A Clinico-Radiological Study: Veria Technique of Cochlear Implant —A Study of 50 Cases
AbstractMain limitation of classical technique is limited access to cochlea in terms of cochlear rotations and related structures, thus causing difficulty in electrode insertion. Veria technique allows full access to cochlea after raising tympanomeatal flap. To our best knowledge this is first clinic-radiological study for Veria technique studying distance between tympanic segment of facial nerve and posterior wall of external auditory canal (EAC) demonstrating facial nerve safety. Prospective study was done on 50 patients having bilateral sensori-neural hearing loss. Patients underwent cochlear implant surgery irrespectiv...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 19, 2019 Category: ENT & OMF Source Type: research

Orbital Cellulitis: Defining Multidisciplinary Approach as the Need of the Hour
AbstractThe aim of the study is to determine epidemiological profile of cases admitted with suspicion of pre or post septal cellulitis and to define and evaluate the various factors associated with the aetiology, presentation, diagnosis and management of orbital and preseptal cellulitis via a one year study of ten cases presenting to a tertiary care hospital in western Rajasthan, India. All patients presenting to our department or being transferred from other departments to us with the diagnosis of pre/post septal cellulitis from the March of 2017 to February 2018 were considered for this case series. Data compilation of t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 16, 2019 Category: ENT & OMF Source Type: research

Lethal Midline Granuloma: An Enigma in Diagnosis —A Rare Case Report
We present a case report of 60  year old female who gave short one-month history of clinical symptoms. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 15, 2019 Category: ENT & OMF Source Type: research

Epidemiological Aspects of Oral Cancer in North Indian Population
ConclusionOral cancers are common in Indian population. It presents at advanced stage due to poor socioeconomic status of the patients. However, it has also been seen in younger population owing to increasing use of tobacco products. Preventive strategy, based on the epidemiological characteristics, is the need of the hour to reduce the disease burden. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 14, 2019 Category: ENT & OMF Source Type: research

Eagle ’s Syndrome: An Underdiagnosed Condition—Case Series in a Tertiary Care Hospital
AbstractTo evaluate all the cases of chronic neck pain thoroughly to diagnose eagle ’s syndrome. Hospital based prospective study done in the department of otorhinolaryngology at our tertiary care hospital from January 2017 to December 2018. We selected 60 subjects in our study who presented to us with complaints of chronic neck pain associated with referred otalgia, along with a ggravation of pain with neck movements, odynophagia, throat pain and foreign body sensation in the throat. After thorough clinical examination an orthopantomogram has been done which revealed elongated styloid process. Conservative managemen...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 13, 2019 Category: ENT & OMF Source Type: research

Correlation of Primary Tumour Size and Central Compartment Lymph Nodes Metastasis in Well Differentiated Thyroid Malignancies in a Tertiary Care Centre
AbstractCentral compartment lymph nodes are the first to be involved in thyroid carcinoma and associated with higher chances of recurrence. (1) Recurrence and revision surgery can be associated with a high risk of vocal cord paralysis and hypocalcemia. (2) However, the need for central compartment lymph nodes dissection routinely in all cases of thyroid malignancies is controversial considering the risk to recurrent laryngeal nerve and parathyroids. (3) The aim of the study was to evaluate the incidence of central compartment lymph nodes metastasis in well differentiated thyroid malignancy and their correlation with size o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 13, 2019 Category: ENT & OMF Source Type: research

Balloon Laryngoplasty in Pediatric Population with Subglottic Stenosis: 5  Years Experience in King Abdulaziz University Hospital a Tertiary Center
This study describes the outcome of 25 episodes of BLP for the selected participants. Sixty percent of the participants were males. Participants’ age ranged from 1 to 14 years (mean 6.4 years). Four participants had comorbidities other than SGS. Most patients required more than one episode of BLP (average 3 episodes). Mean hospital stay was 11.7 days. There was no difference in recurrence of symptoms between using laser or knife in subglottic tissue release (p = 0.182). Although recurrence of symptoms was seen in 56% of the patients, almost all patients (100%) became free of symptoms even...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 7, 2019 Category: ENT & OMF Source Type: research

Prevalence of Chronic Suppurative Otitis Media Among School Children Residing in Rural Area of Belagavi, South India
AbstractTo study the prevalence of chronic suppurative otitis media among school children in Belagavi, rural area of South India. A community based descriptive cross sectional survey was conducted in 7 schools of rural areas of Belagavi district in Karnataka over a period of 2  months between 15th July and 15th September 2018. A survey demographic data collection was done on 694 school children aged between 6 and 14 years attending these schools. A detailed history and otoscopic examination was done in the school premises. Data received from the study was entered and s tatistical analysis was done. CSOM was ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 6, 2019 Category: ENT & OMF Source Type: research

Comparison of the Modified Version of DRAF III to the Conventional DRAF III: A 5 Year Study
AbstractA modification is made to the conventional way of doing  Draf III by completely avoiding burrs by using only gouges and punches to reduce the postoperative narrowing followed by local instillation of budesonide solution. The results are compared. The comparison was made in terms of surgical duration, frontal ostium size, and recurrence of pathology. Thi s is a prospective non-randomised comparative study in a private practice setting. 25 patients (15 males and 10 females) who underwent Draf III surgery between April 2012 and March 2017 were included in the study. Among them, 14 patients were assigned surgery o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 5, 2019 Category: ENT & OMF Source Type: research

Partnering with District Hospitals in India for Fight Against Cancer
AbstractCancer is a difficult disease to treat particularly in low socioeconomic strata. There are three major challenges: that of early detection, of affordability and easy accessibility to specialised health care. The complexity of health care delivery, lack of structured grassroots level training program for early cancer detection, the shortage of well-equipped hospitals compounds the challenge of detecting as well as treating cancer in village based India. We have tried to reach out to rural population, through district level anti-cancer programs. These included holding (1) free detection camps to find cancers early, (...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 1, 2019 Category: ENT & OMF Source Type: research

A Rare Case of Vocal Cord Aspergillosis
AbstractPrimary aspergillosis of larynx is very rare. Till now only 28 cases of isolated laryngeal aspergillosis are documented in the English literature. In the field of otorhinolaryngology, aspergillosis most frequently affects external auditory canal or nasal sinuses and larynx is usually secondarily involved. It usually affects the patients with immunocompromised state and usually presents with hoarseness of voice. Laryngeal lesions usually mimics malignancy, so accurate diagnosis with direct laryngoscopy and biopsy is needed for further management. As these lesions responds very well to antifungal therapy, early diagn...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 28, 2019 Category: ENT & OMF Source Type: research

Quality of Life in Head and Neck Cancer Patients
AbstractTo assess the quality of life in head and neck cancer patients and the various factors which affect the quality of life in head and neck cancer patients was the main aim of the study. A prospective longitudinal study with a sample size of 130 patients was done within the time period of one and a half years. Patients with biopsy proven squamous cell carcinoma of the head and neck were treated as per their treatment protocol either by combined modality or single modality. Follow up at the completion of treatment was done and the quality of life questionnaire was filled out. QoL was assessed pre-treatment and at 4 tim...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 25, 2019 Category: ENT & OMF Source Type: research

Introduction of Directly Observed Procedural Skills (DOPS) as a Part of Competency-Based Medical Education in Otorhinolaryngology
The objectives of the study were: (1) To prepare lists of Oto-rhino-laryngology procedures for DOPS, (2) To conduct Orientation program of DOPS for the participants, (3) To prepare a structured list of items for th e rating scale, (4) To facilitate and conduct DOPS encounters of different Oto-rhino-laryngology procedures. The study was conducted in a tertiary care medical college hospital from April 2018 to August 2018. Thirty-three trainees and 5 trainers participated. The 421 DOPS encounters involved 41 Oto- rhino-laryngology procedures. For checking the association between average time and clinical settings and Oto...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 20, 2019 Category: ENT & OMF Source Type: research

Assessment of Oxidative Stress in Patients with Sudden Hearing Loss: A Non-randomized Prospective Clinical Study
AbstractThe etiology of sudden hearing loss (SHL) has not been fully elucidated. Previous studies claimed that different etiological factors may play a role in the pathogenesis of SHL. The aim of the present study is to investigate the presence of oxidative stress (OS) in SHL cases using thiol-disulfide balance. In addition, total oxidant status (TOS), total antioxidant status (TAS), oxidative stress index (OSI) and lipid hydroperoxide levels (LOOH) were investigated. A total of 30 cases (15 female, 15 male, mean age 48.9  ± 8.1 years, age range: 36–68 years) were included in the study....
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 19, 2019 Category: ENT & OMF Source Type: research

Amalgamation of Central Lymph Node Dissection in Papillary Thyroid Carcinoma: Study from South Indian Population
AbstractThe aim of this study was to evaluate the correlation between central lymph node (CLN) metastasis and Clinicopathological characteristics of papillary thyroid cancer (PTC). In addition, we investigated the incidence and risk factors for ipsilateral and contra lateral CLN metastasis in unilateral PTC and the appropriate surgical extent for CLN dissection. A prospective study of 143 patients with unilateral PTC who underwent total thyroidectomy and prophylactic bilateral CLN dissection was conducted. Of 143 patients, 58 had CLN metastases. The rate of CLN metastasis was considerably higher in cases of maximal tumor s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 19, 2019 Category: ENT & OMF Source Type: research

Brain Stem and Audio-Vestibular Regulation
AbstractThe central pathologies present with perverted auditory perception and compromised postural control. Considering the existing controversy this study involves assessments of 100 cases of post fossa tumefactions in which a detailed clinical and neuro-otological (pure tone audiometry, electronystagmography, brainstem evoked response audiometry) profile is compared with their imaging patterns. The CP angle schwannomas (N  = 26) presented with abnormal speech tests (N = 18), abnormal auditory adaptation (N = 7) and ABR with pathologically increased latency of wave V (N =&...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 18, 2019 Category: ENT & OMF Source Type: research

Sinonasal Inverted Papilloma: Efficacy of Demucosation to Reduce Recurrence After Surgical Managements
AbstractTo compare the outcomes of various surgical approaches to resect sinonasal inverted papilloma and to discuss their advantages and disadvantages. A retrospective chart review of 61 consecutive patients with sinonasal inverted papilloma was performed. Surgical treatment included non-demucosation endoscopic sinus surgery (ESS), demucosation ESS, endonasal medial maxillectomy (EMM), Draf type 3, Caldwell-Luc surgery, Denker, Killian, and lateral rhinotomy. Recurrence rates were compared between endonasal and external approaches and between demucosation and non-demucosation. After the first curative surgery, the non-dem...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 18, 2019 Category: ENT & OMF Source Type: research

Primary Osteosarcoma of Sphenoid and Ethmoid Sinus in a 17  Year Female: Case Report
AbstractPrimary osteosarcoma of sphenoid and ethmoid sinus present as a challenge in head neck cancer. A 17  year female presented with left sided hemifacial pain, headache with nasal discharge. Clinico-radiological finding showed mass in sphenoethmoid recess spreading to adjacent structures. Endoscopic resection was done. Histopathological diagnosis was osteosarcoma of sphenoid and ethmoid sinus. Adjuva nt chemotherapy administered. Osteosarcomas of sphenoid and ethmoid sinus are aggressive tumors with variable clinical features warranting high clinical suspicion. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 13, 2019 Category: ENT & OMF Source Type: research

Development of an Experimental System “Computer-Aided Diagnosis in Neurotology (CADINO)” for Vertigo
AbstractComputer-based medical diagnosis expert systems, when used by clinicians, familiar with the limitations of the system, were found both accurate and educationally helpful. Vertigo is one of the most common complaints of the patients and the specialists who manage these patients are not easily available. Diagnostic expert system can help clinicians including general practitioners in providing reasonable diagnostic suggestions while dealing with patients with vertigo/dizziness when the specialist doctors are not available. To provide an understanding about the method of making an expert system “Computer-Aided Di...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 12, 2019 Category: ENT & OMF Source Type: research

Non Familial Cherubism: A Case Report
AbstractCherubism might occur in solitary cases or in several members of the family, often in many generations. Treatment depends on the clinical course of the disease. The reported case is an example of solitary sporadic occurrence within a family, which is a less documented condition in the literature. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 12, 2019 Category: ENT & OMF Source Type: research

Comparative Study Between Microscopic and Endoscopic Tympanoplasty Type I
In conclusion permeatal endo scopic tympanoplasty can be considered as a good alternative to the conventional microscopic tympanoplasty. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 12, 2019 Category: ENT & OMF Source Type: research

Standardisation of Tinnitus Handicap Inventory in Hindi
AbstractTinnitus is defined as perception of sound in ear continuously without presence of any external stimuli. It is mainly due to the activity within central nervous system without any mechanical or vibratory activity that stimulates the cochlea. It is purely subjective phenomenon that cannot be measured by the any physical scale. Tinnitus handicap inventory is very useful tool to measure the severity of impact of tinnitus on person ’s life. There is lack of questionnaire in Hindi and this work will help a lot in future. The English THI was translated to Hindi by person expert in both English and Hindi. The transl...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 12, 2019 Category: ENT & OMF Source Type: research

The Tooth Crossing the Confinement of Mandible: An Unique Expression of Central Variety of Dentigerous Cyst
We report a case of a 28  years old male diagnosed with an impacted mandibular third molar associated with DC and its surgical management. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 11, 2019 Category: ENT & OMF Source Type: research

Changes in Maxillary Sinus Volume and It ’s Walls Thickness Due to Chronic Rhinosinusitis: A Prospective Study
AbstractThis is a prospective observational cross sectional study comprising of 57 patients who were having symptoms of chronic rhinosinusitis which were evaluated with the help of computed tomography scan (coronal and axial sections) to measure the thickness of all walls of maxillary sinus and it ’s volume. Computed tomographic imaging of sinonasal region has become the gold standard in the evaluation of patients with chronic sinusitis. The maxillary sinus is pyramidal in shape with lateral wall of nose forming its base and its apex is directed towards zygomatic process. All three dimensio ns of the maxillary sinus ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 9, 2019 Category: ENT & OMF Source Type: research

Expectations and Experience of Children with Unilateral Cochlear Implantation: A Parental Perspective
AbstractTo find out parental expectations regarding outcomes of unilateral cochlear implantation prior to surgery and experience received by them after cochlear implantation and 1  year of regular auditory verbal therapy, with respect to the communication abilities, social skills and participation. Total of 200 parents of hearing impaired children participated in the study. A closed ended questionnaire containing 13 questions were used to collect the data. The participants w ere instructed to complete all the questions provided based on their expectations and experiences. The descriptive statistics were used to determ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 9, 2019 Category: ENT & OMF Source Type: research

Deep Neck Space Infection: Study of 52 Cases
AbstractDeep neck spaces are still common in developing countries like India, even though its less prevalent in developed nations. It can lead to serious complications like jugular vein thrombosis and dissemination of infection if not diagnosed early and intervened. This is a retrospective chart review of 52 patients from 2014 to 2017 in a tertiary care hospital. Only patients with infection deeper to the superficial fascia of neck were included. Submandibular space infection was the most common and precipitating factor being dental infection. Most common comorbid condition was diabetes mellitus. Klebsiella pneumoniae was ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 9, 2019 Category: ENT & OMF Source Type: research

Papillary Thyroid Carcinoma with Cervical Lymph Node Metastasis Arising from Lingual Thyroid
AbstractAlthough lingual thyroid is the most common site for ectopic thyroid gland but carcinomas originating from lingual thyroid are extremely rare, accounting only for 1% of all ectopic thyroids. Here we represent a young female with a bleeding mass at the base of her tongue and review the diagnostic approach towards papillary thyroid carcinoma of lingual thyroid. The surgical treatment and follow up are discussed. A combination of radiological studies and histological evaluation should be deployed to investigate suspicious lingual thyroids. The perspective of diagnostic and therapeutic approaches for carcinomas of ling...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 8, 2019 Category: ENT & OMF Source Type: research

Computer Algorithms in Assessment of Obstructive Sleep Apnoea Syndrome and Its Application in Estimating Prevalence of Sleep Related Disorders in Population
AbstractThe incorporation of telemedicine and artificial intelligence for early screening and assessment of severity of life-style disorders has a great potential for better assessment in a busy outpatient clinic and thereby curtail down the related morbidities. A computer based algorithm based upon standardized questionnaire (from established assessment tools) is designed to assess the risk of obstructive sleep apnoea syndrome (OSAS). In addition the incorporation of basic screening questions of anamnesis help in suggesting a probable diagnosis of sleep related disorder as well. The overall data at our center has been ana...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 8, 2019 Category: ENT & OMF Source Type: research

Clinicopathological and Radiological Study of Thyroid Swelling
AbstractThyroid swelling is the most common swelling among the endocrine disorder. It can affect any age group. USG neck will help to diagnose the solid and cystic lesions. The treatment is surgical excision. FNAC is a good diagnostic tool to minimize the incidence of thyroidectomy. FNAC is cost effective, reliable and OPD procedure. Final diagnosis can only be made by HPE postoperatively. The aim of this study is to find out the relative occurrence of various pathological conditions presenting as midline thyroid swellings and clinicopathological and radiological examination of the thyroid swellings. A one and half year pr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 8, 2019 Category: ENT & OMF Source Type: research

Role of Otoacoustic Emission Test in Neonatal Screening at Tertiary Center
AbstractTo study the role of Otoacoustic emission test in neonatal screening at tertiary center. The study was conducted in the ENT department of LN medical college and JK hospital Bhopal (M.P) as a territory center between 2015 and 2017 were 1250 newborns were screened with Otoacoustic emission test with portableInteracoustics OAE DK-5610 assens an routine screening investigation. In our study a multistep screening with OAE was done, 1250 newborns (659 boys and 591 girls) were assessed. In our study we have found that OAE has 66.7% sensitivity and 98.8% specificity in diagnosis of neonatal hearing impairment. Its positive...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 7, 2019 Category: ENT & OMF Source Type: research

Isovolumetric Relaxation Time (IVRT): An Effective Tool in Management of Subclinical Hypothyroidism
AbstractHypothyroidism is a common condition in which thyroid gland doesn ’t produce sufficient thyroid hormone. Normal range of TSH is 0.4 to 4 mIU/L. Patients with TSH between 5 and 10 mIU/L, with normal T4 are diagnosed to have subclinical hypothyroidism. Decision to treat, particularly the subclinical hypothyroidism is tailored to individual patients. In our study, isovolumetric relaxation time (IVRT) was used to detect the diastolic function of cardia in hypothyroid patient, with the help of 2D echocardiogram. Normal duration of IVRT is 54 to 65  μs and in hypothyroidism it is expected to increase. To as...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 7, 2019 Category: ENT & OMF Source Type: research

Sharp Foreign Bodies of the Aero-Digestive Tract: Endoscopic Removal by the ‘Kangaroo’ Technique
We describe the ‘Kangaroo’technique for safe and effective removal of sharp objects from the upper aero-digestive tracts. Index Case 1: 1-year old boy presented to us withan open (un)safety-pin lodged in the upper esophagus. The technique of removal of the pin by theKangaroo technique, along-with the mechanics of en-pouching the(un)safety-pin has been described. Index Case 2: 8  years old boy presented with accidentalaspiration of a razor blade. The removal of the blade from his trachea was executed by the Kangaroo technique. The Kangaroo technique is described for safe endoscopic extraction of sharp forei...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 7, 2019 Category: ENT & OMF Source Type: research

Is Day Care Tonsillectomy a Safe Procedure?
AbstractTonsillectomy with or without adenoidectomy is the commonest procedure performed by an otolaryngologist. It has been performed as an in-patient procedure. To present our experience of 15  years of day care tonsillectomy with or without adenoidectomy and to assess the safety of tonsillectomy as a day care procedure. Design: retrospective study. A retrospective study of all day care tonsillectomies with or without adenoidectomies operated at a Secondary care ENT Hospital from 2002 to 2016 has been carried out. In last 15 years, we have operated 1207 tonsillectomies with or without adenoidectomies as a day c...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 2, 2019 Category: ENT & OMF Source Type: research

Use of Aloe Vera and Turmeric Paste as a Supplementary Medicine in Oral Submucosal Fibrosis: A Pilot Study
AbstractOral submucosal fibrosis is the major health issue affecting 2.5  million Indian population under the age of 40 years. All the available treatments give only symptomatic relief which is short lived.The incidence of Oral submucosal fibrosis still rising alarmingly and there is a dire need to search for an effective and safe remedy because of lack of present ther apies to either provide a complete cure or treating the patients at the cost of adverse effects. A total of 140 clinically diagnosed patients with Oral submucosal fibrosis (diagnosed on the basis of reduction in interincisal distance on maximum mou...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 29, 2019 Category: ENT & OMF Source Type: research

Vestibular Evoked Myogenic Potentials After Epleys Manoeuvre Among Individuals with Benign Paroxysmal Positional Vertigo
AbstractVEMP abnormalities in individuals with BPPV are often reported to be associated with utricle and saccule degeneration. The aim of the present study is to assess the frequency of VEMP abnormalities using vestibular evoked myogenic potentials in individuals with Posterior canal Benign Paroxysmal Positional Vertigo (BPPV) after Epley ’s manoeuvre. 36 individuals (36 ears) with definite posterior canal BPPV and 36 healthy controls were considered for the present study. All the them underwent otoscopic examination, Dix–Hallpike manoeuvre to diagnose posterior canal BPPV. Further Audiological Evaluation inclu...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 29, 2019 Category: ENT & OMF Source Type: research

Ethnic Variation of Sinonasal Anatomy on CT Scan and Volumetric Analysis
AbstractTo determine Ethnic differences in the frequency of the relatively common anatomical variants along with difference in anatomy of sinonasal region with surgical importance. A study was conducted to determine the frequency of anatomical variants, volumes of paranasal sinuses using computed tomography and to identify any difference between Group A consisting of people of Indian subcontinent and Group B consisting of people from north east Asian region. Volumetric analysis done using cumulative of area multiplied by slice thickness. The results were compared using Chi square test,p value  
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 29, 2019 Category: ENT & OMF Source Type: research

Parental Expectation and Perception of CI Benefits in Their Implanted Wards
AbstractParents of implanted children develop a set of expectations prior to implantation about future performance and outcomes of their child. This set of expectations has an important impact on post-implant satisfaction levels. The position of the parent in the household makes them uniquely placed to assess the impact of implantation in the context within which the child grows up. There is strong need to find out expectations of parents from CI outcomes in implanted children. The functional benefits of CI may be measured by administering the parental perception of CI benefits in their implanted wards. The primary aim of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 28, 2019 Category: ENT & OMF Source Type: research

The Methodology and Electro-physiological Classification of Pre-operative Trans-tympanic Electrically-Evoked Auditory Brainstem Response (TT-EABR)
(Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 28, 2019 Category: ENT & OMF Source Type: research

Comparison of Functional Organ Preservation by Concomitant Boost Radiotherapy Versus Concurrent Chemoradiation in Locally Advanced Carcinoma of Larynx or Hypopharynx: A Prospective Randomized Study
AbstractFunctional organ preservation is a major challenge in management of advanced laryngeal and hypopharyngeal carcinoma. Although ideal approach is a subject of much debate, radiotherapy with or without chemotherapy is most commonly used modality. This randomized study was conducted to compare functional organ preservation by chemoradiation (CRT) versus concomitant boost radiotherapy (CBRT). A total of 40 patients with advanced (stage III/stage IVa) laryngeal and hypopharyngeal cancer were randomized to receive either CRT (n  = 20) to a dose of 66 Gy in 33 fractions over 6.5 weeks with concurren...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 25, 2019 Category: ENT & OMF Source Type: research

Pre-auricular Sinus with Post-auricular Extension: An Uncommon Variant
AbstractPre-auricular sinus usually presents in front of the auricle without any diagnostic dilemma. But confusion arises when it presents with post-auricular swelling, abscess or discharging sinus. Here we describe series of pre-auricular sinus with post-auricular extension, a “variant type” of pre-auricular sinus and their management. A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from April 2015 to March 2018. After control of infection and proper pre-operative investigations patients, sinus was excised using bi-dire ctional approach. The sinus tract along wi...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 25, 2019 Category: ENT & OMF Source Type: research

Randomised Comparison of Safety Profile and Short Term Response of Itraconazole, Voriconazole and Amphotericin B in the Management of Chronic Invasive Fungal Rhinosinusitis
AbstractChronic invasive fungal rhino sinusitis (CIFS) is a well described clinical entity characterized by mucosal and sub mucosal infiltration of mycotic organisms and angio-centric extension into orbital and intracranial structures. Itraconazole, Voriconazole and Amphotericin B are commonly used for CIFS. In the present study we have evaluated short term clinical response of these drugs. Thirty diagnosed patients of CIFS who presented to us from January 2011 to December 2015 were divided into three groups randomly. Group A, B and C received Itraconazole, Voriconazole and Amphotericin respectively. Visual Analogue scale ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 24, 2019 Category: ENT & OMF Source Type: research

An Immunohistochemical Study of HIF-1 Alpha in Oral Epithelial Dysplasia and Oral Squamous Cell Carcinoma
AbstractTo evaluate and compare the expression of HIF-1 Alpha (HIF-1 α) in oral epithelial dysplasia (OED) and various grades of Oral squamous cell carcinoma (OSCC). 30 cases each of OEDand OSCC were stained with HIF-1α antibody. Quantification of HIF-1α positive cellswas carried out and the data was statistically analysed. The mean % HIF-1α labeling index (HIF-1 α LI) increased significantly from mild OED (32.11%), moderate OED (55.07%), to severe OED (64.58%). There was a statistically significant increase in the expression of HIF-1α as grades of OED increased. The mean HIF-1α LI...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 23, 2019 Category: ENT & OMF Source Type: research

To Be Cautious or Not: Tension Pneumothorax After First Tracheostomy Tube Exchange
We present a rare association of tension pneumothorax following a tracheostomy tube exchange in a 50-year-old patient who underwent tracheotomy 3  days back. The patient was successfully managed conservatively with chest tube and supportive care. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 23, 2019 Category: ENT & OMF Source Type: research

Kimura ’s Disease: A Diagnostic and Therapeutic Challenge
We present a case series of two patients. Our first case is a middle aged female which presented with a parotid swelling, mimicking a parotid neoplasm. Further investigations revealed associated intra-parotid and cervical lymphadenopathy. An excisional biopsy in the form of Superficial Parotidectomy with lymph node excision was done. Histopathological examination of the excised specimen revealed it to be a case of Kimura’s disease. Our second case, a young adult, presented with a gradually increasing post-auricular swelling. Preliminary investigations in this case pointed towards Kimura’s disease. Excision biop...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 23, 2019 Category: ENT & OMF Source Type: research

Evaluation of Quality of Life and Pattern of Improvement of Bronchial Asthma in Chronic Rhinosinusitis Patients Treated by Functional Endoscopic Sinus Surgery
AbstractChronic inflammatory disorders of the upper airways are extremely prevalent and have a major impact on public health. Sinusitis and bronchial asthma are closely interrelated diseases and sinusitis is known to influence bronchial asthma in its severity and chronicity. Causal relationships have been proposed but not yet proved. The relationship between sinusitis and asthma is academically interesting and has important diagnostic and therapeutic implications. The present study is designed to evaluate the efficacy of functional endoscopic sinus surgery done as treatment for chronic rhinosinusitis on bronchial asthma pa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 22, 2019 Category: ENT & OMF Source Type: research

Suitable Alternative for Human Cadaver Temporal Bone Dissection: Comparative Micro Ear Anatomy of Cattle, Pig and Sheep with Human
AbstractThe study was undertaken to compare the micro ear anatomy of three commonly available animal models which are expected to have similar anatomy to human and to find out suitable model among them as an alternative for human cadaver temporal bone dissection. This is an observational study of comparison of micro ear anatomy of the three animal models with human. Decapitated heads of cattle, pig and sheep were collected from slaughter houses, soft tissues along with brain were removed and preserved in commercially available formalin preservative. CT scan was taken for the three specimens and 3D reconstructions were done...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 21, 2019 Category: ENT & OMF Source Type: research

A Study on Deep Neck Space Infections
This study was conducted to investigate the age and gender, clinical symptoms, site involved, etiology, co-morbidities, bacteriology, complications and outcomes in the patients of DNSI. A prospective study of deep neck space infections was conducted during the period July 2017 to July 2018 on the patients who attended the outpatient department and were admitted as inpatient in Safdarjung hospital, New Delhi. 40 Cases with DNSI all ages and both genders were included in the study. Patients who didn ’t require surgical intervention to drain pus were excluded. All parameters including age, gender, co-morbidities, presen...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 21, 2019 Category: ENT & OMF Source Type: research

Complications of Paediatric Cochlear Implantation in the Population of Uttarakhand
AbstractCochlear implants surgery is now routinely done at this center. Complications which have been experienced in cochlear implant surgery at our center are discussed, as a detailed knowledge about the complications and their early anticipation can save an expensive device and most importantly patients morbidity. To discuss the complications of the paediatric cochlear implantation in the population of Uttarakhand. The total of 60 patients were included in this study (age group 1 –5 years) who had undergone the cochlear implantation surgery between Sept. 2015 and Sept. 2016. These patients were regularly monit...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 21, 2019 Category: ENT & OMF Source Type: research

Leiomyosarcoma of Mandible: A Diagnostic Dilemma; Case Report and Review of Literature
AbstractLeiomyosarcoma and its pleomorphic variant are rare entities in the head and neck region. Since they usually present as slow growing, discrete firm, and non-ulcerated painless mass, they seem to be deceptively benign and are thus misdiagnosed. Histopathological and immunohistochemical studies are the ways of getting a definitive diagnosis. Till date surgery has been the primary treatment but effectiveness of radiotherapy/chemotherapy is still questionable. Here, we describe a case of leiomyosarcoma in mandible along with discussion about the ways of diagnosis, its differentiation with its pleomorphic variant and th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 21, 2019 Category: ENT & OMF Source Type: research

Early Intratympanic Methylprednisolone in Sudden SNHL: A Frequency-wise Analysis
In this study, 33 patients with sudden onset (unilateral or bilateral) of hearing loss were treated with intratympanic methylprednisolone. The duration at which the drug was admi nistered and the age of the participants was taken into consideration. Main outcome measures included audiometry results at low, medium and high hearing loss frequencies. The specific frequency at which the hearing improvement took place was tabulated. It was observed that hearing improved significa ntly if the steroid is injected within the first 4 days of onset (p 
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 20, 2019 Category: ENT & OMF Source Type: research