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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Nasal Framework Reconstruction in Patient with Eosinophilic Angiocentric Fibrosis
AbstractEosinophilic angiocentric Fibrosis (EAF) is a rare condition involving the sinonasal tract and nasal septum which is mostly considered as a benign condition. EAF could present with progressive nasal obstruction as its most common symptom. In this case report, we try to report a case of middle aged man with nasal septum tumor-link lesion which was diagnosed with EAF. A 45  years old man presented with complete nasal obstruction who described a growing nasal cavity mass for over 6 months. Anterior rhinoscopy revealed bilateral mass with a smooth surface on the nasal septum and mass protruded into both nasal...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 18, 2018 Category: ENT & OMF Source Type: research

Correlation Between Superoxide Dismutase Serum Level Alteration with Neck Metastatic Tumor Post Cisplatin –Paclitaxel Chemotherapy Response in Nasopharyngeal Carcinoma Patients
This study aimed to analyze the correlation between SOD level alteration with neck metastatic tumor response after cisplatin–paclitaxel chemotherapy. This was a cohort study. Thirty samples examined for neck metastasis tumor volume (VTM) and serum SOD were examined with ELISA pre- and postchem otherapy. Statistical significance was defined asp 
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 18, 2018 Category: ENT & OMF Source Type: research

Screening of Newborn Hearing at a Tertiary Care Hospital in South India
Abstract Hearing loss can have a devastating impact on the cognitive development and psychological well-being of children and their families. Newborn hearing screening should be given special attention especially in a country like ours where the burden of this disability is heavy. Screening all newborns irrespective of risk factors helps in better detection, and hence further management can be initiated at appropriate time. To implement newborn hearing screening at Vanivilas hospital and to estimate the incidence of hearing loss among the high risk groups. To create awareness about the need for detecting childhood deafne...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 16, 2018 Category: ENT & OMF Source Type: research

Functional Endoscopic Sinus Surgery of Nasal Polyposis: The Vexing Question of Whether to Resect or Preserve Middle Turbinate
AbstractFunctional endoscopic sinus surgery is the mainstay of surgical management of nasal polyposis since 1975. The decision between the partial resection and preservation of the middle turbinate (MT) has stirred up considerable debate. Partial MTR permits easy access to the affected paranasal sinuses intraoperatively and postoperatively. However, there may be alteration of nasal function, frontal sinusitis and anosmia. Preservation of middle turbinate is precludes these complications, and allows the MT to serve as a vital anatomical landmark for revision surgery. Therefore, our study compared the outcomes of the two app...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 14, 2018 Category: ENT & OMF Source Type: research

Surgical Management of Parapharyngeal Space Tumours in a Single Tertiary Care Center
AbstractBecause of the inaccessibility and overcrowding of the vital neurovascular structures, management of the parapharyngeal space (PPS) tumour  is always a challenge to the surgeons. Here we have discussed the clinical findings and management of the PPS tumours with special concern to the surgical approaches. It is a retrospective study containing 14 patients of PPS tumour from June 2015 to January 2018 in the department of Otorhinolaryng ology and Head Neck Surgery in a tertiary care referral hospital. 14 consecutive patients with PPS tumours were included in the study. The retrospective clinical data, diagnostic...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 13, 2018 Category: ENT & OMF Source Type: research

Role of Electronystagmography in Diagnosis of Secondary BPPV in Elderly Patients with Vertigo: A Retrospective Study
This study was undertaken to study occurrence of secondary BPPV utilizing various parameters of ENG. The study group comprised of 131 patients from the neuro-otology proforma data base at ENT centre and vertigo clinic from January 2015 to December 2017. Inclusion criterion was male and female aged 51  years and above presenting with dizziness, imbalance, rotational vertigo, unsteadiness as the chief complaint. Exclusion criterion was BPPV relieved after Epley’s maneuver, Otitis externa, acute Otitis media, Suppurative Otitis media, pre existing neurological condition and history of ear surger y. Neuro-otology Da...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 13, 2018 Category: ENT & OMF Source Type: research

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