Mucoepidermoid Carcinoma of the Salivary Gland: Long Term Outcomes from a Tertiary Cancer Center in India
AbstractTo analyze the patterns of failure and factors affecting recurrence and overall survival in mucoepidermoid carcinoma of the salivary gland. The hospital records were retrospectively analyzed from October 2010 to January 2016. Patients diagnosed as mucoepidermoid carcinoma of the salivary gland were eligible for analysis. All patients received surgery as the primary treatment modality with or without post operative radiotherapy. Statistical analysis for factors affecting recurrence was done by cox regression analysis andp value less than 0.05 was considered significant. A total of 116 patients were diagnosed to have...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 2, 2020 Category: ENT & OMF Source Type: research

In Ear Surgeries Intravenous Dexamethasone Preoperatively Decreases Post Operative Sore Throat After Endotracheal Intubation in Adult Patients: A Prospective Randomized Control Study
AbstractSore throat is commonly seen after general anaesthesia with endotracheal intubation. It is distressing for the patient as it delays return to work, increases morbidity and bad memories of the surgical period with disturbances in sleep. This double-blinded prospective randomized study was done to know the efficacy of intravenous dexamethasone in decreasing the incidence of postoperative sore throat at 1, 6 and 24  h after tracheal extubation. 60 patients aged 18–50 years scheduled for ear surgeries under general anesthesia with endotracheal intubation, were randomly allocated into two groups A and B....
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 2, 2020 Category: ENT & OMF Source Type: research

Correlation Between Microbiological Profiles of Adenoid Tissue and Nasal Discharge in Children with Co-existent Chronic Adenoiditis and Chronic Rhinosinusitis
AbstractChronic adenoiditis leading to adenoid hypertrophy is common in children. Many cases would also have co-existing chronic rhinosinusitis (CRS). Infact, long lasting bacterial infection of the adenoids has been hypothesized to be the cause for CRS in these children. A cross-sectional study was conducted in the departments of ENT and Micro-biology at Kasturba Hospital, Manipal, India between 2016 and 2017. 20 subjects who were diagnosed with CRS and adenoid hypertrophy took part in the study. Aerobic, anaerobic and fungal culture sensitivity of adenoid tissue was done along with aerobic and fungal culture sensitivity ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 1, 2020 Category: ENT & OMF Source Type: research

Our Uncommon Experience with 6 Cases of Riedel ’s Thyroiditis (Woody Thyroiditis)
AbstractRiedel ’s thyroiditis is a rare form of thyroiditis. Estimated prevalence is 1.06/100,000 population and is reported in 0.05% of thyroidectomy specimens. It has 38% association with systemic fibrotic conditions. We retrospectively reviewed 6 cases of Riedel’s thyroiditis at a tertiary care centre in so uth India, from 2011 through 2019 with special emphasis on demography, clinical presentation, workup, management, intraoperative findings, postoperative outcomes and follow up. There were 4 females and 2 males of which we reported a rare presentation in paediatric age group which was probably never report...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - January 1, 2020 Category: ENT & OMF Source Type: research

Role of Image Guided Navigation in Endoscopic Surgery of Paranasal Sinuses: A Comparative Study
AbstractThe aim of the current study is to share our experience with surgical outcomes of Functional Endoscopic Sinus Surgery using an image-guidance system. The study was a randomised control trial with the comparison between two groups. Image guidance system (Electromagnetic) was used for endoscopic surgery on patients with disease of the paranasal sinuses (n  = 30). Results were compared with those in control patients who underwent similar surgery without image guidance during the same period (n = 30). The operating room time (image-guidance group, 165.68 ± 6.55 min ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 11, 2019 Category: ENT & OMF Source Type: research

Rhino-Orbital-Cerebral Mucormycosis: Battle with the Deadly Enemy
AbstractTo study the clinical presentation and management outcomes in a series of patients with invasive rhino-orbital-cerebral mucormycosis presenting to a tertiary care center in central India. Medical records of eleven consecutive cases of invasive rhino-orbital –cerebral mucormycosis were reviewed. All clinically diagnosed cases, confirmed on microbiological examination were included. Their demographic data, clinical manifestations, underlying systemic conditions, microbiological and radiological reports, medical treatments, and surgical interventions we re recorded and analyzed. There were nine male and two fema...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 5, 2019 Category: ENT & OMF Source Type: research

A Study on the Prevalence and Clinical Features of Fungal Sinusitis in Chronic Rhinosinusitis
This study aims to find the incidence and clinical features of fungal rhinosinusitis in chronic rhinosinusitis reinstating the fact that it should be kept as a differential diagnosis in every patient presenting with symptoms of chronic rhinosinusitis. Aim of the study was to find out the incidence and clinical manifestations of fungal sinusitis in chronic rhinosinusitis. A prospective study was conducted in JSS Academy of Higher Education and Research, Mysore during a time period of 37  months i.e. November 2015 to December 2018. Total of 190 patients with chronic rhinosinusitis were evaluated with relevant investigat...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 5, 2019 Category: ENT & OMF Source Type: research

Bilateral Bone Anchored Hearing aids: A Case Report on Right Side Percutaneous and Left Side Transcutaneous Implant
AbstractBilateral Bone Anchored Hearing Aids (BAHA) provide more subjective patient satisfaction and outcome than unilateral BAHA. Initially, percutaneous BAHAs were used for many decades. Transcutaneous BAHAs were started later to overcome problems associated with percutaneous ones. The present report gives the outcome of bilateral BAHA in a patient with percutaneous BAHA on one side and transcutaneous  BAHA on the other. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 3, 2019 Category: ENT & OMF Source Type: research

Newer Surgical Options for Nasal Allergy
AbstractAllergic rhinitis is a common disorder that affects several patients annually and the hallmark  symptoms are nasal obstruction, rhinorrhea and sneezing which significantly impacts the quality of life. Many surgical options exist for the treatment of allergic rhinitis which is directed primarily addressing the nasal obstructive component. The purpose of this review article  is to highlight newer surgical options in the management of patients with nasal allergy. Surgical modalities such as endoscopic resection of the posterior nasal nerve and senior author’s own mini inferior turbinoplasty tunnel...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - December 2, 2019 Category: ENT & OMF Source Type: research

OSA 18 Questionnaire: Tool to Evaluate Quality of Life and Efficacy of Treatment Modalities in Pediatric Sleep Disordered Breathing Due to Adenotonsillar Hypertrophy
AbstractAims to evaluate quality of life in paediatric SDB due to adenotonsillar hypertrophy and efficacy of treatment modalities (medical and surgical) by using OSA-18 questionnaire. Prospective study, conducted from April 2019 to June 2019, including 42 patients with clinical features suggestive of SDB due to adenotonsillar hypertrophy, in age group of 3 –15 years. Nasopharyngoscopy was done to grade adenoid hypertrophy. OSA-18 QOL questionnaire was recorded in all patients and depending upon the severity of impact of QOL and grades of adenoid hypertrophy, patients were categorized into two groups. Group 1 rec...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 6, 2019 Category: ENT & OMF Source Type: research

Masseteric-Facial Nerve Anastomosis: Surgical Techniques and Outcomes —A Pilot Indian study
AbstractMasseteric-facial anastomosis has gained popularity in recent days compared to the facial –hypoglossal anastomosis. Masseteric nerve has numerous advantages like its proximity to the facial nerve, stronger motor impulse, its reliability, low morbidity in harvesting and sacrificing the nerve and faster re-innervation that is achievable in most patients. The present case series demonstra te the surgical technique and the effectiveness of the masseteric nerve as donor for early facial reanimation. Between January 2017 and February 2019, 6 patients (2 male, 4 female) with iatrogenic unilateral complete facial par...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 6, 2019 Category: ENT & OMF Source Type: research

Cosmetic and Functional Outcomes of Septorhinoplasty
AbstractTo find out the improvement in cosmetic and functional aspects as measured using Rhinoplasty outcome evaluation questionnaire following Septorhinoplasty. To measure the increase in nasal airflow as measured using “Peak Nasal Inspiratory Flow meter” in patients undergoing Septorhinoplasty. Design: prospective cohort study. Settings: patients with complaints of nasal obstruction and external deformity who are undergoing Septorhinoplasty after evaluation. Subjects: patients undergoing Septorhinoplasty at Pu shpagiri Institute of Medical Sciences and Research Centre, Thiruvalla during a period of 1½ ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 5, 2019 Category: ENT & OMF Source Type: research

Role of Tragal Cartilage in Tympanoplasty
This study concluded that ossiculoplasty using tragal cartilage as a grafting material was an effective and safe surgical method for reconstruction of the ossicular chain and restoration of sound transmission. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 4, 2019 Category: ENT & OMF Source Type: research

Pleomorphic Adenoma of Tongue: A Case Report
We present a case report of a 35-year-old male patient who presented with a mass in the ventral surface of the tongue that was diagnosed as PA on FNAC and was treated by surgical excision. Patient was followed up and no recurrence was noted. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 4, 2019 Category: ENT & OMF Source Type: research

A Retrospective Study of Establishment of Association Between Deviated Nasal Septum, Sinusitis and Chronic Dacryocystitis
AbstractThe purpose of this study was to determine whether there is any correlation between dacryocystitis with deviated nasal septum and sinusitis. A retrospective study of 50 patients who were diagnosed with dacryocystitis were included in the study. The patients included were operated between July 2018 and February 2017. All patients were assessed and operated by a single surgeon. We found in the study that 38 patients had deviated nasal septum to the diseased side and were operated for better achievement ofsurgical field and also for relieving the symptom ofnasal obstruction in those patients. It was also found that th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - November 2, 2019 Category: ENT & OMF Source Type: research

Spontaneous External Auditory Canal Cholesteatoma: Case Series and Review of Literature
AbstractExternal auditory canal cholesteatoma is a rare disease. Main symptoms of this entity are ear discharge and dull chronic ear pain and significant findings are bony erosion of the external canal with keratin debris accumulation. Inadequate diagnosis and delay in the treatment of this condition can leads to serious complications. We are presenting our experience of eight patients of spontaneous EACC treated by surgical management. As the spontaneous EACC is a rare condition, the aim of the study is to share the experience of diagnosis and management of spontaneous EACC. (Source: Indian Journal of Otolaryngology and H...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 31, 2019 Category: ENT & OMF Source Type: research

Fracture Outer Metallic Tracheostomy Tube as an Airway Foreign Body
AbstractTo study the clinical presentation, management and mechanism of fractured outer metallic tracheostomy tube presenting as tracheobronchial foreign body. A retrospective chart review patients with fracture outer metallic tracheostomy tube. Data regarding the patients ’ demographic data, diagnosis, clinical presentation, type of tracheostomy tube and site of fracture were analyzed. Total 4 cases of fracture outer metallic tracheostomy tube were found. There were 3 males and 1 female, average age 52.75 years, range 31–76 years. The common presentation were d yspnea, intolerable cough and decreased...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 26, 2019 Category: ENT & OMF Source Type: research

Effects of Age at Cochlear Implantation on Auditory Outcomes in Cochlear Implant Recipient Children
In this study, CI recipient children who were implanted at less than or equa l to 5 years of age were found to have significantly improved auditory perception outcome at 1 year post CI. Hence, it appears preferable to provide CI early. However, even in children who underwent CI at more than 5 years of age, there was substantial improvement in auditory perception outcomes and CI was still helpful in these children. Hence, knowledge of ‘age at CI’ can provide reasonable help in predicting the auditory perception outcome and optimal counselling of families of CI candidates. (Source: Indian Journal o...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 25, 2019 Category: ENT & OMF Source Type: research

The Role of Empirical Treatment with Proton Pump Inhibitor as a Diagnostic Tool in Laryngopharyngeal Reflux
The objectives of the study were to determine clinical manifestations in patients presenting with LPR and to evaluate the role of empirical treatment with PPI as a diagnostic tool in LPR. 100 patients were divided into experimental group (RSI ≥ 13 and RFS  ≥ 7) and control group (RSI 
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 21, 2019 Category: ENT & OMF Source Type: research

Our Experience with Two Handed Endoscopic Tympanoplasty
AbstractEndoscopic tympanoplasty is a minimally invasive procedure and may be an alternative to conventional microscopic tympanoplasty with less operative time, producing similar graft uptake. Endoscopic tympanoplasty has a major disadvantage of single handedness which is overcome by a novel concept of “Two-handed technique” using Khan’s Justtach (endoholder). The aim was to study the outcomes of two handed endoscopic tympanoplasty in terms of graft uptake and hearing outcome. Two handed endoscopic tympanoplasty was performed in 20 patients with chronic suppurative otitis media between April 2018–Ap...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 19, 2019 Category: ENT & OMF Source Type: research

Presentations of Pediatric Emergencies in a Tertiary Teaching Hospital in North India: An Overview
AbstractPediatric otorhinolaryngological emergencies constitute a major portion in emergency room presentations. The etiology of ENT problems in children is different from those in adults. Most of these can be managed conservatively while some need prompt management at a  well equipped centre. To analyze the etiology, clinical profile and line of management of pediatric otorhinolaryngological emergencies. Retrospectively, records of 452 children up to the age of 16 years presenting with ENT complaints were included in the study. Out of 452 patients, 148 presented with aural complaints, 129 had nasal problems and ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 19, 2019 Category: ENT & OMF Source Type: research

An Unusual Case of Bilateral First Branchial Cleft Anomaly: A Case Report with Review of Literature
We report a case of 32  year old male who presented to us with first branchial cleft anomalies on both sides with discharging cutaneous openings on the right side; and cystic swelling on the left side. High index of suspicion is required in such congenital cysts. Surgical exploration and excision is the definitive treatm ent of a collaural fistula. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 18, 2019 Category: ENT & OMF Source Type: research

Correlation of Tympanic Membrane Perforation with Hearing Loss and Its Parameters in Chronic Otitis Media: An Analytical Study
AbstractChronic otitis media is one of the commonest illnesses in otorhinolaryngological practice which requires medical attention. Intact tympanic membrane acts as a shield for round window niche to create a phase difference in sound wave conduction. 700 patients of age 10 –70 years with inactive mucosal chronic otitis media were included in the study. Condition of tympanic membrane and site of tympanic membrane perforation was noted and audiometric analysis was performed. 338 (48.28%) were males and 362 (51.71%) were females. In 1400 membranes examined, 769 (54.85 %) presented with perforation. 631 (82.03%) ha...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 12, 2019 Category: ENT & OMF Source Type: research

Microbial Profile in Tracheostomy Tube and Tracheostoma: A Prospective Study
AbstractTracheostomy a lifesaving procedure done more frequently for critically ill patients for mechanical ventilation, bronchopulmonary toileting, reduce pulmonary effort has variable complications to itself. The common being secondary infection with bacteria and fungi, which in turn lead to granulation formation in stoma and on peristomal region. This prospective study was done with an aim to study, correlate and compare the microbial organisms grown in culture from tracheostomy tubes and peristomal granulation in ventilated and non-ventilated patient. We studied 210 patients out of them 100 patients satisfied the inclu...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 5, 2019 Category: ENT & OMF Source Type: research

Treatment of Temporomandibular Joint Arthritis with Triamcinolone Acetonide and Hyaluronic Acid Injection: An Observational Study
AbstractTemporomandibular joint (TMJ) arthritis is a common cause of orofacial pain with distressing symptoms. The patients most commonly females are often anxious and worried due to the typical gritty sound produced during chewing moments. In other cases there is pain followed by decreased mouth opening. Currently the treatment is not standardised though the clinicians are treating these disorders either by oral medications; splintage or by injections. Though local injection of Triamcinolone acetonide and Hyaluronic acid is an innovative therapy yet it is elusive of much research. The main aim of the present study is to e...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 4, 2019 Category: ENT & OMF Source Type: research

Thyroglossal Duct Remnants: A Comparison in the Presentation and Management Between Children and Adults
In conclusion, compared with adults, more children presented with a discharging thyroglossal fistula. The thyroglossal duct remnants can be managed successfully by simple excision in adults. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 3, 2019 Category: ENT & OMF Source Type: research

To Study the Effect of Calorie Deficit Diet and Strength Training in Patients with Mild to Moderate Obstructive Sleep Apnoea
AbstractOSA is a disease of modernisation. Though many modalities are available for its treatment from invasive to non-invasive; the role of lifestyle modification can never be underrated. Lifestyle modification normally includes walk; diet with less fat; abstinence from alcohol and smoking along with regularising of sleep schedule. However the role of calorie deficit diet along with strength training in OSA has not been extensively researched till date. The present study aimed to evaluate the effect of the calorie deficit diet and strength training in patients with mild to moderate obstructive sleep apnea. It is a prospec...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 1, 2019 Category: ENT & OMF Source Type: research

Ultrasonic Wave Bone Cutting Technique (Piezotome) in Cochlear Implant Surgery by Veria Technique
AbstractTo study use of ultrasonic wave bone cutting technique (piezotome) in cochlear implant surgery by veria technique. The Piezoelectric device is a bone cutting tool that transmits ultrasonic high frequency vibrations through a metallic tip to selectively cut bone while sparing the surrounding soft tissues. We have used the piezo tools instead of the perforator in over 50 cases of Cochlear Implant by the non mastoidectomy Veria technique [which uses a specially designed hand piece perforator with a guide (Kiratzidisa et al. in ORL J Otorhinolaryngol Relat Spec 64:413 –416, 2002)]. These tools are helpful in: str...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 28, 2019 Category: ENT & OMF Source Type: research

The Comparison between  Microdebrider Assisted Adenoidectomy and Coblation Adenoidectomy: Analyzing the Intraoperative Parameters and Post-operative Recovery
AbstractMicrodebrider adenoidectomy and Coblation adenoidectomy are the two new techniques available for adenoidectomy these days. The advantages of endoscopic power assisted adenoidectomy over cold steel adenoidectomy has been well established in the literature. As adenoidectomy is one of the most common paediatric surgical procedure there is always a concern to improve the outcomes and make postoperative experience more pleasant for the paediatric population. Cost difference between a coblator wand and microdebrider blade is always a confounding factor in decision making. The present study was conducted to compare both t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 27, 2019 Category: ENT & OMF Source Type: research

Lateral Semicircular Canal BPPV …Are We Still Ignorant?
AbstractBenign Paroxysmal Vertigo is one of the most common causes of vertigo. The most common semicircular canal involved in pathogenesis of BPPV is Posterior semicircular canal. However anterior and lateral semicircular canals can also sometimes be responsible for BPPV but their involvement in pathogenesis is still underrated. The incidence of lateral semicircular canal BPPV is in literature is around 10 –12% while anterior canal is about 3%. The main objective of this study was to provide the database for incidence of lateral canal BPPV from a tertiary care hospital with the aim that more clinicians incorporate th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 26, 2019 Category: ENT & OMF Source Type: research

Risk Indicators for Hearing Impairment in Neonates
AbstractTo identify relation between prevalence of hearing impairment and risk factors at the time of birth in high risk neonates. A year-long study is performed at HBT Medical College and Dr. R. N. Cooper Municipal General Hospital, Vile Parle (west), Mumbai. The Study comprised of 478 high risk babies born between March 2016 and February 2017 and admitted in NICU of the hospital. Out of these 68 babies were either transferred to higher centre or took discharge against medical advice. A total of 410 babies completed the study. Additional 21 eligible babies died in NICU during the study. A Prospective Observational Study i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 16, 2019 Category: ENT & OMF Source Type: research

Demography and Pattern of Tobacco Usage in Carcinoma of Upper Aerodigestive Tract
AbstractUpper aerodigestive tract (UADT) malignancies account for significant proportion of all malignancies. The aim of the study is to know the demography and patterns of tobacco consumption and the proportion of non-tobacco consumers in patients with UADT carcinoma. Patient diagnosed with primary UADT carcinoma visiting outpatient department in a tertiary centre from February 2009 to May 2011 were included in the study. 150 patients were documented with UADT carcinoma and analysed. Among these 133 were males and 17 were female. 40% of them had smoking, 25% had smokeless tobacco, 13% had both smoking and smokeless tobacc...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 12, 2019 Category: ENT & OMF Source Type: research

Troika of Posture, Occlusion and Airway
AbstractGood posture means spine is neutral. Posture is dictated by the existing occlusion, especially the relation between the maxillary and mandibular permanent first molars. Overloading the spine due to bad posture is the precursor of many ailments. Obstructive Sleep Apnea Syndrome is one of them. Compromised airway is found to be a major contributory factor in sleep apnea cases. Restoring the dental anatomy to its normal has been found to reduce the load on the spine, improving ones posture. It also facilitates the compromised airways to attain normalcy. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - September 11, 2019 Category: ENT & OMF Source Type: research

Correction to: Cochlear Implant Made Easy by Bhopal Technique: Our Experience of 200 Patients
In the original publication of the article, the corresponding author biography has been missed to publish. Now the same has been published in this correction. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 24, 2019 Category: ENT & OMF Source Type: research

Bipaddle Pectoralis Major Myocutaneous Flap for Single Stage Reconstruction of Oromandibular Defects
In this study, we have presented our experience with the use of bipaddle pectoralis major myocutaneous (PMMC) flap as a single stage reconstruction option for defects of the oral cavity. After undergoing resection of oral cancer, 12 patients with full thickness defects of the oral cavity were reconstructed using bipaddle/bilobed/double-island/folded PMMC flap in a single stage procedure. The results of PMMC flaps were studied. All the patients had through and through defects of oral cavity, which were reconstructed in a single stage surgery using bipaddle PMMC flap. The overall complication rate was 33.33%, however, there ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 19, 2019 Category: ENT & OMF Source Type: research

Transcutaneous Electrical Neuromuscular Stimulation (TENS) Along with Traditional Dysphagia Therapy in Patients with Posterior Stroke: A Case Study
AbstractSwallowing is a complicated, multilevel and neuromuscular physiological function. Transcutaneous neuromuscular electrical stimulation is a relatively new therapeutic intervention for the treatment of swallowing disorders. The aim was to administer and focus on pre and post therapy effects of traditional dysphagia therapy and electrical stimulation (TENS) in 2 participants with posterior stroke. Electrical current along with traditional dysphagia therapy on regular intervals with adequate current levels post stroke. These cumulative therapeutic strategies helped in improving the swallowing mechanism. TENS is one of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 19, 2019 Category: ENT & OMF Source Type: research

Endoscopic Endo-nasal Trans-Sphenoidal Approach for Pituitary Adenomas: A Prospective Study
AbstractThe surgical approach for hypophysectomy has undergone sweeping revolution in the past three decades. With the advent of endoscopes, better instrumentation, better illumination and viewing cameras, endoscopic endo-nasal trans-sphenoidal approach to sella has now largely become the norm. The aim of this study is to present our experience, analysing the surgical outcomes of this approach in patients with pituitary adenoma, pertaining to entirety of tumor removal, alleviation of symptoms and rate of complications. This prospective   study was conducted at our tertiary health care  centre from June 2012 ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 19, 2019 Category: ENT & OMF Source Type: research

Approach to Management of Cerebrospinal Fluid Rhinorrhea: Institutional Based Protocol
AbstractThe role of otolaryngologist in the management of CSF rhinorrhea is expanding. It is prudent to evaluate all cases of CSF leak, understand the etiological causes and formalize a working approach to management of such cases to yield better outcome. A retrospective descriptive study of 39 cases of proven CSF rhinorrhea treated at a tertiary care center between January 2014 to August 2019. The data retrieved were analyzed for age, gender, weight, etiology, recurrence of the disease, history of meningitis, nasal or neurosurgical intervention in past, imaging inform of CT and MR cisternography as and when required. This...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 17, 2019 Category: ENT & OMF Source Type: research

Nomogram Identifies Age as the Most Important Predictor of Overall Survival in Oral Cavity Squamous Cell Cancer After Primary Surgery
AbstractOur goal was to determine the most important predictors and construct a nomogram for overall survival (OS) in oral cavity squamous cell cancer (OCSCC) treated with primary surgery followed by observation, adjuvant radiation or chemoradiation. Multivariable analysis was performed using Cox Proportional Hazard model of 9258 OCSCC patients from Surveillance, Epidemiology and End Results Program (SEER) database treated with surgery from 2003 to 2009. Potential predictors of OS were age, gender, race, tobacco use, oral cancer sub-sites, pathologic tumor stage and grade, pathologic nodal stage, extra-capsular invasion, c...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 16, 2019 Category: ENT & OMF Source Type: research

A Comparative Study Between Septal Quilting Sutures Without Nasal Packing and Only Nasal Packing Post-septal Correction
AbstractSeptal correction is the commonest surgery by rhinologists worldwide. We aimed at studying the comfort level of the patient with standard postoperative nasal packing with Merocel and placing quilting sutures in septum leaving the nose unpacked in the postoperative period. We conducted the study in the tertiary care centre enrolling 82 patients in a quasi-randomised method of odd and even numbers placing them in the nasal packing group and the quilting group respectively. We used analogue scoring method for subjective assessment of comfort level in the postoperative period and the surgeon objectively assessed the pa...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 16, 2019 Category: ENT & OMF Source Type: research

Prospective Observational Comparative Study of Response and Toxicities in Early Glottic Cancer Using Telecobalt Versus 3D-CRT
AbstractThe study was performed with 50 patients, 24 patients in Arm A and 26 patients in Arm B. Arm A —Conventional Telecobalt RT 66 Gy/33 fraction in stage T1N0M0 and stage T2N0M0 and Arm B—3D-CRT 66 Gy/33 fraction in T1N0M0 and T2N0M0 used. At the end of RT, 6 weeks, 3 months acute and late toxicities were noted by RTOG/EORTC morbidity scoring criteria for skin reaction, dysphagia and lary ngeal toxicity. Fiber optic Laryngoscopy clinical assessment criteria were used to assess response after 6 weeks, 3 months of treatment completion. At 6 weeks of follow-up—Both Arm ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 14, 2019 Category: ENT & OMF Source Type: research

To Compare Short and Long-Term Graft Uptake and Hearing Outcome of Type I Cartilage Tympanoplasty Between Small, Medium and Large Perforations Using Reinforced Sliced Conchal Cartilage
AbstractTo compare short and long-term graft uptake and hearing outcome of type I cartilage tympanoplasty between small, medium and large perforations using reinforced sliced conchal cartilage. A retrospective study conducted in a tertiary center. Fifty patients who under went type I tympanoplasty were enrolled. Their mean age was 29.30  years and follow-up time was 6 and 18 months. The preoperative, postoperative short-term and long-term hearing and graft uptake results were analyzed. Graft uptake rate was 96% in short-term and 98% in long-term with one residual perforation in medium size, but 100% in small and ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 13, 2019 Category: ENT & OMF Source Type: research

A Comparative Study of Orbital Blow Out Fracture Repair, Using Autogenous Bone Graft and Alloplastic Materials
AbstractMaxillofacial trauma, a common injury in urban population following road traffic accident or act of interpersonal violence of which orbital floor fractures is common. It impairs the integrity of the extraocular muscles and may be accompanied by enophthalmos, orbital deformity and diplopia. Orbital reconstruction is essential to improve anatomical and visual deformity. Repair of orbital floor is done by autologous bone graft or synthetic implants. Compare outcome of orbital floor reconstruction in blow out orbital fracture using autogenous bone graft from iliac crest, outer table of mandible, alloplastic implant- si...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 10, 2019 Category: ENT & OMF Source Type: research

Vestibular Dysfunction in Children Suffering from Otitis Media with Effusion: Does Grommet Help? An Observational Study Using Computerized Static Posturography
This study assesses balance in children suffering from OME pre and post operatively using computerized static posturography. 50 children of 3 –6 years, suffering from OME were included in this observational descriptive study. These patients underwent myringotomy and grommet insertion. The balance was evaluated pre and post operatively after 3 months using computerized static posturography with Modified Clinical Test of Sensory Interac tion on Balance under four conditions, namely eyes open/closed on firm surface/foam. Posturography mean sway velocity was deranged in these children preoperatively and it show...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 9, 2019 Category: ENT & OMF Source Type: research

A Prospective Study on Temporal Bone Involvement in Polytrauma Patients and the Effect of Early Diagnosis on Hearing Loss
AbstractAs polytrauma cases are on the rise, a large number of patients presents with temporal bone fractures, which can result in various types of injuries varying from trivial to more serious injuries. Early diagnosis and appropriate management in required in case of serious injuries for a better outcome. The aim of my study is to study the incidence, the different injuries occurring and the effect of early diagnosis on hearing loss. Patients coming to our emergency department with polytrauma are studied and clinically evaluated for any temporal bone injuries. Based on the type of injuries audiological and radiological s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 31, 2019 Category: ENT & OMF Source Type: research

The Correlation Between Petrous Part of the Temporal Bone Density and the Internal Auditory Canal Diameter in Sensorineural Hearing Loss Patients with Chronic Renal Failure
AbstractPatients with chronic renal failure often suffer from hearing loss and the most common cause is sensorineural hearing loss. Sensorineural hearing loss can be caused by cochlear otosclerosis with early symptoms such as decreased petrous part of the temporal bone density due to narrowing of the internal auditory canal. Finding a correlation between the petrous part of the temporal bone density and the anteroposterior diameter of the internal auditory canal in sensorineural hearing loss in patients with chronic renal failure. An observational analytic, cross-sectional study, using a consecutive sampling technique. The...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 31, 2019 Category: ENT & OMF Source Type: research

The Association of IL-1 Alpha Level and TNF Alpha Expressions on Bone Destruction in Chronic Suppurative Otitis Media and Cholesteatoma
This study revealed that TNF-α was categorized as strong positive (34.62%), moderate positive (42.30%), weak positive (19.23%), and negative (3.85%) with the value o f r = 0.775;p ≤ 0.001. On the other hand, the rate of IL-1α was attained as follows: 14.93 ± 4.36 pg/ml, 22.75 ± 12.18 pg/ml, and 31.98 ± 14.16 pg/ml with the value of r = 0.625;p =  0.003. There is a significant association between expression of TNF-α and IL-1α level on the severity of bone destruction in CS...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 30, 2019 Category: ENT & OMF Source Type: research

Plasma Dissection Versus Tissue Dissection in Adenoid Surgery
AbstractAim is to compare coblation versus conventional adenoidectomy, to evaluate whether this approach is adequate, safer and could be a coblation a good alternative of conventional adenoidectomy? It is a prospective randomized controlled study done at Civil Hospital Ahmedabad from January 2016 to January 2017 with 70 patients. The study includes children between age groups 5 –11 years divided into Group A (38 children underwent coblation adenoidectomy) and Group B (32 children underwent conventional adenoidectomy) with an average follow-up period of 10 days, 1 month and 3 months. Information on...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 29, 2019 Category: ENT & OMF Source Type: research

Supra Auricular Approach in Management of Preauricular Sinus
AbstractAim of study includes review on supra-auricular approach and its clearance of the tract including its branches and also its efficacy in reduction of recurrence when compared to standard technique. Prospective study in which 10 patients attending ENT opd with clinically diagnosed preauricular sinus undergoing supra-auricular approach under GA/LA, willing to participate in study were selected. An elliptical incision of the standard technique extended higher upward to pre- and supra-auricular temporal region. Plane of temporalis fascia was delineated. Skin, anterior to the sinus and tragus was separated. Soft tissue b...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 29, 2019 Category: ENT & OMF Source Type: research

Non-auditory Effects of Noise Pollution on Health: A Perspective
AbstractNoise is an ever increasing product of our environment. The increased noise levels cause auditory as well as non-auditory effects on health. The relationship between noise and hearing loss has been well established. However non-auditory effects of noise  on health though known are understudied and underreported. Hence awareness about the prevalence of these deleterious effects, its prevention and appropriate remedial measures is the need of the hour. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 29, 2019 Category: ENT & OMF Source Type: research