CNPAS: A Differential to Choanal Atresia
AbstractA case of 7  day old male child, born at 36 weeks, presented with feeding difficulties, hypothermia and failure to thrive. After clinical examination to rule out any gross congenital anomalies, CT scan was done which was suggestive of pyriform aperture stenosis. It was surgically dilated and stented successfu lly. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 19, 2019 Category: ENT & OMF Source Type: research

“Sinus Headache”: Diagnosis and Dilemma?? An Analytical and Prospective Study
AbstractTo evaluate the type, location, severity of headache and their relation to various nasal and sinus related pathological conditions. All the patients presenting with acute and chronic sinus and nasal infections along with headache were included in the study. The diagnostic confirmation was done with clinical along with radiological and endoscopic evaluation. Various parameters categorized accordingly. Chronic rhinosinusitis/chronic recurrent rhinosinusitis are the most common nasal condition seen in oto-rhino-laryngology OPD which has enormous economic burden and significant morbidity on general population. The head...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 19, 2019 Category: ENT & OMF Source Type: research

Spontaneous Resolution of Fourth Branchial Fistula Following Thyroid Surgery: Case Report
We present a case of a 43-year-old man with accidental finding of asymptomatic fourth pouch cyst and fistula following follicular thyroid cancer surgery. The day after the surgery, suction bottle was filled with little white crumbs and the wound started to suppurate. Barium swallow revealed the presence of a fistulous canal that arose from the left pyriform sinus. Meanwhile, the pathologist confirmed the presence of a lateral neck cyst within this thyroid lobe. The patient was operated on but fistulous canal was not visualized. In the meantime, wound discharge ceased spontaneously. At 1-year follow up, the patient was stil...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 19, 2019 Category: ENT & OMF Source Type: research

Ewing ’s Sarcoma of the Sinonasal Tract: A Report of Two Challenging Cases
We present these cases due to the rarity of the disease and the difficulty o f diagnosis. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 18, 2019 Category: ENT & OMF Source Type: research

The Significant Correlation Between the Density of the Cochlea Otic Capsule and Spine in Hearing Loss Patients
This study aimed to analyzes the correlation between the density of the cochlea otic capsule and the ear bone towards the femur and spine density in patients with reduction in bone density. This was a cross-sectional observational type analytic retrospective study analyzing 30 samples of patients with a reduction in bone density that have HRCT Mastoid examination results during 2017 at RSSA Malang ’s osteoporosis polyclinic. From 30 samples, most were female with an age range of 51–60 years old. The average femur, spine, ear bone and cochlea otic capsule of the osteoporosis group was lower than the osteope...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 11, 2019 Category: ENT & OMF Source Type: research

Nasofacial Anthropometric Study Among Students of Shiraz University of Medical Sciences, Iran: A Population Based Study
In this study, facial and nasal anthropometric factors were studied in students of Shiraz University of Medical Sciences. In a cross-sectional study, 200 students of Shiraz University of Medical Sciences (100 male and 100 female and age range of 18 –30 years) were selected. Nasal width (NW), nasal length (NL), nasal height (NH), face height (FH) and face width (FW) were measured in and the nasal (NI) and facial index (FI) were calculated for each case. Then, the data were analyzed using SPSS-22. The mean age was 21.84 ± 3.18 years. Th ere were significant differences in the facial and n...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 9, 2019 Category: ENT & OMF Source Type: research

Analysis of Various Factors and Techniques to Improve Outcome of Surgical Management of 243 Cases of CSF Rhinorrhea
AbstractCerebrospinal fluid (CSF) rhinorrhea occurs when there is a communication between subarachnoid space and sinonasal mucosa due to meningeal, osseous and mucosal defects in the cranial base leading to discharge of CSF from the nose. The risk of developing meningitis after CSF rhinorrhea may vary from 5.6 (Leech and Paterson in Lancet 1:1013 –1016,1973) to 60% (Eljarnel and Foy in Br J Neurosurg 5:275 –279,1991). Hence surgical management of CSF rhinorrhea is highly recommended. Transnasal endoscopic approach first described by Wigand in 1981, has been proven to be the approach of choice in comparison to i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 8, 2019 Category: ENT & OMF Source Type: research

Soft Palate Subacute Necrotising Sialadenitis: A Case Report
We present an intriguing case of soft palate SANS in a 55  year old lady. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 5, 2019 Category: ENT & OMF Source Type: research

Quality of Life and Behavioural Assessment in Post-adenotonsillectomy Cases of Paediatric Age Group
AbstractAdenotonsillectomy is a widely practiced surgical intervention to manage obstructive sleep apnoea syndrome (OSAS) in the paediatric age group. We conducted a prospective, non randomised, interventional study among 40 patients in paediatric age group (2 –18 years) suffering from adenotonsillar hypertrophy with an indication of adenotonsillectomy based on American Academy of Otolaryngology-Head and Neck Surgery criteria. Care givers completed the obstructive sleep apnoea 18 (OSA 18) quality of life (QoL) survey and Rutter Children’s Behaviour Q uestionnaire (RCBQ) before adenotonsillectomy as well as...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Evaluation of Stromal Myofibroblasts in Laryngeal Dysplasia and Invasive Squamous Cell Carcinoma
AbstractMalignant tumors consist of both carcinoma cells and tumor associated host cells. Host cells has started to receive more attention regarding their role in tumor progression such as invasion and metastasis. Fibroblasts that are incorporated in the tumoral stroma are called as peritumoral fibroblasts, reactive stroma, cancer-related fibroblasts or myofibroblasts. In general fibroblasts next to nich of cancer cells express alpha –smooth muscle actin (α-SMA) which is an important marker for differentiated myofibroblasts. Our aim is to investigate the role of α-SMA positive myofibroblasts in the develo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Measures of Comparative Behavior in Hearing Loss Patients with Cochlear Implant: Caretaker Assessment
AbstractThe aim of this study was to assess comparative behavior domain in patients with cochlear implants, using caretaker assessment. A prospective cross-sectional study was conducted. Of 106 patients with hearing loss and receiving cochlear implants were included along with their caretakers. The caretaker ’ perspective questionnaire-22 was implemented covering emotions, education, and social relationships domain. A repeated measure ANOVA was used to statistical analysis. The implantation elicited a slight reduction in emotions scores domain as well as slight increase in social relationships scores from pre-cochlea...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Hyalinizing Clear Cell Carcinoma: Base of Tongue
AbstractHyalinizing clear cell carcinoma (HCCC) is a low grade, rare neoplasm originating from the minor salivary glands. It usually follows an indolent course and the main treatment modality is surgery. The prognosis of these tumours are good, hence it needs to be differentiated from other carcinomas with clear cells. Here we report a pathologically proven HCCC of the base of tongue. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Clinical and Audiometric Assessment of Hearing Loss in Diabetes Mellitus
AbstractHyperglycemia has been reported to cause hearing loss. We evaluated hyperglycemic subjects with controls undergoing pure tone audiometry. Hundred subjects were divided into case (n  = 50, diabetes mellitus patients) and control (n = 50, non DM subjects). Pure tone audiometry was performed for subjects. Degree of hearing loss was categorized as mild, moderate, moderately severe, severe and profound hearing loss. Out of 50 cases, 26% had normal hearing, 20% had moderatel y and 28% had moderately severe hearing loss. Longer duration of diabetes (p = 0.031) was significant pred...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

The Goat Model for Exclusive Two Handed Endoscopic Middle Ear Surgery Training: A Novel Technique
We describe a novel, exclusively two handed endoscopic approach in an ex vivo animal model for middle ear surgery. The proposed surgical program will guide the trainee endoscopic ear surgeon for a step by step through the main otologic procedures to enhance his or her surgical skills. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Auditory Brainstem Response in Patients of Tinnitus with Sensorineural Hearing Loss
AbstractTinnitus is defined as phantom auditory perception without corresponding acoustic or mechanical correlates in cochlea. Existing evidence on its physiological basis is wide ranging, but its origin is still under exploration. To objectify this subjective phenomenon, Auditory Brainstem response test is used. The primary purpose of our study was to ascertain any significant difference in auditory electrophysiological response parameters in sensorineural hearing loss with tinnitus group when compared to controls (normal hearing subjects). Secondary aim was to find correlation of these parameters with degree of hearing l...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Sialolipoma of Parotid Gland a Rare Histological Presentation
We report a case of 62  years old female who presented with the complaint of swelling in the right parotid region for 5 years duration. Apart from cosmetic reason she had no other complain. All specific investigations done were inconclusive and suggested a benign tumor. Histopathological examination after superficial pa rotidectomy suggested sialolipoma. As newly described tumor type, care should be taken to distinguish oncocytic sialolipoma from other salivary gland neoplasms such as simple lipoma, pleomorphic adenoma, or oncocytoma. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Tracheal Stenosis: Evaluation of an Institutional Protocol and Introduction of Novel Surgical Criteria and Scoring System
AbstractTreatment modalities for treatment of post intubation and post tracheostomy tracheal stenosis are many. However, well defined surgical criteria and prognostic classification eluding us till date. A prospective study of 57 cases of post intubation and post tracheostomy tracheal stenosis managed as per well defined surgical criteria followed in our institution. Patients were divided into three groups as per the primary surgical procedure used. The stenosis was classified into mild, moderate and severe based on our proposed prognostic classification. The success rate of endoscopic procedure was 81% with average 1.6 nu...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Efficacy of Multicomponent Tympanometry in Identifying Middle Ear Disorder
AbstractMulti component tympanometry is not widely used in clinics due lack of evidence supporting its usefulness. The present study was undertaken to investigate the efficacy of multicomponent tympanometry for 1000  Hz probe tone in detecting middle ear pathology. Data were collected from 20 ears of 10 participants with no history of middle ear pathology (Group I) and 39 ears of 26 participants (Group II) with history of middle ear infection or ear-pain or blocking sensation. Single component tympanometry for 226 Hz probe tone and Susceptancec and Conductance tympanograms for 1000 Hz probe tone was carried ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Labyrinthectomy: Our Experience in a Tertiary Care Centre
AbstractLabyrinthectomy is an effective surgical procedure for the management of poorly compensated unilateral peripheral vestibular dysfunction in the presence of a nonserviceable hearing. It involves removal of labyrinthine portion of the inner ear and exenteration of the neuroepithelium. In our institution, 8 cases underwent surgical labyrinthectomy from a period of 2013 –2018 for various extensive disease manifestations, age ranges from 2 to 48 years. Includes, a child of 2 years age presented with bilateral foul smelling otorrhoea with external auditory canal cartilaginous stenosis, 5 cases of extensiv...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 4, 2019 Category: ENT & OMF Source Type: research

Ossiculoplasty: A Prospective Study on 50 Patients Using Various Graft Materials
AbstractWith large number of grafts available for ossiculoplasty, choice becomes difficult. An ideal graft should be safe, easily available, cost efficient, with good hearing results, uptake and low extrusion rates. The ear nose and throat surgeon is still facing the indecision over type of graft to be selected. A prospective study  was conducted in Department of Otorhinolaryngology, Rajindra Hospital, Patiala (August 2012–2014) on 50 patients 15–60 years, of either sex with ABG >  40 dB. Operative procedure planned and type of graft decided intraoperatively. Autografts incl...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 3, 2019 Category: ENT & OMF Source Type: research

Postoperative Pain and Wound Healing After Coblation-Assisted Barbed Anterior Pharyngoplasty (CABAPh): An Observational Study
AbstractDespite the numerous progresses in the palatal surgery, one of the critical aspect of snoring and OSA surgery is the postoperative pain. Over the last decades several surgical palatal procedures have been proposed. Our aim was to evaluate the tolerability of the coblation-assisted barbed anterior pharyngoplasty (CABAPh) in terms of postoperative pain and wound healing, compared with bipolar assisted barbed anterior pharyngoplasty (BAPh). An observational study on 20 patients with simple snoring was conducted. The outcomes measured to assessing pain were a 10  cm visual analog scale (VAS) and the dose of parace...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 2, 2019 Category: ENT & OMF Source Type: research

Respiratory Epithelial Adenomatoid Hamartoma (REAH) in the Olfactory Cleft: Often Masked by Bilateral Nasal Polyps
AbstractRespiratory epithelial adenomatoid hamartoma (REAH) is a distinct non-neoplastic entity originating from anterior olfactory cleft in the nasal cavity, often going unnoticed. Clinically, REAH presents as unilateral or bilateral nasal polyps. Our aim is to expand the understanding of bilateral REAH associated with nasal polyposis with respect to clinical, radiological and histopathological features for better clinical outcomes. Our analysis includes patients presenting as bilateral nasal polyps, whose CT-PNS showed opacity in olfactory clefts. During endoscopic sinus surgery, the lesions in the olfactory cleft (media...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 1, 2019 Category: ENT & OMF Source Type: research

A Sizeable Solitary Pedunculated Peripheral Osteoma of the Hard Palate: A Case Report
We report a case of large pedunculated peripheral osteoma of the hard palate in a 38  year old male. The tumor was excised with no recurrence after 3 years followup. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 1, 2019 Category: ENT & OMF Source Type: research

Feasibility of Parotid Duct Transposition for the Treatment of Dry Eye: A Cadaveric Study
This study was conducted in 30 fresh cadavers to assess the length of parotid duct and technical feasibility of parotid duct transposition for the treatment of dry eye. The parotid duct was dissected and resting length of parotid duct was measured on both sides without stretching. The distance between ear lobule to lateral canthus was also measured on both sides in each cadaver. The length of parotid duct ranges from 4.5 to 7  cm with average length was 5.8 cm. The majority of the cadavers had parotid duct length of 6 cm. Length of the right and left parotid duct was found to be equal in all cadavers. Paroti...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 27, 2018 Category: ENT & OMF Source Type: research

A Survival Analysis of Hypopharyngeal Cancer Patients: A Hospital-Cancer registry Based Study
AbstractTo study the survival in patients affected with hypopharyngeal cancer among treatment groups and different stages. Data of hypopharyngeal cancer patients diagnosed from 1st January 2010 to 31st December 2010 was used in the present study. The cases were analyzed for gender, age group distribution, sub-sites at presentation, stage at diagnosis and the type of treatments. Survival from the date of first diagnosis was estimated and hazard ratios were calculated. Survival probability and hazards ratios (HR) were calculated by Kaplan –Meier method and Cox-proportional regression analysis respectively. Censoring of...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 27, 2018 Category: ENT & OMF Source Type: research

Dermoid Cyst of the Parotid Gland: A Rare Entity
We present a rare case of this entity and the challenges faced in making diagnosis with a short review of the literature. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 27, 2018 Category: ENT & OMF Source Type: research

Unilateral Sudden Sensorineural Hearing Loss: A Rare Presentation of Cerebral Venous Thrombosis
We present a rare case of sudden SNHL in which central venous thrombosis was found on magnetic resonance imaging. The case highlights the importance of neuroimaging in all cases of sudden SNHL before being labelled as “idiopathic” so that targeted therapy can be given. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 19, 2018 Category: ENT & OMF Source Type: research

Immunohistochemical Assessment of BAP1 Protein in Mucoepidermoid Carcinomas
AbstractMucoepidermoid carcinomas are common malignant salivary gland tumors. Despite recent advances in diagnosis and treatment, there has not been much improvement in outcome of these patients, necessitating identification of novel targeted therapeutic agents. Genomic profiling of mucoepidermoid carcinomas has recently revealed aberrations inBAP1 gene. Therefore, we conducted this study to identify BAP1 loss by immunohistochemistry in these tumors. Mucoepidermoid carcinoma cases were retrieved; hematoxylin-and-eosin stained sections were reviewed. Immunohistochemistry for BAP1 was performed. Forty cases were assessed, in...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 19, 2018 Category: ENT & OMF Source Type: research

Impact of Classroom Determinants on Psychosocial Aspects of Voice Among School Teachers of Indore, India: A Preliminary Survey
AbstractTeaching voice is the professional voice; often different in quality from our day-to-day speaking voice, and is supposed to be subjected to vocal abuse, misuse and overuse. This paper aims towards highlighting   the various classroom determinants that may impact teacher’s voice and how these impacts can affect the daily activities in terms of functional emotional and psychosocial aspects. To understand the same, a cross sectional prospective study was conducted across eight English medium institutions of Indore (a city in central India) region. The study was carried out in three phases: fo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 19, 2018 Category: ENT & OMF Source Type: research

Cervical Stabilization in Patients with Instability Resulting from Osteoradionecrosis with Subsequent Spondylodiscitis After Radiotherapeutic Treatment for Head- and Neck Carcinoma
AbstractHigh dose of radiation to bone may cause necrosis. Osteoradionecrosis of the cervical vertebrae is a rare adverse event of radiotherapy in patients treated for head and neck cancer. The risk on osteoradionecrosis will increase with doses exceeding 60  Gy. Minimal trauma of the overlying mucosa of the heavily irradiated cervical spine causes subsequent infections or instability may cause neck pain and severe neurological disability. In four patients the cervical spine received up to 100 Gy due to reirradiation. Clinically the patients presented with neck pain. All patients had defects in the pharyngeal pos...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 8, 2018 Category: ENT & OMF Source Type: research

A Rare Case of Primary Tuberculous Otitis Media with Bezold ’s Abscess
We report a case of Primary Tuberculous Otitis Media who presented with Bezold ’s Abscess. Patient underwent Mastoidectomy. Diagnosis was made with the Histopathological examination of the suspicious extensive pale granulation tissue. Patient was started on ATT immediately. Greater awareness regarding the disease is needed to make an early diagnosis. Late diagnosis increases the risk of complications. Anti Tubercular Therapy is the treatment of choice. Surgical intervention may be added to drug therapy. In cases with complications, radical surgery will be needed. Bezold’s abscess is a rare complication of Otiti...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 8, 2018 Category: ENT & OMF Source Type: research

Microscopic Thyroidectomy: A Prudent Option
AbstractMicroscopic Thyroidectomy is not a new surgical technique but it is not explored much. The routine use of microscope in thyroid surgery can reduce the rate of nerve palsy and hypocalcemia. Nine cases were done exclusively with the microscope only and postoperative nerve palsy and hypocalcemia were noted. We have also discussed about optimum working distances and magnification for critical structures during thyroid surgery. No patient has any nerve palsy while one patient reported transient hypocalcemia. Recurrent laryngeal nerve could be identified at 2  × but optimal magnification for dissection of ne...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 8, 2018 Category: ENT & OMF Source Type: research

Laryngeal Leiomyosarcoma: A Rare Case
AbstractLaryngeal leiomyosarcoma is a rare smooth muscle malignancy of the head and neck region. Diagnosis is based on immunohistochemistry. Here we present a case of laryngeal leiomyosarcoma that was diagnosed and treated in our center, focusing on the clinical features, histological diagnosis and management of this rare disease. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 8, 2018 Category: ENT & OMF Source Type: research

Extra Nasopharyngeal Angiofibroma from Lateral Nasal Wall: A Rare Case Report
AbstractA 25-year-old male presented with left sided nasal obstruction and epistaxis. To study about a rare case of extranasopharyngeal angiofibroma. Endoscopic evaluation revealed a polypoid mass in the vestibule arising from the lateral wall of the nasal cavity anteroinferior to the left inferior turbinate. Computed tomography scan showed a soft tissue opacity in the vestibule of the left nasal cavity. After the endoscopic excision of the mass, postoperative and histopathological analyses confirmed the diagnosis of an angiofibroma. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 8, 2018 Category: ENT & OMF Source Type: research

False Identity: Lymphoid Hyperplasia Imitating a Large Paraganglioma
AbstractThe danger of the parapharyngeal space mass comes from the small space and vital neighboring structures. Its differential diagnosis is broad, however benign lymphoid hyperplasia in this region has not been previously reported. The clinical presentation, imaging, surgical findings and pathology slides were reviewed in an adult patient with a parapharyngeal space mass. The literature on somatostatin-positive parapharyngeal space lesions was reviewed. A 51-year old male with otalgia for 3  months, hearing loss, and tinnitus underwent audiogram, revealing asymmetric hearing loss. Laryngoscopy demonstrated a pareti...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 8, 2018 Category: ENT & OMF Source Type: research

Pectoralis Major Myocutaneous Flap for the Reconstruction of the Palatal Defect
AbstractIt is always a challenge for the soft tissue reconstruction of the palatal defects in advanced malignancies of the oral cavity because of the higher chance flap failure. PMMC flap can be successfully used in patients with advanced malignancies to repair the palatal defect without any significant postoperative complication. In the present case, we have presented a case of malignant melanoma of gingivobuccal complex, involving the hard palate where the palatal defect was successfully reconstructed by the PMMC flap. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 4, 2018 Category: ENT & OMF Source Type: research

Mycotic Aneurysm of the Extracranial Internal Carotid Artery Following Otitis Media
AbstractMycotic aneurysm of the internal carotid artery following otomastoiditis can manifest as a nasopharyngeal mass. This is a very rarely described condition. The case of a patient diagnosed with a retropharyngeal mycotic aneurysm of the left internal carotid artery following otitis media, treated with exclusion of the mycotic aneurysm from the circulation and transnasal drainage. Infection of the mastoid can spread to the parapharyngeal space of the nasopharynx and damage the carotid artery wall, resulting in an infected aneurysm. There are no guidelines on how to surgically approach those aneurysms. An endoscopic tra...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 4, 2018 Category: ENT & OMF Source Type: research

Current Microbiological Trends of Chronic Suppurative Otitis Media in a Tertiary Care Centre, Mysuru, India
AbstractThe aim of the study was to re- evaluate the current bacteriological profile of chronic suppurative otitis media and to know their antibiotic sensitivity pattern to commonly used antibiotics. To provide a guideline for empirical antibiotic therapy when culture facilities are not available. Observational study. Patients who presented to Ear, Nose and Throat department with chronic or recurrent ear discharge and on clinical examination found to have actively discharging ears were selected. Patients who did not receive antimicrobial therapy (topical or systemic) for the last 7  days were included. Out of the 106 ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 3, 2018 Category: ENT & OMF Source Type: research

A Hybrid Approach Towards Successful Resection of a Huge Carotid Body Paraganglioma Using Coil Embolization and Traditional Surgical Techniques
The objective of this case report is to explore the benefit of coil embolization and describe the surgical techniques employed in successful resection of a huge CBPGL. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 8, 2018 Category: ENT & OMF Source Type: research

Proliferating Trichilemmal Tumor of the Auricula: A Very Rare Locus
We present an elderly woman with a cystic swelling on the crus of auricular helix diagnosed as PTT. To our knowledge, this is the first case in the English literature, of PTT of the auricula. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 3, 2018 Category: ENT & OMF Source Type: research

Bilateral Pneumothorax Post Emergency Airway Intervention
AbstractA patient with diffuse axonal injury, with compound type 2 fracture of left tibia and fat embolism, post road traffic accident, was taken up for tracheostomy. He was diagnosed to have developed bilateral pneumothorax following the procedure, which according to literature has been of rare incidence. The causes of the pneumothorax following the procedure could be attributed to a tear or trauma in the posterior tracheal wall while inserting the tube or due to the rupture of alveolar bullae or bleb. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 2, 2018 Category: ENT & OMF Source Type: research

Adenoid Cystic Carcinoma of the Nasopharynx: A Case Series
AbstractAdenoid cystic carcinomas are tumors that are more commonly seen in the salivary glands than in the nasopharynx. Nasopharyngeal adenoid cystic carcinomas are rare and cases that are reported in the literatures are few. Treatment is mainly by surgical resection. Here, we report 2 cases of nasopharyngeal adenoid cystic carcinoma. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 2, 2018 Category: ENT & OMF Source Type: research

Correlation of Eustachian Tube Dysfunction with Results of Tympanoplasty in Mucosal Type of Chronic Suppurative Otitis Media
AbstractTo Assess the relation between eustachian tube function and outcome of tympanoplasty in mucosal type of chronic suppurative otitis media, a prospective study was carried out over a period of one and half years (January 2016 –July 2017) at a tertiary referral centre (Gujarat Cancer Society Medical College and Research Institute, Ahmedabad). Total 90 Patients of any age and sex and with Mucosal type of chronic suppurative otitis media and Patients with follow up of 12 months were selected. The Eustachian Tube function was assessed preoperatively by pressure swallow equalization test and impedance audiometr...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 2, 2018 Category: ENT & OMF Source Type: research

Maternal Perception of Self-Efficacy and Involvement in Young Children with Prelingual Hearing Loss
AbstractAppropriate intervention needs to support families and consider them as a part of rehabilitation program. Parents who have high self-efficacy are more likely to put their knowledge and skills into action and have positive interactions with their children. In addition, there has been a positive relation between parental involvement and child educational success. The aim of present study was evaluating maternal perception of both self-efficacy and involvement between mothers of children with hearing aid and cochlear implant via Scale of Parental Involvement and Self Efficacy (SPISE) and exploring relationship between...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 2, 2018 Category: ENT & OMF Source Type: research

Comparative Evaluation of Immunohistochemical Expression of p16 with p16 Microsatellite Marker by PCR in Surgical Margins of Oral Squamous Cell Carcinoma
AbstractOral squamous cell carcinoma (OSCC) is most common oral cancer with multifactorial etiology. Surgical therapy is treatment of choice but known to have recurrence. The main reason for recurrence is associated with surgical margins which need to be tumor free. Changes at genetic level cannot be ascertained only through routine light microscopy in surgical margins, even though they are tumor free. Detection of early marker like p16 can help in predicting the risk of recurrence. Hence study aimed to detect p16 microsatellite marker (D9s1747) in surgical margins of oral squamous cell carcinoma and compare the same with ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 31, 2018 Category: ENT & OMF Source Type: research

Submental Ectopic Thyroid Cyst: An Atypical Presentation
AbstractIt is very unusual of an ectopic thyroid to be presented as a submental swelling, clinically mimicking a submental cyst. Suspicious of the disease with complete clinical, biochemical and radiological correlation is the mainstay of diagnosis as the first FNAC is not confirmatory of the ectopic thyroid especially in cases of dysgenesis of thyroid tissue in an unusual location. Here we have presented a rare case of an ectopic thyroid gland presented with a submental swelling successfully managed with the conservative treatment. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 30, 2018 Category: ENT & OMF Source Type: research

Endoscopic Transcanal Autologous Cartilage Ossiculoplasty
Abstract This was a randomized clinical trial, of thirty-two patients undergoing endoscopic ossiculoplasty, as a second look surgery, at 6  months after primary endoscopic cholesteatoma surgery, in a duration of 9 years. All patients underwent trans-canal endoscopic ossiculoplasty under local anesthesia. Prosthesis used were (1) Titanium partial ossicular replacement prosthesis (PORP) in fourteen, (2) Titanium total ossicular replace ment prosthesis (TORP) in six and (3) Autologous cartilage in twelve cases. Puretone audiometry (PTA) were done preoperatively and postoperatively at 2 months and 3 years...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 30, 2018 Category: ENT & OMF Source Type: research

A Study of Use of Autologous Cartilage in Ossicular Reconstruction
This study suggests that cartilage graft (tragal and conchal) is effective in cases of ossicular reconstruction in patients of chronic otitis media and gives good hearing gain. It is also a economical option in developing countries. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 19, 2018 Category: ENT & OMF Source Type: research

A Novel Grading System for Salpingopharyngeal Fold Hypertrophy in Obstructive Sleep Apnoea
AbstractThe present study aimed at reporting the incidence of Salpingopharyngeal Fold (SPF) hypertrophy on Drug Induced Sleep Endoscopy (DISE) in patients with Obstructive Sleep Apnoea (OSA, validate a grading system and analyse the impact of various grades on the clinical presentation while ascertaining its relation with Apnoea-Hypopnoea Index (AHI). A retrospective analysis of 169 patients with polysomnographic confirmation of obstructive sleep apnoea has been done in the study. The DISE video data of 169 patients was evaluated by two ENT surgeons individually and they graded the hypertrophy of the fold as Grade 0 being ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 16, 2018 Category: ENT & OMF Source Type: research

The Use of Dynamic Contrast-Enhanced Perfusion MRI in Differentiating Benign and Malignant Thyroid Nodules
AbstractTo investigate the efficacy of perfusion magnetic resonance imaging (MRI) in benign-malignant differentiation of thyroid nodules. Images from 24 patients with thyroid masses were obtained using dynamic contrast enhanced MRI (DCE-MRI) at 3-T MR. DCE-MRI images were evaluated by post-processing of selected regions of interest (ROIs) on software, thus eliciting quantitative data for each voxel within the ROI. Ktrans, Ve, Kep, iAUC and chi2 were calculated automatically. The DCE-MRI values of benign and malignant lesions were then compared. Mean Ktrans and iAUC values in malignant lesions were significantly lower than ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 15, 2018 Category: ENT & OMF Source Type: research