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Indian Journal of Otolaryngology and Head and Neck Surgery

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https://www.readbyqxmd.com/read/27833887/endoscopic-management-of-congenital-intranasal-meningocele-in-3-month-old-infant
#1
Gaurav Khandelwal, Manoj Sharma, Priyanka Gupta
Fronto-ethmoidal meningocoele is a rare congenital condition with protrusion of meninges through anterior cranial fossa into the facial skeleton, surgical repair should be done in order to resolve nasal obstruction, provide a watertight division between sino-nasal and intra-cranial cavities and minimise injury to any CNS contents (Maddalozzo in Issue Otolaryngol Clin N Am 2015). Open approaches may be required but endoscopic endo-nasal repairs can be done in paediatric skull-base defects. A 3 month-old infant with fronto-ethmoidal meningocele operated with endo-nasal approach...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833886/a-drastic-aftermath-of-embolisation-in-juvenile-nasopharyngeal-angiofibroma
#2
Narayanan Janakiram, Shilpee Bhatia Sharma, Vidya Bhargavan Panicker, C V Srinivas
The role of preoperative embolization in alleviating intra operative haemorrhage in small to medium sized JNA is dubious. We report an unusual case of JNA who developed cerebral edema, hemiplegia and aphasia following glue embolisation and underwent frontotemporal craniectomy. This drastic aftermath of embolisation challenges the safety of preoperative embolisation in such lesions.
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833885/congenital-arhinia-a-rare-case-report-and-review-of-literature
#3
Uttam Mondal, Rameshwar Prasad
Congenital absence of nose (Arhinia) is extremely rare. A male baby was born at term via uncomplicated vaginal delivery and presented with complete arhinia, bilateral microphthalmia, lower eyelid coloboma and feeding difficulty. Reconstructive surgery was postponed until preschool age. On follow up at 1 year of age baby is feeding liquid and semisolid food and growing well.
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833884/a-case-of-multiple-myeloma-mimicking-carcinoma-larynx
#4
Santhosh Kumar Nochikattil, Elizabeth Mathew Iype, Surnare Kailash Ramrao, Preethi Nair, Shaji Thomas
No abstract text is available yet for this article.
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833883/combined-expansion-pharyngoplasty-and-anterior-palatoplasty-for-the-treatment-of-osa
#5
Kenny P Pang, Ottavio Piccin, Edward B Pang, Kathleen A Pang, Yiong Huak Chan, Brian W Rotenberg
To evaluate the success rates of combined Expansion Sphincter Pharyngoplasty and the Anterior Palatoplasty in the treatment of OSA. A two center prospective series of 73 patients with OSA. All patients were >18 years old, retro-palatal obstruction, concentric velo-pharyngeal collapse, BMI < 33, Friedman clinical stage II, with all grades of AHI. The procedure involved the anterior palatoplasty, tonsillectomy and expansion sphincter pharyngoplasty with or without nasal surgery. There were 68 men and 5 women, the mean age was 46...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833882/adult-thyroglossal-duct-carcinoma-of-thyroid-epithelial-origin-a-retrospective-observational-study
#6
Rahim Akram, Joseph J Wiltshire, Jonathan Wadsley, Sabapathy P Balasubramanian
Thyroglossal duct or cyst carcinoma (TGDCCa) is uncommon. Current treatments follow those of thyroid cancer but controversy exists over the extent of thyroid and lymph node surgery. Our aim was to study the presentation, treatment strategies and clinical outcomes in patients presenting with TGDCCa. Of 637 patients diagnosed with thyroid cancer over 15-years, 4 patients (0.6 %) with TGDCCa were identified. Two patients were diagnosed outside this time period. Details of demographics, presentation, diagnosis, management and outcomes of all 6 patients were reviewed...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833881/nasopharyngeal-carcinoma-a-15%C3%A2-year-study-with-respect-to-clinicodemography-and-survival-analysis
#7
Shaqul Qamar Wani, Talib Khan, Saiful Yamin Wani, Liza Rafiq Mir, Mohammad Maqbool Lone, Tariq Rasool Malik, Arshad Manzoor Najmi, Fir Afroz, Mohammad Ashraf Teli, Nazir Ahmad Khan
Nasopharyngeal carcinoma (NPC) is a rare malignancy in Kashmir with distinct pattern, hence we planned to study its clinicodemographic and survival profile. Kashmir has unique lifestyle and dietary habits which may be the source of carcinogenic compounds, most likely implicated in causation of NPC. A total of 148 patients of NPC registered from January 2000 to December 2014 were analyzed. The Mean ± SD age was 45.15 ± 17.092 years (range 11-85 years). The males were 72.3 % (N = 107) with male: female ratio of 2...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833880/a-clinico-pathological-study-of-cervical-lymph-nodes
#8
Gaurav Batni, Sushil Gaur, O N Sinha, Siddhant Priya Agrawal, Abhinav Srivasatva
Cervical lymphadenopathy is one of the commonest presenting complaint of patient in ENT OPD Fine Needle Aspiration Cytology (FNAC) is one of the most reliable, less expensive, and basic diagnostic procedure for the definitive and conclusive diagnosis for the immune system which reciprocates in the form of enlarged lymph nodes. A study was conducted in ENT Department of Santosh Medical College, Ghazibad from August 2015 to May 2016 on 64 patients with enlarged cervical lymph nodes. FNAC was done to make the diagnosis...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833879/construction-of-hindi-speech-stimuli-for-eliciting-auditory-brainstem-responses
#9
Mohammad Shamim Ansari, R Rangasayee
Speech-evoked auditory brainstem responses (spABRs) provide considerable information of clinical relevance to describe auditory processing of complex stimuli at the sub cortical level. The substantial research data have suggested faithful representation of temporal and spectral characteristics of speech sounds. However, the spABR are known to be affected by acoustic properties of speech, language experiences and training. Hence, there exists indecisive literature with regards to brainstem speech processing...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833878/the-epitympanum-revisited-endoscopic-anatomy
#10
Muaaz Tarabichi, Daniele Marchioni, Mustafa Kapadia
In contrast to other means of studying the epitymapnum, the endoscope allows unparallel access without disruption of anatomy. The aim of this study is to delineate the anatomy of the epitympanum through transcanal endoscopy. Systematic dissection of anatomic specimens. We performed systematic endoscopic dissection of 20 ears in 10 fresh frozen anatomical specimens. A detailed flow sheet was filled up documenting the status of the lateral attic folds, the tensor fold, the cog and the tensor folds, the supratubal recess, and the patency of the anterior and posterior isthmus...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833877/do-we-need-to-modify-the-parotidectomy-incision
#11
Naresh K Panda, Darwin Kaushal, Roshan Verma
The results indicate that the modified cervicofacial incision is a better aesthetic option for surgical procedures concerning all benign and malignant neoplasms of the parotid gland. The aim of this study was to present the results of the use of modification of modified Bailey incision in Parotid Surgery. This is a case series comprising 155 consecutive patients who were subjected to either partial or total parotidectomy using the modified incision. All parotid tumors were removed without encountering any problem with exposure, facial nerve delineation or tumor delivery...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833876/a-short-term-subjective-and-objective-analysis-of-modified-endoscopic-lothrop-s-procedure-and-its-functional-outcome-our-experience
#12
D R Nayak, K Pai, S Nair, B Ramaswamy, H Sabhahit
To study the short-term functional outcomes of the endoscopic modified Lothrop procedure with well defined subjective and objective criteria. It's a retrospective cohort study with chart review carried out at a tertiary referral center. 31 patients with chronic frontal sinusitis who underwent endoscopic modified Lothrop's procedure with uncinate preservation during the period Jan 2011-2014 were followed up for a period of minimum 6 months. Assessment was done post-operatively based on subjective severity score and Kennedy's 5 point endoscopic criteria...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833875/endoscopic-septoplasty-two-handed-technique-with-endoscope-holder-a-novel-approach
#13
Mubarak M Khan, Sapna R Parab
The popularity of endoscopes has been expanding not only in diagnostics but also in therapeutics. The traditional septal surgery also has come under the purview of endoscopic surgery in the last few decades. Endoscopic septoplasty has definitely many advantages over the conventional procedure. But the only disadvantage of endoscopic surgery is that it is a single handed technique as the other hand is used for holding the endoscope which may compromise the overall surgical time as the hemostasis and suctioning of the surgical field off the blood cannot be done simultaneously, in addition to the surgeon fatigue associated with holding the endoscope in the left hand...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833874/effect-of-type-1-tympanoplasty-on-the-quality-of-life-of-csom-patients
#14
Khyati Bhatia, Lakshmi Vaid, H C Taneja
Chronic suppurative otitis media (CSOM) continues to be an important public health problem despite significant advances in medical science. Ear discharge, pain, discomfort, difficulty in hearing, limitation of routine activities and emotional problems due to CSOM cause a significant impact on the health and general well being of the patient. We have done Type 1 tympanoplasty in tubotympanic type of COM to reconstruct the tympanic membrane and alleviate the symptoms of the patients. This study presents an analysis of the impact of the surgery on the patient subjectively and its correlation with objective outcomes...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833873/pre-operative-indicators-of-ossicular-necrosis-in-tubotympanic-csom
#15
Celina Lovely Jayakumar, Leeberk R Inbaraj, George J O Pinto
Ossicular necrosis and erosion is commonly seen in CSOM with cholesteatoma but can also occur in tubotympanic CSOM. This usually comes as a surprise during surgery. Preoperative knowledge of ossicular necrosis helps the surgeon to be better prepared for the surgery and ossicular construction if required. Hence, this study is intended to identify the pre-operative indicators of ossicular necrosis. This cross sectional study was conducted in Father Muller Medical College in Mangalore. Sixty nine consecutive patients with tubotympanic CSOM underwent a detailed clinical examination with pure tone audiometry and subsequently tympanoplasty with or without cortical mastoidectomy...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833872/effects-of-chemoradiation-on-hearing-in-patients-with-head-and-neck-malignancies-experience-at-a-tertiary-referral-care-hospital
#16
Abhineet Jain, Praveer K Banerjee, D Manjunath
Hearing loss as a side effect in patients with head and neck malignancies with chemoradiation is frequently ignored. Its effects on auditory functions are less studied and there are studies done on animals which are less reliable. The present study was undertaken to identify the type of hearing loss and also to quantify the degree of hearing loss in these patients. A prospective, descriptive study was undertaken in histologically proven head and neck cancer patients treated with cobalt 60 teletherapy who received a dose of 60-66 Grays (Gy) over a period of 6-7 weeks with concurrent Cisplatin 30 mg/m(2) once weekly for 6 weeks...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833871/establishing-a-temporal-bone-laboratory-in-teaching-institutes-to-train-future-otorhinolaryngologists-and-fundamentals-of-temporal-bone-laboratory-considerations-and-requirements
#17
David Victor Kumar Irugu, Amit Chirom Singh, Kapil Sikka, J Bhinyaram, Suresh Chandra Sharma
Temporal bone dissection has important role in educating, and training the surgeons. Temporal bone has complicated three dimensional anatomy and it is challenging for young surgeons to understand and operate. Not knowing the anatomy may cause serious consequences to patient due to injury to vital structures. It is important to learn temporal bone harvesting techniques, preservation of specimens, fixation and to reduce the health hazards posed by these specimens by taking safety measures. Spending more time in temporal bone laboratory and repeated dissection of temporal bones provides the skills necessary in the operating room for future generation...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833870/use-of-conchal-cartilages-for-laryngotracheal-stenosis-experiences-at-a-tertiary-care-hospital-of-eastern-india
#18
Santosh Kumar Swain, Neha Singh, Rankanidhi Samal, Santosh Kumar Pani, Mahesh Chandra Sahu
To describe the experience of anterior cricotracheal split with insertion of conchal cartilage graft in the treatment of subglottic and tracheal stenosis at a tertiary care hospital of eastern India. Six patients were included in the study, in the age group of 20-48 years. Out of which five patients were successfully decannulated after 3 months of laryngotracheal reconstruction with help of conchal cartilage. One case was undergone resection anastomosis after failure of the above technique. Successful restoration of the airway with decannulation in five cases and failure in one case...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833869/role-of-anatomic-variations-of-uncinate-process-in-frontal-sinusitis
#19
Mohit Srivastava, Sushant Tyagi
The osteomeatal complex plays an important role in the development of Chronic rhinosinusitis. The ethmoidal infundibulum is bordered medially by the uncinate process, and the anatomic relationship between the ethmoidal infundibulum and the frontal recess may depend upon the types of attachment of the uncinate process. The osteomeatal complex is the main area targeted in chronic rhinosinusitis and within it uncinate process is the first anatomical structure encountered. The aim of this study was to evaluate the types of attachment of the uncinate process and its implications in the development of sinus inflammation...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833868/evaluation-of-role-of-mastoid-surgery-in-the-management-of-safe-chronic-suppurative-otitis-media
#20
Akriti Sharma, Nitish Baisakhiya, L N Garg, Gurchand Singh
This study evaluates the outcome of type 1 tympanoplasty with and with out mastoidectomy. The comparative study comprises of 40 patients with CSOM safe type in dry ear. All cases were operated during a period of one and a half years. 20 of these cases were selected for tympanoplasty alone (Group A) and 20 cases were selected for Tympanoplasty with cortical mastoidectomy (Group B). Patients were reviewed after 3 weeks for inspection of the operated ear. The second and third postoperative reviews were done 6 and 12 weeks respectively for clinical assessment of the operated ear with respect to graft status, ear discharge and hearing improvement...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
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