Lymphoid Papillary Hyperplasia Arising from the Upper Portion of the Left Palatine Tonsil: A Case Report and Literature Review
AbstractLymphoid papillary hyperplasia of the tonsils is a rare, benign lesion and is characterized by a papillomatous appearance with reactive follicular hyperplasia. Our case was unique because the lesion involved the unilateral and focal palatine tonsil, as the lesion usually involves the bilateral and entire palatine tonsils. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 4, 2019 Category: ENT & OMF Source Type: research

Cervical Lymph Nodes: A Hotbed For Metastasis in Malignancy
Conclusion understanding the pertinence of cervical lymph nodes specially supraclavicular lymph nodes with different primary tumor sites enables to plan interdisciplinary management of patients and also to correlate with the prognosis of patient. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 27, 2019 Category: ENT & OMF Source Type: research

A Study of Application of Preoperative Clinical Predictors of Difficult Laryngeal Exposure for Microlaryngoscopy: The Laryngoscore in the Indian Population
AbstractGood exposure for visualisation of the glottis is an essential prerequisite for effective microlaryngoscopy. There is no definitive clinical predictor scoring system to predict difficult microlaryngoscopy. The aim of the study was to study the validity of the Laryngoscore scoring system as a preoperative clinical predictor score in Indian population for difficult laryngeal exposure during microlaryngoscopy. A prospective study was carried out in 32 patients undergoing microlaryngoscopy in a tertiary care hospital who were evaluated by a standardized preoperative assessment protocol (Laryngoscore) which included 11 ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 26, 2019 Category: ENT & OMF Source Type: research

Petrous Bone Cholesteatoma: Radical Excision with an Endeavour for Hearing Preservation
AbstractTo describe surgical outcomes following resection of giant petrous bone cholesteatoma. Retrospective cohort study was undertaken at a tertiary care centre on patients who had undergone surgery for petrous bone cholesteatoma (PBC) from August 2014 to September 2017. For patients with serviceable hearing preoperatively, labyrinth preserving techniques, namely, modified transmastoid translabyrinthine approach (massive PBC-1) and supralabyrinthine approach (supralabyrinthine PBC-1) were considered. In the former, bony labyrinth which had been destroyed due to the disease process, membranous labyrinth remained anatomica...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 25, 2019 Category: ENT & OMF Source Type: research

Does Endoscopic Sinus Surgery (ESS) Retrieve Mucociliary Clearance of Maxillary Sinus: Prospective Study at a Tertiary Care Hospital
AbstractTo correlate Saccharin clearance time before and after endoscopic sinus surgery (ESS) in chronic maxillary sinusitis patients. Hospital based prospective study done in the department of otorhinolaryngology at our tertiary care hospital from January 2017 to December 2017. We selected 40 patients based on inclusion and exclusion criteria. Saccharin clearance time was measured by the subjective perception of sweet taste following placement of saccharin pellet over the anterior end of inferior turbinate. It was measured preoperatively and postoperatively after 3  months of ESS and the values are compared with norm...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 25, 2019 Category: ENT & OMF Source Type: research

Ectopic Third Molar: A Hidden Cause For Maxillary Sinusitis —A Rare Case Report
AbstractOdontogenic sinusitis (OS) accounts for about 10 –20% of all the sinusitis occurring in maxillary sinus. OS may result due to periapical pathology, severe periodontitis, peri-implantitis, or oroantral communication due to displacement of tooth root into the sinus. Very rarely OS can be due to an impacted tooth in the maxillary sinus for which ve ry few case reports are found in literature. The author presents a case report of 24 years female suffering from unilateral chronic sinusitis since 1 year caused due to impacted third molar tooth in left maxillary sinus associated with odontogenic keratocyst...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 25, 2019 Category: ENT & OMF Source Type: research

Endoscopic Endonasal Surgery of Clival Chordomas: Preliminary Results
This article shows a series of patients affected by clival chordomas treated with endoscopic approach. Patients who underwent EEA or transoral approach (TO) for clival chordomas at our Skull Base Referral Center, have been retrospectively examined. Clinical symptoms, preoperative neuroradiological evaluation, surgical approach, complications and postoperative results were evaluated. Nine patients (4 females and 5 males; age range 45 –82 years, mean 61 years) were included. Chordomas involved upper clivus in 4/9 cases, with (2) or without (2) extension to the middle clivus, middle clivus alone in 2/9, lower ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 24, 2019 Category: ENT & OMF Source Type: research

Preoperative Staging of Differentiated Thyroid Carcinomas: Comparison of USG and CT with Intraoperative Findings and Histopathology
AbstractTo study the efficacy of USG and CECT in preoperative staging of differentiated thyroid carcinomas in comparison to the intraoperative and histopathological findings. A prospective, observational study was conducted in a tertiary care hospital over a period of one and a half years where USG and CECT of 23 subjects with histopathologically proven differentiated thyroid malignancy were analysed to study the characteristics of the primary tumour, lymphatic metastasis and evaluate the sensitivity and specificity of the radiological investigations in comparison to the intra-operative and histopathological findings. Wh...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 24, 2019 Category: ENT & OMF Source Type: research

A Case of Varicella-Zoster Meningoencephalitis Presented by Ramsay Hunt Syndrome
We present a case of VZV meningoencephalitis presented with Ramsay Hunt syndrome. Early clinical suspicion was beneficial in starting aggressive treatment. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 19, 2019 Category: ENT & OMF Source Type: research

Comparison of Inferior Turbinate and Uncinate Process Angulation with Normal Population in Patients with Septal Spur
AbstractThe presence of septal spur may cause various pathologies by affecting the development of the inferior turbinate, osteomeatal unit and uncinate process. We aimed to compare the changes of the angle with inferior turbinate and the maxillary medial wall of the uncinate process in patients with septal spur by normal population. In the study, 138 patients with septal spur and unilateral septum deviation and 83 patients without septum deviation were evaluated retrospectively. The angles of the inferior turbinate and the uncinate process with the medial wall of the maxilla were measured at the ostemaetal unit level. The ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2019 Category: ENT & OMF Source Type: research

Narrow Band Imaging: An Effective and Early Diagnostic Tool in Diagnosis of Oral Malignant Lesions
AbstractThe management of oral carcinoma leads to both cosmetic and functional deficit to the patient and the confirmatory histopathology is a time consuming process which may be a reason for a reduced follow up and compliance of the patient. We hereby use this study as an opportunity to tell that narrow band imaging (NBI) serves both the above purposes in an earlier period and in a non-invasive manner and thereby improving the lifestyle of the patients. To find out a better non-invasive and time saving diagnostic tool in the management of premalignant and malignant oral lesions in its earlier period. A prospective cross s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 16, 2019 Category: ENT & OMF Source Type: research

Prevalence of hearing impairment amongst school going children in the rural field practice area of the institution
AbstractWorldwide, over 275 million people are estimated to have moderate to profound hearing loss in both ears. Children with hearing impairment often experience delayed development of speech and cognitive skills, which may result in slower learning and difficulty in progressing at school. Adequate hearing is one of the main factors for good psychosocial development, by which individuals may express their thoughts, feelings, and wishes, and acquire life experience and knowledge. Therefore, hearing impairment needs to be diagnosed early for prompt therapy. Primary objectives of this study was to know prevalence of hearing ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 15, 2019 Category: ENT & OMF Source Type: research

Salmonella Thyroid Abscess Treated by Serial Aspiration: Case Report and Literature Review
We report a case of a 58  year-old lady with underlying uncontrolled diabetes mellitus and a long standing uninvestigated goiter who presented with lethargy, a new anterior neck swelling with dysphagia and change of voice. Ultrasound and computed tomography were performed and showed collection with multiple air pockets in the right thyroid lobule extending to the anterior mediastinum. She was started on intravenous antibiotics and underwent serial bedside aspiration. Her symptoms improved and complete resolution was achieved after serial aspirations and antibiotics. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2019 Category: ENT & OMF Source Type: research

Randomised Controlled Clinical Study of Injection Caroverine and Ginkgo Biloba Extract in Cochlear Synaptic Tinnitus
AbstractTinnitus, also known as phantom auditory perception, is an annoying symptom and 13 –17% of population reports bothersome tinnitus. Cochlear synaptic tinnitus is the most common type. Many treatments have been tried but none is yet considered to be well established. To evaluate effect of Inj.Caroverine and Ginkgo Biloba extract in cochlear synaptic tinnitus in terms of improving tinnitus grading, tinnitus matching and quality of life of patient. It is Randomised controlled study, conducted in department of ENT, on 86 patients, who met inclusion criteria, divided into 4 groups. Gr1—Inj Caroverin, Gr2&mdas...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2019 Category: ENT & OMF Source Type: research

A Prospective Study to Compare the Efficacy of Powered Turbinectomy Versus Submucous Resection in the Surgical Management of Inferior Turbinate Hypertrophy
AbstractOver the years many surgical techniques have been described in the literature for the treatment of inferior turbinate hypertrophy (ITH) but the debate for ideal procedure is still on. In our study we are comparing two surgical procedures namely submucosal resection (SMR) of inferior turbinate and Powered inferior turbinectomy (PT) for the management of ITH. Surgical procedures are to be analyzed in terms of results and complications by subjective and Objective assessment. A prospective study was conducted from 1st December 2011 to 1st June 2013. Subjective assessment of nasal obstruction was done by visual analogue...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2019 Category: ENT & OMF Source Type: research

Ancient Schwannoma: A Rare Intramural Intra-lingual Lesion
AbstractAncient schwannoma is an uncommon schwannoma variant which is a benign tumour of Schwann cell origin. It is relatively a rare tumour (25%) in the head and neck region. It is encapsulated and well demarcated from the surrounding tissues. A 35  years old patient in this case presented with painless swelling of the tongue. Trans-oral excision of the intramural lesion was performed. Histopathological and immuno-histochemistry confirmed the diagnosis of schwannoma. This case is of interest on account of the complexity of its diagnosis and t he atypical site, that is, intra-mural, of appearance of a schwannoma. (Sou...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 12, 2019 Category: ENT & OMF Source Type: research

Effect of Anatomical Variations of Osteomeatal Complex on Chronic Rhinosinusitis: A Propective Study
AbstractThis is a prospective observational cross sectional study comprising of 57 patients who were having symptoms of chronic rhinosinusitis which were evaluated with the help of computed tomography scan (Coronal and axial sections) to identify various anatomical variants of osteomeatal complex and to find their percentage and to find the pattern of sinus involvement in chronic rhinosinusitis patients. The most common anatomical variation was agger nasi which was present in 52 (91.23%) patients followed by abnormal uncinate process in 43 (75.44%) patients and maxillary sinus was the most commonally involved sinus in CRS....
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 12, 2019 Category: ENT & OMF Source Type: research

A Rare Case of Ossifying Fibroma with Cystic Degeneration: Diagnostic Challenge with Literature Review
We report a case of OF in 23  year old female with asymptomatic swelling over the left side of face for the past 3 years involving the maxilla, maxillary sinus as well as nasal cavity. Histopathology revealed it to be OF complicated by non-specific cystic degeneration. OF of jaws is an odontogenic neoplasm arising from tooth bearing areas. It occurs more commonly in women in posterior mandible region. Microscopically it shows variable mixture of osteoid bone and basophilic acellular spherules while bony trabeculae frequently demonstrate both woven and lamellar patterns. Various pathogenesis have also been highlig...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 11, 2019 Category: ENT & OMF Source Type: research

Facial Nerve Stimulation as a Complication of Cochlear Implantation
AbstractFacial nerve stimulation (FNS) can be considered as one of potential complications of the cochlear implant (CI) procedure. A number of conditions have been identified that appear to predispose patients to facial nerve stimulation. Facial nerve stimulation can frequently be resolved with minimal changes in speech processor fitting but this may lead to reduction in the outcome. To overcome the aberrant FNS after cochlear implantation with preservation of patient performance. A retrospective review has been made of the clinical features of 2 patients out of 175 children younger than 17  years of age consecutively...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 11, 2019 Category: ENT & OMF Source Type: research

Osteoma of external auditory canal associated with external auditory canal cholesteatoma and exuberant granulation tissue in mastoid air cell system: a rare association
AbstractOsteoma of EAC is a rare tumour. Cholesteatoma of EAC associated with osteoma is consequence of osteoma of EAC. Its incidence is rare and very few cases have been reported in the literature. Its association with exuberant granulation tissue in the mastoid air cell system without extension of Cholesteatoma into middle ear cleft is even rare. This association has been reported for the first time as evident from review of literature. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 10, 2019 Category: ENT & OMF Source Type: research

A Systematic Literature Review of the Safety and Efficacy of Eustachian Balloon Tuboplasty in Patients with Chronic Eustachian Tube Dysfunction
AbstractEustachian tube dysfunction (ETD) is a common condition afflicting 1% of the adult population and is said to be higher in the pediatric population. Currently, it is primarily managed with medical therapy. However, newer management techniques like balloon tuboplasty have been introduced. To systematically review the available evidence on eustachian tube balloon dilation for treating chronic ETD covering indications, efficacy, safety, short term, and long term outcomes, a literature search was conducted on Google Scholar and Pubmed. 21 publications met the inclusion criteria. Based on the literature review the proced...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 9, 2019 Category: ENT & OMF Source Type: research

Vocal Fold Insufficiency: How Effective is Injection Laryngoplasty? Short Term Clinical Outcomes
AbstractOffice based Injection Laryngoplasty has become a common and feasible method of addressing vocal fold insufficiency (VFI) resulting from a plethora of aetiologies. Contemporary to various injectates, Calcium Hydroxylapatite has met with great success across usage with various techniques. But, irrespective of the technique and injectate material, the burning question in mind of “realistic” clientele remains, “How soon will I have by voice back?”. Aim of this study is to evaluate the short term (3 months postoperative) effects of Injection Laryngoplasty in cases of VFI using Calcium Hydro...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2019 Category: ENT & OMF Source Type: research

Laryngeal Lipoma: A Clinicopathologic Case Report
We describe an extremely rare case of intrinsic laryngeal lipoma. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2019 Category: ENT & OMF Source Type: research

Spontaneous Expulsion of an Unusual Sharp Metallic Foreign Body: A Rare Occurrence
AbstractForeign body aspiration (FBA) represents a life-threatening emergency especially in children. Sharp metallic foreign bodies are of particular concern to the attending clinician, because of their potentiality to perforate the air way passages and hence causing complications. Spontaneous expulsion of airway foreign body is very rare; can be disastrous at times. Emergency retrieval is mandatory. We are reporting a rare and unusual case of sharp metallic FBA in a 12  year old boy. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2019 Category: ENT & OMF Source Type: research

Redo Tracheostomy: Our Experience, Problems Encountered and How to Overcome Them
AbstractTracheostomy is a life-saving procedure done electively or most commonly in emergency basis. In patients with diagnosed case of cancer in upper airway tract they usually require tracheostomy at some point of time during their whole treatment procedure. Patients receiving radiotherapy or chemotherapy or combination of these are at high risk of developing post treatment changes in neck anatomy. Redo tracheostomy due to any reasons in such types of patients is a surgical challenge. The purpose of this article is to share our surgical technique in redo tracheostomy. During a period of two years 39 patients with diagnos...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2019 Category: ENT & OMF Source Type: research

Study of the Etiological Factors of Failures of Myringoplasty: A Observational Study
AbstractThis Study entitled “the study of the aetiological factors of failures of myringoplasty” was planned to find the various aetiological factors causing failure of myringoplasty and suggests remedial steps to improve the results in future. This observational study was carried in the Department of E.N.T, on patients wh o had undergone myringoplasty from Jan 2013 to June 2016. Total 905 patients operated in the above mentioned duration. 685 patients were operated during Jan 2013 to June 2015, who were studied retrospectively (only 540 came for follow up), and 220 patients were operated during June 2015 to Ju...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 6, 2019 Category: ENT & OMF Source Type: research

A Comprehensive Voice Analysis in Benign Vocal Fold Lesions Treated by Cold Knife Endolaryngeal Surgery Using Subjective, Objective and Video-Stroboscopic Parameters
AbstractIn the era of globalisation, numerous technical methods have emerged in the management of benign laryngeal lesions. Still cold knife endolaryngeal surgery holds the basic and effective position in providing excellent voice outcome. The aim of this study is to assess the cold knife as a tool for excision of benign laryngeal lesions by protocol of voice assessment. Fifty-five patients with benign vocal fold lesions were included (26 women and 29 men), with age ranging from 22 to 56  years. Each patient was subjected to endoscopic microlaryngeal surgery with cold instruments. Voice assessment was done preoperativ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 30, 2019 Category: ENT & OMF Source Type: research

Comparative Study Between Endoscopic Sinus Surgery Using Microdebrider and Conventional Techniques with It ’s Impact on Pulmonary Function Tests: A Randomized Control Trial
This study was carried o ut at the outpatient Department of Otorhinolaryngology and Head and Neck Surgery in Meenakshi Medical College, Hospital and Research Institute, Tamil Nadu. Patients were consented and started on medical treatment with systemic steroids for 2 weeks and topical nasal steroids for 1 month. If the dis ease persisted after medical therapy, patients were equally randomized into two groups of 30 each—microdebrider and conventional technique. Subjective symptoms of CRS were based on the CRS criteria. Symptoms score were given with Lund–Mckay symptoms scoring, pre-operatively 1 we...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 29, 2019 Category: ENT & OMF Source Type: research

A Venous Malformation of the Inferior Turbinate: A Case Report with Review of the Literature
We present the case of a rare inferior turbinate venous malformation in a 17  year old female that presented with epistaxis and was treated with surgery. Treatment varies and depends on the stage; however complete resection should be the goal to prevent recurrence. The endoscopic endonasal approach is minimally invasive, safe and effective in selected patients. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 28, 2019 Category: ENT & OMF Source Type: research

Importance and Impact of Appropriate Radiology in the Management of Branchial Cleft Anomalies
AbstractBranchial cleft anomalies are common differential diagnosis of neck masses. However, depending on the origin (1st, 2nd, 3rd or 4th arch), this pathology presents at different locations as cyst, sinus and fistula. Incomplete excision or incision and drainage of infected branchial cleft anomalies (cystic presentation) can lead to multiple recurrences. Appropriate radiology is imperative to make a correct diagnosis and to achieve complete excision to prevent recurrence. Our case series highlights the mode of presentation, appropriate radiology and management for each type of branchial cleft anomalies. Data of 27 patie...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 23, 2019 Category: ENT & OMF Source Type: research

Infra-auricular Sinus: A Very Rare Case Presentation
We report this case for its rarity since less than 5 cases have been reported in litera ture. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 22, 2019 Category: ENT & OMF Source Type: research

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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