tomographic imaging of the nasal and paranasal regions has become an indispensable tool for the endoscopic sinonasal surgery. The case control study was carried out on 120 patients for pilot study and 800 patients for the main study. The cases were selected with a clinical diagnosis of chronic rhino sinusitis. They were referred for a sinus CT scan by otolaryngologists and controls from the normal population. The patients were separated into males and females and anatomical variations were assessed. Increased prevalence of left sided nasal septal deviation and type II nasal septal deviation was seen in...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 8, 2018 Category: ENT & OMF Source Type: research

Comparative Study of Nasal Symptoms and Pulmonary Function Tests Post FESS in Ethmoidal Polyposis
AbstractThe  objective of this study were to assess the pulmonary function in patients with ethmoidal polyposis who did not respond to medical treatment; to evaluate the effect of Functional Endoscopic Sinus Surgery on the lung function of these patients and to compare the total nasal symptom score in these p atients. A prospective observational study was conducted in Department of ENT, KMC Manipal on 50 subjects with ethmoidal polyposis who were unresponsive to medical treatment and hence underwent FESS. Pulmonary function tests were assessed using spirometry and nasal symptoms were scored as per TNSS s ystem pr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 8, 2018 Category: ENT & OMF Source Type: research

A Perspective of Clinical Behaviour and Management of Deep Neck Space Infections (DNSI): The Clinical Conundrum
In this study, submandibular space infection was found to be the most common space involved in DNS I. Pain (100%) was the most common clinical complaint followed by neck swelling (65.69%). Staphylococcus aureus (38 cases) was the most common micro-organism isolated. Surgical intervention was the main modality of treatment and there was one mortality. DNSIs are fairly common challenging and potent ially lethal entities which can lead to severe complications in a very short time, should there be delay in its prompt diagnosis and management. Computerized Tomography Scan (CT scan) with contrast is the investigation of choice i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 7, 2018 Category: ENT & OMF Source Type: research

Human Immunodeficiency Virus Infection: Does Highly Active Antiretroviral Therapy Influence Ear Nose Throat Manifestations?
AbstractTo study the change in trend of ear, nose and throat (ENT) manifestations in patients who were on treatment, before and after availability of highly active antiretroviral therapy (HAART). To find out the prevalence of ENT manifestations in human immunodeficiency virus (HIV) infected people who were on treatment, in the year of 2004 (before the availability of HAART) and in 2014 (after the availability of HAART).Design A combination of a retrospective and prospective study.Setting Anti Retroviral Therapy (ART) Center at Our Hospital.Subjects Patients with HIV infection on ART.Methods Retrospective review of case rec...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 7, 2018 Category: ENT & OMF Source Type: research

Completely Endoscopic Approach Using a Skeeter Drill to Treat Bilateral Congenital Choanal Atresia in a 33  Week Born Pre-term Baby
We present a case of a premature baby of 1.10  kg, who developed respiratory distress and was diagnosed with bilateral CA. A nasal airway was created endoscopically using a skeeter drill. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 4, 2018 Category: ENT & OMF Source Type: research

Management of Head and Neck Hemangiomas in Adults: Oral Propranolol Versus Oral Itraconazole in Conjugation with Injection Sodium Tetra Decyl Sulphate
AbstractManagement of head and neck hemangiomas with oral propranolol versus oral itraconazole in conjugation with injection sodium tetra decyl sulphate. This prospective parallel clinical trial was done to check for the effectiveness of oral propranolol and oral itraconazole when used in conjugation with inj. sodium tetra decyl sulphate in treatment of head and neck haemangiomas in adult patients visiting department of ENT and head and neck surgery, VIMSAR, Burla. All the patients visiting the department with hemangioma (diagnosed clinically and by FNAC) were considered and only those who gave written informed consent and...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 4, 2018 Category: ENT & OMF Source Type: research

Voice Change Following Adenotonsillectomy in Pediatric Population: Myth or Reality? —A Pilot Study
This study was thus conducted to study the effect of adenotonsillectomy/tonsillectomy on childrens ’ voice. It was a prospective observational study of children aged 4–15 years undergoing tonsillectomy with or without adenoidectomy. Measures of voice were noted preoperatively, 1 and 3 months post-operatively. Subjective evaluation was done using Paediatric Voice Outcome Survey (PVOS) questi onnaire administered to participants’ parents. Objective evaluation was done by recording and analyzing using PRAAT voice analysis software which is an open-software tool. Statistical analysis was done using ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 4, 2018 Category: ENT & OMF Source Type: research

Evaluation of Role of Mitomycin C in the Cases of Nasolacrimal Duct Blockage Undergoing Endoscopic Dacryocystorhinostomy
AbstractDacryocystorhinostomy is a common surgical procedure done for the treatment of obstruction of the lacrimal sac or nasolacrimal duct. Adjunctive use of a wound healing inhibitor like Mitomycin C is considered to minimize the risk of complications and increase the success rate of endoscopic endonasal DCR. The current study is aimed to compare the results of endoscopic DCR without silicon stents with or without Mitomycin C and to see for any complications resulting from the surgery. This was a prospective study carried out in the department of Otorhinolaryngology at Safdarjung Hospital, New Delhi from February 2015 to...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 3, 2018 Category: ENT & OMF Source Type: research

Tracheostomy: Experience at Tertiary Hospital
AbstractAn attempt was made to find indications of tracheostomy procedure and its complications in the modern era of medicine with refined surgical techniques at a tertiary hospital. A retrospective study of 240 patients, who had undergone tracheostomy, was done during the period from January 2013 to April 2017 at Govt. Medical College Hospital. Various details of all participants such as age and sex of patients, detailed history of the current disease, and detailed information about tracheostomy and complications were recorded. In the present study, the most common indication for tracheostomy was prolonged ventilation due...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 3, 2018 Category: ENT & OMF Source Type: research

Radiological Study of the Ethmoidal Arteries in the Nasal Cavity and Its Pertinence to the Endoscopic Surgeon
AbstractWe studied the ethmoidal arteries using preexisting computer tomography of the paranasal sinuses (CT PNS) and statistically scrutinized data obtained between genders. A descriptive study from 77 CT PNS dated January 2016 –December 2016 were collected and reviewed by two radiologists. A total of 54 (108 sides) CT PNS were studied of patients aged 18–77 years. 37 are male, 17 are female; with Bumiputera Sarawak predominance of 25 patients, 12 Malays, 16 Chinese and one Indian. Rate of identification are as follow s: anterior ethmoidal artery (AEA)-100%, middle ethmoidal artery (MEA)-30%, posterior et...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 2, 2018 Category: ENT & OMF Source Type: research

Parotid Gland Tumours: Our Experience
AbstractSalivary gland tumor comprises of approximately 3 to 10% of neoplasms of the head and neck region. Parotid gland is the most commonly involved salivary gland with an incidence of 62% followed by submandibular gland and other minor salivary gland tumors. However clinical course of benign and malignant tumors resemble each other in clinical findings, we require histopatholocal or cytological diagnosis for planning of management. To analyze parotid tumors retrospectively with following objectives. (1) Demographic distribution of parotid tumors. (2) To evaluate cytological and histopathological findings of parotid tumo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 31, 2018 Category: ENT & OMF Source Type: research

Revisiting Correlation Between Pre Operative High Resolution Computed Tomography and Operative Findings in Attico Antral Disease
Abstract(1) To correlate the findings of high resolution computed tomography (HRCT) scans with operative findings in chronic otitis media (attico antral disease). (2) To assess the role of HRCT in chronic otitis media (attico antral disease). This prospective observational study undertaken at a tertiary level teaching hospital included 50 patients of chronic otitis media (attico antral disease) who underwent pre-operative HRCT scanning and the findings were compared with the operative findings and correlation between the two was assessed with appropriate statistical methods. HRCT findings correlated well for the status of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 31, 2018 Category: ENT & OMF Source Type: research

Functional Nasal Surgery and Use of CPAP in OSAS Patients: Our Experience
AbstractThe surgical correction of nasal obstruction is definitely effective and recommended in patients with poor CPAP compliance, often secondary to the high pressures that need to be given in patients with nasal sub stenosis. For this reason, the objective of this study is the evaluation of the effectiveness and effects of the functional nose surgery on adherence to CPAP- therapy in patients (with moderate to severe OSAS with indication of ventilation therapy) poorly compliant with CPAP. The study was performed on a sample of 52 patients, 40 male and 12 female, aged between 29 and 72  years followed by the Otolaryn...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 31, 2018 Category: ENT & OMF Source Type: research

Monophasic Synovial Sarcoma of Tongue: A Rarest of Rare Case Scenario
AbstractSynovial sarcoma is a rare tumour of head and neck. Primary synovial sarcoma of tongue is very uncommon. Based on morphology, it can be classified as classical biphasic variant, monophasic spindle cell variant, monophasic epithelial variant and poorly differentiated variant. The authors with an index case of 74  year old lady with monophasic spindle cell synovial sarcoma of oral tongue which is one of the rarest variants (our case is the 15th case reported of synovial sarcoma of the tongue and only the 3rd case in the world which had a monophasic histopathologic pattern) studied the morphology and describ ed t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 30, 2018 Category: ENT & OMF Source Type: research

Robot Assisted Trans Axillary Thyroidectomy: A Subcontinent Experience
(Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 30, 2018 Category: ENT & OMF Source Type: research

Evaluation of a Dermoplasty Technique for the Control on Nasal Polyps
Abstract To evaluate the efficacy of a dermoplasty technique in controlling nasal polyps comparing to the conventional endoscopic approach. Prospective observational study Tertiary private hospital. Twenty-nine patients underwent surgery for replacement of the middle meatus mucosa with skin. Some patients (41.4%) suffered from allergies, 44.8% from asthma, and 27.6% from aspirin intolerance. Polyps were staged according to the Lildholdt system, and patients completed a sino-nasal outcome test (SNOT-22) pre and post-operatively. Also, patients were interrogated as for medication relevant to the nose received pre and post-...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Minimal Invasive Endoscopic Ear Surgery: A Two Handed Technique
AbstractTo evaluate the surgical outcome of two handed technique of endoscopic ear surgery with endoscope holder. Retrospective Non Randomized Clinical Study. A total of 547 endoscope holder (Justtach) assisted ear surgeries (331 cartilage tympanoplasties and 216 cholesteatoma surgeries) were operated with Justtach from July 2013 to April 2016 with a follow up period ranging from 12 to 45  months to evaluate its feasibility and results with the technique. The design of the endoscope holder, Justtach is described along with its functioning and maneuvering techniques. In the endoscopic tympanoplasty group, at 1 yea...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Transwindow Suture Technique for Pseudocyst of Pinna
AbstractPseudocyst or seroma of the pinna is the accumulation of serous fluid between the perichondrium and cartilage of pinna. Though there are several surgical techniques in the treatment of seroma, recurrence is common. The aim and objective of this preliminary study is to present and discuss a novel technique of treating pseudocyst of pinna which is practiced at Karwar Institute of Medical sciences. A prospective study was done with a novel procedure “Transwindow suture technique” for the treatment of pseudocyst of pinna in four patients. Three of the four patients had a very good results without any recurr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Aural Atresia with Cholesteotoma and Its Management Strategies
AbstractThe term congenital aural atresia is used to describe failure of external auditory canal to open. Thus it results in conductive hearing loss. There are ways to improve the transmission of sound to the healthy inner ear, we have performed surgery to open the ear canal and restore the natural sound-conducting mechanism to the inner ear. Thus avoiding multiple surgeries. The study was conducted among patients aged between 12 and 24  years, our study included 8 patients with aural atresia with cholesteotoma. After a detailed examination of patients were subjected to surgery. In our study with the sample size of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Management of Unstable Middle Turbinate in Endoscopic Sinus Surgery
AbstractTo propose a simple technique for preservation, medialization and stabilization of the middle turbinate through a planned medial synechiae formation using suction electrocautery between middle turbinate and nasal septum. Study design is Case series. 150 cases of chronic rhino sinusitis who underwent ESS were selected and stabilization of the middle turbinate through a planned medial synechiae formation using suction electrocautery was done as last step and results studied. Adequate medialization was achieved in 141 cases with 94% success rate. This technique of medialization of middle turbinate through a planned me...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 29, 2018 Category: ENT & OMF Source Type: research

Role of Cervical Vestibular Evoked Myogenic Potentials (cVEMP) as Outcome-Measure of Glycerol Test
AbstractDiagnosis of Meniere ’s disease is mainly clinical although many tests have been studied for efficacy in diagnosis of Meniere’s disease. Glycerol test is a functional test to identify hydrops in Meniere’s disease and can be done with PTA, Speech audiometry, otoacoustic emission, EcochG and cVEMP as its outcome mea sures. The study aimed to compare two outcome measures of glycerol test to identify Meniere’s disease; to determine whether the stage of Meniere’s disease affected glycerol outcomes; and to attempt to identify independent variables that could predict outcomes of glycerol test...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2018 Category: ENT & OMF Source Type: research

Biopsy Examination Validity Based on Narrow Band Imaging Guidance of Nasopharyngeal Carcinoma Suspected Patients
AbstractThe diagnosis of nasopharyngeal carcinoma (NPC) is established based on histopathological examination results of tumor tissue in nasopharynx and narrow band imaging (NBI) which is an imaging technique that utilizes specific displacement and light absorption characteristics of a specific wavelength. It has not known yet the validity of nasopharyngeal biopsy examination results based on NBI guidance and blind biopsy as a golden standard in establishing nasopharyngeal carcinoma diagnosis. Analyzing the validity of the nasopharyngeal biopsy examination results through NBI guidance and blind biopsy as a golden standard ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 26, 2018 Category: ENT & OMF Source Type: research

Pyramidal Artery: An Artery to Pyramidal Lobe —A New Nomenclature
AbstractThyroid lobes are supplied by superior and inferior thyroid arteries. We dissected out a specific arterial pattern always present along with a well developed pyramidal lobe. Authors named this as “Pyramidal Artery”. This may be a common unnoticed bleeding site during surgery. Thyroid anomalies are commonly observed as incidental finding during surgery. Presence of pyramidal lobe is the most common finding among other thyroid anomalies due to persistence of thyroglossal duct. Present stud y reported incidence of pyramidal lobe in 41.46% cases and pyramidal lobe branches off more frequently from left lobe...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2018 Category: ENT & OMF Source Type: research

MRI as an Alternative to Second Look Mastoid Surgery
This study was applied on 60 patients that have a recurrent cholesteatoma after previous mastoid surgery. A preoperative radiological evaluation was done by Magnetic resonance, surgical management was done by canal wall up or canal wall down mastoidectomy to exclude residual disease. Then, radiological, and surgical findings correlation was done. Diffusion-weighted MRI successfully detected 42 cases out of the 45 cases of surgically proved cholesteatoma, it has accuracy 95%, sensitivity 93.33%, specificity 100%, PPV 100% and NPV 83.33%. MRI is better than CT in tissue characterization for diagnosis of recurrent cholesteato...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2018 Category: ENT & OMF Source Type: research

Post-operative Sensorineural Hearing Loss After Middle Ear Surgery
AbstractChronic suppurative otitis media is managed by tympanomastoid surgery often requires mastoid drilling. Sometimes patients develop sensorineural hearing loss after middle ear surgery. Objective of the study was to compare pre and post operative bone conduction thresholds after middle ear surgeries. The study was conducted on 90 patients who had undergone middle ear surgeries, 30 patients of tympanoplasty (group I), modified intact canal wall mastoidectomy and tympanoplasty type-I (group II) and modified radical mastoidectomy (group III) each ware included. Demographic and clinical data were reviewed. Duration of sur...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2018 Category: ENT & OMF Source Type: research

Efficacy of Tinnitus Retraining Therapy, A Modish Management of Tinnitus: Our Experience
AbstractTinnitus retraining therapy involves masking of tinnitus at sound perception level in combination with structured counselling sessions. To assess efficacy of Tinnitus retraining therapy (TRT) in Patients of Tinnitus with Sensori Neural Hearing loss. Prospective study was carried out on patients who presented with Tinnitus in ENT OPD from December 2015 to December 2016. Severity of tinnitus was documented using Tinnitus handicap inventory scale. Response to tinnitus is evaluated at the end of 3  months. In our study 57 patients in age group 21–78 years were selected and Tinnitus retraining therapy wa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 23, 2018 Category: ENT & OMF Source Type: research

Application of Standardised Yoga Protocols as the Basis of Physiotherapy Recommendation in Treatment of Sleep Apneas: Moving Beyond Pranayamas
AbstractYoga is an ancient Indian practice of mental and physical exercises (syn: asanas), postures (syn: mudras), movements and breathing techniques which sustain healthy living of the body and the mind. It incorporates various exercises of breathing, oropharyngeal structures and facial expressions, the physiology and effect of which are comparable to international physiotherapy recommendations in treatment of obstructive sleep apnea (OSA) i.e. to preserve upper airway patency by maintaining airway dilator muscle tone. Preliminary results show that yoga can be an effective and constructive alternative to physiotherapy for...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 22, 2018 Category: ENT & OMF Source Type: research

Vocal Cord Lateralization in Bilateral Abductor Paralysis by Extra-Endo Laryngeal Suture Technique: A Case Series
The objective of the study is to throw light on our experience of a novel method of lateralization of vocal cord in six patients. The procedure was found to be reliable as well as associated with numerous adv antages including shorter operating time and lesser intra operative manipulation on larynx. The method is less irritant (knot on outer aspect of larynx), adjustable (knot can be tightened and loosened accordingly) and reversible (knot can be removed if patient recovers). Additional benefits of the p ractice are smooth learning curve and economic in nature. The procedure has also been modified from quadruple prick to t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 22, 2018 Category: ENT & OMF Source Type: research