Medical Graduate ’s Basic Knowledge and Clinical Skills Assessment in Otorhinolaryngology Post Internship
AbstractExposure to otorhinolaryngology in India has been shadowed by an inadequate curriculum. Our study brings forth the lacunae in medical education setup related to ENT. We introspect why the subject is not a first choice for specialization. 100 medical graduates were assessed at the end of internship postings for: (1) subject knowledge, (2) basic and emergency procedures, (3) diagnosis and investigation of common and emergency conditions.  84% take ENT as a minor subject. Least awareness is seen regarding its relation with skull base, head and neck and plastic surgery. Very few knew about advanced surgeries and i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 19, 2017 Category: ENT & OMF Source Type: research

Surgical Treatment of Retrosternal Goitre
This study aims to evaluate surgical approaches to the management of retrosternal goitre. Between 2004 and 2014, 35 patients (eight males; mean age 67.4  ± 10.9 years) with retrosternal goitre (mainly right-sided in 9, left-sided in 14 and bilateral in 12) underwent surgery. A palpable neck mass was found in 11 (31.4%), stridor in 10 (28.6%) and thyrotoxicosis in 4 (11.4%) cases. 4 (11.4%) patients were asymptomatic. Tracheal compression was det ected radiologically in 27 (77.2%) patients with deviation in 18 (51.4%). A collar incision was performed in 34 patients, 6 (17.1%) of whom required additiona...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - July 4, 2017 Category: ENT & OMF Source Type: research

The Four-Port Bradoo Technique: An Alternative to the Modified Endoscopic Denker ’s Approach for Giant JNA
AbstractThe aim of this study is to emphasise the importance of preserving the anterior facial skeleton in angiofibroma surgery and to introduce a new approach by which tumors with far lateral extensions can be operated upon successfully without disruption of the anterior facial skeleton. This is a prospective study conducted at a tertiary referral academic centre. Two patients with extensive juvenile nasopharyngeal angiofibroma with far lateral extensions were recruited and they underwent surgery between July and August 2016. Both patients were not embolised prior to surgery. Complete tumor removal was achieved in both ca...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 28, 2017 Category: ENT & OMF Source Type: research

Endoscopic Myringoplasty Versus Microscopic Myringoplasty in Tubotympanic CSOM: A Comparative Study of 120 Cases
AbstractMyringoplasty is one of the commonest operations performed on the middle ear. Our aim was to compare the results of endoscopic permeatal myringoplasty with that of conventional myringoplasty by post aural approach using operating microscope. A total of 120 patients having central perforation of tympanic membrane were randomly divided into two equal groups of 60 patients each. In the first group, endoscope was used and in the second group microscope was used to do myringoplasty. Temporalis fascia was used as a graft material. The patients were kept in follow-up for 1  year. The pre-operative and post-operative ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 27, 2017 Category: ENT & OMF Source Type: research

Per Operative Study of Relation of Zuckerkandl Tubercle with Recurrent Laryngeal Nerve in Thyroid Surgery
AbstractTo identify Zuckerkandl tubercle and to determine relationship between the recurrent laryngeal nerve and Zuckerkandl tubercle (ZT). Peroperative study. Intraoperatively Zuckerkandl tubercle was identified. Size of the thyroid lobe and Zuckerkandl tubercle were co-related and direction of tubercle in relation to recurrent laryngeal nerve was examined. Grading of tubercle on the basis of size was done. We studied its direction and relation with recurrent laryngeal nerve. ZT was identified in 87.86% (179 out of 206) of cases. In the study amongst the 179 cases in whom ZT could be identified, ZT was found on the right ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 20, 2017 Category: ENT & OMF Source Type: research

Olfaction and Its Correlates in Allergic Rhinitis: A Case Control Study
AbstractOlfactory dysfunction is frequent in rhinological disease. It has been attributed to nasal obstruction leading to impairment of transport of odorants to the olfactory epithelium or to inflammation in the olfactory cleft. We assessed olfaction in allergic rhinitis and correlated the olfactory score with other variables; in order to elucidate the pathogenesis of olfactory impairment in allergic rhinitis. Forty patients of allergic rhinitis (skin prick test positive) and forty healthy controls were included. The groups were evaluated for olfactory score, nasal airflow, peripheral eosinophilia, and levels of IgE and IL...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - June 19, 2017 Category: ENT & OMF Source Type: research

Invasive Fungal Infection in Acute Myeloid Leukemia Associated with Myeloid Sarcoma of the Sinonasal Cavity: A Rare Case
AbstractMyeloid sarcoma is a rare malignant extramedullary neoplasm of myeloid precursor cells. The majority of these cases occur in patients with known leukemia or those who eventually develop the disease. It can occur in various sites but sinonasal cavity involvement along with invasive fungal infection is exceedingly rare. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2017 Category: ENT & OMF Source Type: research

Review Article: Retropharyngeal Abscess —Mimickers and Masqueraders
AbstractTo discuss a case of suspected retropharyngeal abscess having important clinical and academic significance. This paper discusses an unusual presentation and evolution of a well known condition such as retropharyngeal abscess. Though the diagnosis in this case was initially a retropharyngeal abscess, several unusual findings were evident, which interfered with the optimal management of the patient. A literature review revealed rare causes and lesions mimicking a retropharyngeal abscess, such as retropharyngeal calcific tendinitis and Kawasaki disease, which are neither familiar to otolaryngologists nor other special...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 27, 2017 Category: ENT & OMF Source Type: research

Our Experience of Treating Wide Spectrum of External Ear Canal Atresia of Different Etiologies in Pediatric Patients
This article focuses on the treatment of EACA due to different etiologies and emphasizes on special points of surgical treatment and follow up. Five cases of external auditory canal atresia was treated between 2014 and 2016. Two of them were congenital cases and three were acquired. One congenital atresia patient had pinna abnormalities in the form of one sided anotia and other side microtia. Another patient of congenital ear canal atresia had congenital cholesteatoma. Acquired atresia was due to osteoma, external trauma and surgical trauma following a condylectomy surgery. All the patients were treated surgically. A wide ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 11, 2017 Category: ENT & OMF Source Type: research

Comparative Study of Management of Attico-antral CSOM by Conventional Mastoidectomy with Inside Out Technique
AbstractThis prospective study was undertaken to compare the different aspects of inside out and conventional mastoidectomy techniques in attico-antral type of chronic suppurative otitis media. 100 cases of unsafe ear selected in this study were divided in 2 groups —(1) Group A—50 patients operated by conventional technique of canal wall down mastoidectomy. (2) Group B—50 patients operated by inside out technique of canal wall down mastoidectomy. The patients in our series were regularly followed to assess the condition of the postoperative cavity for th ree months. Post operative results were better by i...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 10, 2017 Category: ENT & OMF Source Type: research

An Evaluation of the Surgical Trauma to Intracochlear Structures After Insertion of Cochlear Implant Electrode Arrays: A Comparison by Round Window and Antero-Inferior Cochleostomy Techniques
AbstractTo evaluate the extent of intracochlear damage by histologic assessment of cadaveric temporal bones after insertion of cochlear implants by: round window approach and cochleostomy approach. Cochlear implantation was performed by transmastoid facial recess approach in 10 human cadaveric temporal bones. In 5 temporal bones, electrode insertion was acheieved by round window approach and in the remaining 5 bones, by cochleostomy approach. The bones were fixed, decalcified, sectioned and studied histologically. Grading of insertion trauma was assessed. In the round window insertion group, 2 bones had to be excluded from...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 5, 2017 Category: ENT & OMF Source Type: research

A Study to Assess The Efficacy of Local Application of Oral Probiotic in Treating Recurrent Aphthous Ulcer and Oral Candidiasis
AbstractTo study the efficacy of local application of oral probiotics in improving oral health in recurrent aphthous ulcer and oral candidiasis. Eighty patients with diagnosis of recurrent aphthous ulcer and oral candidiasis were included in the study. They were divided into group A  = 40 patients (patients treated with oral application of probiotic as an adjuvant) and group B = 40 patients (patients treated without probiotic). Both the groups were divided into two subgroups, group AU and group BU for recurrent aphthous ulcer and group AC and BC for oral candidiasis. Clinic al signs and symptoms were as...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 4, 2017 Category: ENT & OMF Source Type: research

The Use of Lexical Neighborhood Test (LNT) in the Assessment of Speech Recognition Performance of Cochlear Implantees with Normal and Malformed Cochlea
AbstractThe present study aims to use the model-based test Lexical Neighborhood Test (LNT), to assess speech recognition performance in early and late implanted hearing impaired children with normal and malformed cochlea. The LNT was administered to 46 children with congenital (prelingual) bilateral severe-profound sensorineural hearing loss, using Nucleus 24 cochlear implant. The children were grouped into Group 1-(early implantees with normal cochlea-EI); n  = 15, 31/2–61/2 years of age; mean age at implantation—3½ years. Group 2-(late implantees with normal cochlea-LI); n =&nb...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - May 2, 2017 Category: ENT & OMF Source Type: research

Type 1 Tympanoplasty by Cartilage Palisade and Temporalis Fascia Technique: A Comparison
This study establishes the fact that hearing results after performing type 1 tympanoplasty by autotemporalis fascia when compared with type 1 tympanoplasty performed by cartilage palisade technique showed similar hearing gain and post operatively graft take up rate was also similar in two groups. The disadvantage of reducing the mechanical vibration of the tympanic membrane was overcome by the palisade reconstruction of the tympanic membrane. This study definitely emphasizes upon usage of new grafting materials in reconstruction of tympanic membrane, with similar, if not better functional results, without compromising the ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 29, 2017 Category: ENT & OMF Source Type: research

Surgical Outcome of Mastoid Cavity Obliteration Using Postauricular Composite Bone with Periosteum Flap
This study was aimed to evaluate surgical outcome of patients undergoing obliteration of mastoid cavity with postauricular composite osteo-periosteal flap. This interventional study was carried out on 100 patients having unsafe CSOM from Nov. 2012 to Oct. 2014 who underwent canal wall down mastoidectomy with tympanoplasty and obliteration of cavity using composite osteo-periosteal flap. The primary outcome measure was control of suppuration and creation of dry, low-maintenance mastoid cavity, which was assessed using Merchant et al. grading system. At the end of 1  year follow-up, 89% patients had Grade 0 summary scor...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 28, 2017 Category: ENT & OMF Source Type: research

A Short Term Comparison of Cartilage with Temporalis Fascia Graft Tympanoplasty in Paediatric and Adolescent Population
AbstractTo compare the anatomic and functional outcomes of the cartilage and temporalis fascia graft materials in type 1 tympanoplasty in paediatric and adolescent population. A total of 55 patients aged  0.05). ABG closure ratio in cartilage group was 58.54 ± 23.10% and in temporalis fascia group was 56.46 ± 27.4% (p >  0.05). Pre operatively all patients had type B tympanogram in both the groups. While post operatively either type A or C curve was seen in 80% patients of cartilage and 68% patients of temporalis fascia group. Hearing outcomes and graft success rates were...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 28, 2017 Category: ENT & OMF Source Type: research

Mature Nasopharyngeal Teratoma in a Neonate: Case Report and a Review of Literature
AbstractTeratomas are true neoplasms that contain tissues foreign to the site in which they arise. They are derived from germ cells with components of the three embryonic layers (ectoderm, mesoderm and endoderm). The present report is about a 10  day old neonate with teratoma arising from the nasopharyngeal surface of the soft palate, which was successfully removed. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 28, 2017 Category: ENT & OMF Source Type: research

Efficacy of TRT Using Noise Presentation from Mobile Phone
AbstractThe purpose of tinnitus retraining therapy (TRT) is to induce habituation, first of the reaction to the tinnitus signal, and subsequently to habituate the perception of tinnitus itself. Habituation of sound is achieved through sound treatment which involves the use of low-level broadband noise mainly through noise maskers. Noise maskers are costly hence there is a need to find an alternate source of noise like MP3 and mobile phones. The goal of present study was to find out whether persons with tinnitus may be successfully treated with TRT using sound treatment from the noise presented through mobile phones. Total ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 26, 2017 Category: ENT & OMF Source Type: research

Unilateral Fungal Sphenoiditis Presenting with Diplopia and Ptosis
(Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 26, 2017 Category: ENT & OMF Source Type: research

Cinnarizine: A Contemporary Review
AbstractCinnarizine, is approved for nausea, vomiting, motion sickness, inner ear disorders and is considered as first-line pharmacotherapy for management of vertigo. It acts by anti-vasoconstrictor activity, reducing blood viscosity and reducing nystagmus in labyrinth. Lack of adequate literature on clinical evidence of cinnarizine and its combination (dimenhydrinate) in vertigo management prompted this review. A specific MEDLINE literature search strategy was designed combining Medical Subject Headings, free-text keywords (like cinnarizine and vertigo) using Boolean operators (1970 –2016) for clinical studies, clin...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 25, 2017 Category: ENT & OMF Source Type: research

Erratum to: Review Article: Retropharyngeal Abscess —Mimickers and Masqueraders
(Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 21, 2017 Category: ENT & OMF Source Type: research

Transnasal Stabilization in Naso-orbito-ethmoid Fractures: The Easy Way!
AbstractEffective management of naso orbito ethmoidal fractures involves both functional and esthetic correction. While functional correction is routinely achieved, in our experience, most secondary deformities resulted from inadequate nasal bridge projection. We hereby suggest a simple technique to stabilize the nasal bridge after mild overcorrection thereby improving the esthetic outcome in naso orbito ethmoidal fractures. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 20, 2017 Category: ENT & OMF Source Type: research

Factors Affecting the Outcome of Stapes Surgery
This study is a prospective study of factors affecting the outcome of stapes surgery in otosclerosis patients. From February 2010 to June 2011, 57 patients of confirmed clinical otosclerosis were analysed. Out of them, 31 patients were included in our study as were available for follow-up. Clinical, audiometry and surgery-related parameters were included to assess the surgery outcome. Results were reported as suggested by AAO-HNS (American Association of Otolaryngology and Head and Neck Surgery) guidelines for stapes surgery, 1995. The paired t-test and analysis of variables test (ANOVA) were used to evaluate the results. Ap value of
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 20, 2017 Category: ENT & OMF Source Type: research

Sinonasal Undifferentiated Carcinoma in a Patient Previously Treated for an Intestinal-Type Adenocarcinoma: Metachronous Neoplasms or Recurrence of a Different Tumor Type?
AbstractA case of a sinonasal undifferentiated carcinoma occurring 2  years after a successfully surgically treated intestinal-type adenocarcinoma has never been reported. Treatment modality of paranasal sinus cancer strictly depends on histology so it is important to recognize a different tumor type in the follow-up of these patients. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 20, 2017 Category: ENT & OMF Source Type: research

Acoustic Analysis of Indian Teachers ’ Voice: Pre and Post Teaching Circumstances
Abstract Compared to people employed in other occupations, teachers are more likely to report having voice problems. They are more likely to perceive that their voice problems limit their current job performance and also adversely affect their future career options. The current study examines the acoustic parameters that are sensitive to vocal loading in pre and post teaching circumstances and adds to the existing literature. Voice samples were recorded from 30 primary school teachers, 15 females and 15 males in the age range of 28 –35 years (mean age 29.3 years), with teaching experience of 10–12&nbs...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 19, 2017 Category: ENT & OMF Source Type: research

Impaired Vestibular Function After Cochlear Implantation in Children: Role of Static Posturography
AbstractTo identify vestibular dysfunction in children after cochlear implant surgery and to study the utility of static posturography in evaluating vestibular function in children. A prospective study was carried out on 25 children between 2 and 7  years of age with sensorineural hearing loss with no overt vestibular dysfunction. All children underwent static posturography using Synapsis Posturographic System (SPS) software (Version 3.0, REV C) using a static platform with foam. The centre of pressure (COP) shift was recorded as statokinesio gram on the software and the mean vestibular, visual and somesthetic scores ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 18, 2017 Category: ENT & OMF Source Type: research

Clinical Experience on Hearing Screening in Twins and Triplets: A Retrospective Study
Abstract Twin or multiple pregnancies often have neonatal complications. Common complications include low birth weight, respiratory distress, neonatal intensive care unit (NICU) admission (>5  days) and low APGAR score especially on second twin. (1) To compare referral rates of newborn hearing screening in twins and triplets between risk and non-risk babies for hearing loss, (2) to determine the effects of birth order on referral rates in twins and triplets. A retrospective study was ca rried out from the case records of the neonates enrolled in the referral based NICU hearing screening program during April 2013 to...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 13, 2017 Category: ENT & OMF Source Type: research

Septorhinoplasty: Our Experience
We present our experience with rhinoplasty in a tertiary care center of north India. We have included all cases operated with septorhinoplasty from 2001 to 2014 by the senior author in the manuscript. We reviewed their presentations, investigations, preoperative counselling records, operative details and post-operative clinical records to audit our results and hence to document our experiences in septorhinoplasties. A total of 53 cases including 37 males and 16 females had undergone rhinoplasty surgeries. The most common reason of disfigurement was road traffic accident (58.5%). All these patients included different deform...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 10, 2017 Category: ENT & OMF Source Type: research

Lymph Node Central Necrosis on the Computed Tomography as the Predictor of the Extra Capsular Spread in Metastatic Head and Neck Squamous Cell Carcinoma
This study is a prospective study conducted at J.L.N. Hospital and Research Centre, Bhilai (C.G), from August 2011 to January 2014. Thirty patients with metastatic head and neck squamous cell carcinoma were enrolled. All candidates were subjected to a detailed history taking and clinical examination. Their preoperative computed tomography (CT) scans were assessed with attention to the presence and absence of lymph node, lymph node size, shape, level, presence or absence of the lymph node central necrosis and other signs of the ECS such as thick walled enhancing nodal margin, loss of margin definition, alteration of adjacen...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 10, 2017 Category: ENT & OMF Source Type: research

The Demographic Study of Otorhinolaryngological Trauma Among Patients with Head and Neck Trauma and Their Management in a Tertiary Care Centre
AbstractThe trauma has been increasing in frequency, especially in recent decades because of the higher number of automobile accidents and violence. The ear, nose and face region is the area in the body that is commonly involved in head and neck injury. Trauma to this region is often associated with mortality and varying degree of physical, functional and psychological damage. To study the demography, aetiology, clinical presentation, outcome of ENT trauma in our tertiary care centre and to compare our study with previous studies to see the changing trends with passage of time. A prospective study was conducted on 200 head...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 9, 2017 Category: ENT & OMF Source Type: research

Tuberculous Bronchoesophageal Fistula in Nephrotic Syndrome: A Silent Assassin
We report a case of an adolescent with nephrotic syndrome who developed fatal miliary tuberculosis after initiation of steroid therapy, presenting as a bronchoesophageal fistula. The case highlights the importance of maintaining a high index of suspicion prior to starting immunosuppressive therapy in pediatric patients of nephrotic syndrome. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2017 Category: ENT & OMF Source Type: research

Patterns, Presentations and Prognosis of Nasal Polyps
In this study, we described the patterns, presentations and prognosis of nasal polyps seen in clinical setting, with a view to improve our understanding of its clinical and epidemiological characteristics. The study was a 10-year retrospective analysis of histologically-confirmed nasal polyps seen between January 2006 and December 2015. Records of patients with intranasal masses were retrieved from our hospital ’s records department, clinics, wards and theatre suites. Those with nasal polyps were recruited into the study. The results were descriptively analyzed using SPSS statistical soft ware package version 10. The...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2017 Category: ENT & OMF Source Type: research

Drug-Induced Sleep Endoscopy as a Selection Tool for Surgical Management of Obstructive Sleep Apnoea Syndrome: Our Personal Experience
AbstractThe role of Drug-induced sleep endoscopy as a selection tool for surgical management of obstructive sleep apnoea syndrome. Source of data: Polysomnography proved OSA patients, who are planned for surgery in dept. of ENT AND HEAD& NECK, JSS Hospital, Mysore. Study design: A prospective clinical study. Method: 30 Polysomnography proved OSA patients, age between 20 and 60  years have been selected for Drug Induced Sleep Endoscopy (DISE) after taking informed consent for proposed surgery. Inj propofol infusion given throughout the DISE procedure and upper airway nasal endoscopy performed for assessment of site...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2017 Category: ENT & OMF Source Type: research

Acquired Angioedema: A Rare Manifestation of Angioimmunoblastic T Cell Lymphoma
We present extremely rare case of elderly male with recurrent tongue swelling, pruritus with normal levels of complements and C1 esterase inhibitor protein featuring as acquired angioedema, a rare manifestation of AITL. Initial response to corticosteroids may be misleading and occurs as a result of immunosuppression of AITL. High index of suspicion may prompt need for histopathological diagnosis of lymph node biopsy. Definitive chemotherapeutic treatment may achieve long term remission. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2017 Category: ENT & OMF Source Type: research

The Rosai –Dorfman Disease: A Differential Diagnosis in Cervical Swelling
We report here a case of Rosai–Dorfman disease presenting with massive right cervical lymphadenopathy. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2017 Category: ENT & OMF Source Type: research

A Rare Case of Basal Cell Adenocarcinoma of Parotid Gland with Intracranial Extension
AbstractBasal cell adenocarcinoma (BCAC) is a rare tumour entity. Despite its tendency to be infiltrative and destructive tumour with propensity to recur, it rarely metastasizes and long-term outcome following surgery is favourable. This paper presents a 42-year-old male with residual BCAC of parotid gland that had extended into infratemporal fossa and intracranial. The important aspect of this case is the rarity occurrence of BCAC of parotid with intracranial extension and its surgical approaches to achieve tumour clearance. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 7, 2017 Category: ENT & OMF Source Type: research

Evaluation of Various Laryngeal Pathologies: Videolaryngoscopy Versus Videolaryngostroboscopy
AbstractVoice disorders are common in various laryngeal pathologies. The aim of this study is to evaluate the diagnostic value of videolaryngostroboscopy (VLSS) over videolaryngoscopy (VLS) in laryngeal pathologies. This was a prospective observational study. Detailed examination was carried out for 80 cases which presented with different laryngeal pathologies. Cases were evaluated on the basis of VLS and VLSS in the same sitting and diagnosed separately. Sensitivity, specificity, positive predictive value and negative predictive value were calculated to find out the relationship between diagnoses made by VLS and VLSS. The...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 6, 2017 Category: ENT & OMF Source Type: research

Comparative Study of Outcome of Endoscopic Myringoplasty in Active and Inactive Mucosal Chronic Otitis Media Patients
The objective of this study was to compare graft uptake and hearing improvement in active and inactive mucosal chronic otitis media patients after endoscopic myringoplasty. This is prospective study conducted at a government medical college and hospital from February 2014 to August 2015. A total of 40 active (wet) ears with mucoid discharge and 40 inactive (dry) ears (at least 6  weeks dry before surgery) with mucosal chronic otitis media were operated on by endoscopic myringoplasty by transcanal approach. Graft uptake and hearing gain rates 3 months after surgery were compared for both groups. Endoscopic myringo...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 6, 2017 Category: ENT & OMF Source Type: research

Binaural Interaction Component of Middle Latency Response in Children Suspected to Central Auditory Processing Disorder
AbstractsBinaural processing disorder is an important deficit in children with (C)APD so binaural processing evaluations are crucial. There are subjective and objective tests for assessing binaural processing. Subjective tests require patient attention and active so objective evaluation of binaural processing is important. The aim of present study was investigating binaural interaction component (BIC) of middle latency response (MLR) in children suspected to (C)APD. Sixty 8 –12 year-old children suspected to (C)APD and sixty normal children were selected based on inclusion criteria. Both groups were matched in t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 6, 2017 Category: ENT & OMF Source Type: research

Sinonasal Schwannoma: A Rare Sinonasal Neoplasm
We present a case of schwannoma in sinonasal region with involvement of right side nasal cavity, maxillary sinus and maxillary alveolar process. The tumour was successfully removed by midfacial degloving approach. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 5, 2017 Category: ENT & OMF Source Type: research

A Study of Clinicopathological Profile of Patients of Hoarseness of Voice Presenting to Tertiary Care hospital
Abstract Hoarseness is subjective term used to describe abnormal voice quality which may occur due to many causes because it is just a symptom. Proper knowledge and clinicopathological profile is important to treat the underlying pathology. This prospective study was carried out in 100 patients presented in Department of ENT, Gandhi Medical College, Bhopal from April 2013 to September 2014 with complaint of hoarseness of voice for more than 15  days. Objective of this study is to study incidence, duration and sex predilection for hoarseness of voice. Also to study different etiological and predisposing factors for h...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 3, 2017 Category: ENT & OMF Source Type: research

Effectiveness of Nasal Packing in Trans-septal Suturing Technique in Septoplasty: A Randomized Comparative Study
AbstractNasal packing is routinely used after septoplasty, but there are patient factors for which its use needs to be reconsidered. Effectiveness of nasal packing in trans-septal suturing technique in septoplasty. Prospective, comparative study, patients submitted to septoplasty were randomized to receive or not nasal packing postoperatively. Comparison in postoperative status for pain, headache, discomfort in swallowing, epiphora, bleeding, infection and pain on pack removal are assessed. In all the patients trans-septal suturing technique was used. Study group has 60 patients. Two groups were made group A in whom nasal ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 31, 2017 Category: ENT & OMF Source Type: research

M.ALSHEIKH Technique: Modification to the Soft Tissue Reduction in the Baha ® Attract Surgery
AbstractTo describe a modification to the Baha® Attract surgical technique that aims to enhance skin closure, create smooth skin across the surface of the wound, reduce surgery time, and improve cosmetics of the surgical site. Retrospective chart review. Patients were implanted between 2014 and 2016 at King Fahad General Hospital (KFGH) (Jeddah, Kingdom of Saudi Arabia). 20 adult patients (11 males, 9 females), all eligible for Baha® Attract system. One patient only had a previous Baha® surgery. The normal Baha® Attract surgical technique with modification to the soft tissue reduction stage is described. Th...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 27, 2017 Category: ENT & OMF Source Type: research

Isolated Sphenoid Sinusitis
AbstractIsolated disease of sphenoid sinus is rare, representing 2-3% of all paranasal sinus lesions. Usually it is inflammatory in origin; very rarely it is due to neoplasm. Isolated sphenoid sinus diseases are difficult to diagnose and to treat because either the symptoms are very vague or they present to us very late as a result of disease complications. Here we are presenting a case of isolated sphenoid fungal sinusitis. A 40 year female came to our ENT outpatient department with complaints of intermittent headache for past 3 months. She was treated for similar complaints by a general practitioner with antibiotics and ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 24, 2017 Category: ENT & OMF Source Type: research

A Comparative Study of Pharyngeal Repair in Two Layers Versus Three Layers, Following Total Laryngectomy in Carcinoma of Larynx
AbstractLarynx is the second most common site for cancer in the upper aerodigestive tract. One of the dreaded complications following total laryngectomy has been pharyngo cutaneous fistula (PCF). PCF merits special attention due to its significant negative impact on the recovery process. Total laryngectomy profoundly alters speech. Effective voice restoration is essential for the rehabilitation of these patients. Inadequate consensus exists as to the best technique of pharyngeal repair to decrease incidence of PCF and ensure good quality voice following total laryngectomy. 21 patients were included in the study for total l...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 8, 2017 Category: ENT & OMF Source Type: research

Impact of Co-existing Vascular Headache on Symptom Relief After Endoscopic Sinus Surgery
AbstractVascular headache and chronic rhinosinusitis (CRS) are diseases that share similar symptoms and demographics, including headache, facial pain and nasal symptoms. Contribution of chronic sinusitis as a cause of chronic headache is controversial, as there are scarce studies to know incidence of vascular headache in patients with CRS. To evaluate incidence of vascular headache in patients with CRS. Using descriptive study design, group of 100 patients with symptoms of CRS with headache were included in study. Patients underwent surgical management and 3% managed medically. Patients were assessed for associated factors...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 5, 2017 Category: ENT & OMF Source Type: research

Cut Throat Injury: Our Experience in Rural Set-Up
AbstractCut throat injuries are one of the emergency conditions managed by ENT specialists. If not treated in time, they may lead to death. Prevention of these complications depends on immediate resuscitation by securing the airway by tracheostomy or intubation, prompt control of hemorrhage and blood replacement. The present study was conducted to study the sociodemographic profile of patients of cut throat injury, motives behind cut throat injury, site and depth of the injury, treatment given at our hospital and outcome. A prospective study was done in the department of ENT in a tertiary care hospital of rural West Bengal...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 9, 2017 Category: ENT & OMF Source Type: research

Do Nasal Surgeries Affect Mucociliary Clearance?
Abstract The study was conducted to assess the impact of different nasal surgeries on the nasal mucociliary clearance mechanism. Mucociliary function of the nasal mucosa of patients who were undergoing various nasal surgeries was assessed by the Saccharin test by placing 5  mg saccharin granule on the anterior end of the inferior turbinate 1 day prior to the surgery. The time required for the test subject to experience a sweet taste was measured in minutes. Post-operatively the test was repeated 6 weeks after the surgery and the test times were compared. A total of 60 patients were part of this study. Of t...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 9, 2017 Category: ENT & OMF Source Type: research

Thyroglossal Duct Cysts: A Clinicosurgical Experience
AbstractThyroglossal cyst is the most common congenital neck mass and occurs in 7% of the population. They occur due to failure of thyroglossal duct to involute and atrophy thyroglossal duct cysts often occur in pediatric patients. Majority of them are found infrahyoid region. The purpose of the present study is to report our 5  year clinical experience of thyroglossal cysts in terms of clinical features and surgical findings with special emphasis on naked eye extend of patent thyroglossal duct when present. To the best of our knowledge this is first clinical study which has reported the extend of thyroglossal duct on...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 9, 2017 Category: ENT & OMF Source Type: research

To Study the Association of the Size and Site of Tympanic Membrane Perforation with the Degree of Hearing Loss
AbstractChronic suppurative otitis media is a serious health problem worldwide. It has been a general view that the hearing loss increases with the size of the perforation, more so if it is in the postero- inferior quadrant. The present study is an effort to test the validity of above concepts. With Institutional ethical committee clearance, an observational study was carried at SMS medical college, Jaipur. A total of 90 cases were studied. All cases between the age group 15 –50 years with dry tympanic membrane perforations were divided into 3 groups Group I (0–9 mm²), Group II (9–30 m...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 6, 2017 Category: ENT & OMF Source Type: research