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Publisher: Medknow Publishers   (Total: 355 journals)

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Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 1)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 6)
African J. of Medical and Health Sciences     Open Access   (Followers: 1)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 7)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 13, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Pharmacy Practice     Open Access   (Followers: 5)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 2, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 1)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 12, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 5, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access   (Followers: 1)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 7)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 8, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 3, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 1, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 5, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 3)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 7, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 2)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access   (Followers: 1)
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 2)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 9, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access   (Followers: 2)
J. of Family Medicine and Primary Care     Open Access   (Followers: 10)

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Journal Cover Indian Journal of Otology
  [SJR: 0.218]   [H-I: 5]   [1 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 0971-7749 - ISSN (Online) 2249-9520
   Published by Medknow Publishers Homepage  [355 journals]
  • Comparative study of speech and language development in children with
           normal hearing and cochlear implant in Iran

    • Authors: Hamed Ahmadi, Hamed Mahmoudian Sani, Gholamreza Farnoosh, Mohammad Reza Mahmoudian Sani
      Pages: 135 - 140
      Abstract: Hamed Ahmadi, Hamed Mahmoudian Sani, Gholamreza Farnoosh, Mohammad Reza Mahmoudian Sani
      Indian Journal of Otology 2017 23(3):135-140
      Today, cochlear implant provides an appropriate opportunity for the development of speech and language in children. In some studies, the age of children at the time of surgery has been stated as the most important factor in the development of speech and language of children after cochlear implant, while in other studies factors, including participation in rehabilitation programs, parental educational level, and lack of other disability have been regarded as key factors in the development of speech and language in these children. This review aims to assess the conducted studies in Iran to identify factors contributing to improving the auditory perception, language, and other skills in children with cochlear implants in comparison to children with normal hearing. The purpose of this study is to review the results of studies conducted on speech and language abilities in children with cochlear implant compared to the normal group in Iran. Directory of Open Access Journals, Google Scholar, PubMed (NLM), LISTA (EBSCO), and Web of Science have been searched. cochlear implants in deaf children before language learning results in the acquisition of speech and language skills in children. Timely detection of hearing impairment, early implantation, duration of hearing, and parental involvement in the rehabilitation process are important factors that affect the development of speech and language. The child's age at the time of implantation, continued participation in rehabilitation programs and the lack of associated problems directly impact the development of auditory perception, speech and language of children with cochlear implant while family education level indirectly impacts this developmental process.
      Citation: Indian Journal of Otology 2017 23(3):135-140
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_51_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Significance of round window niche drilling for cochlear implant surgery

    • Authors: Deepak Dalmia, Sanjaya Kumar Behera
      Pages: 141 - 145
      Abstract: Deepak Dalmia, Sanjaya Kumar Behera
      Indian Journal of Otology 2017 23(3):141-145
      Aim: The aim of this study is to determine the extent of round window niche (RWN) drilling for optimal visualization of the round window membrane (RWM) during cochlear implant surgery. Materials and Methods: This is a prospective study of 38 candidates between 1 and 8 years for cochlear implant surgery from March 2014 to March 2016. We classified the visibility of RWM and its cover by RWN on the surgical view through the posterior tympanotomy during surgery into four types (1) Type 1 - fully visible, (2) Type 2-2/3rd (75%–99%) of RWM visible, (3) Type 3 - ½–2/3rd (50%–74%) of RWM visible, and (4) Type IV - ¼th–½ (25%–49%) of RWM visible. Extent of drilling of RWN into (1) drilling of anterosuperior and superior lip, (2) drilling of anterosuperior, superior, and posterosuperior lip, (3) drilling of the anterior lip with anterosuperior, superior, and posterosuperior lip, and (4) drilling of the posterior lip with Type III drilling. Results: Type-4 RWN is the most common and Type-1 least common. The extent of drilling most commonly performed was Type IV drilling of anterosuperior, superior, and posterosuperior and anterior and posterior lip of RWN. Conclusion: Sufficient drilling of the bony overhang is essential for complete exposure of RWM for insertion of electrodes without any hindrance.
      Citation: Indian Journal of Otology 2017 23(3):141-145
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_43_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Comparative assessment of grommets with topical intranasal steroid in
           cases of otitis media with effusion

    • Authors: Sushil Suresh Chavan, Prakash S Nagpure
      Pages: 146 - 150
      Abstract: Sushil Suresh Chavan, Prakash S Nagpure
      Indian Journal of Otology 2017 23(3):146-150
      Aim: This study of 56 patients is to assess the effectiveness of grommet insertion compared with non-surgical treatment steroids (topical intranasal) in otitis media effusion (OME) cases and study complications related to the grommet and topical intranasal steroid. Material: A total subjects of various age groups attending out patient department of ENT, Kasturba Hospital, MGIMS Sevagram, Hospital, Wardha from june 2013 to august 2015 who meet the inclusion criteria and give their written consent in local language will be included in the study. Method: Comparison of medical and surgical management were done. Medical management include topical intranasal steroids by Mometasone fuorate. The recommended dose for treatment of the nasal symptoms is 1 spray (50 microgram of mometasone furoate in each spray). Recommended duration of spray is 2 to 4 weeks and the stated achievement of effect of spray is approximately 1 to 2 weeks. Surgical management include myringotomy with grommet insertion. Generally, myringotomy is performed in conjunction with the insertion of a polyethylene tube called as grommet. Infants and small children are best managed by performing this procedure under a general anesthetic. In older children and adults, local anesthetic can be used as a single block in posterior canal wall so as it block Arnold“s nerve. Results: From this present study cases of children 10 (47.62%) patients shows improvement and 17 (48.57%) adult patient shows improvement having minimal difference. Similarly failure of treatment in children is 1 (4.76%) complications in 2 (9.52%) and in adult patients 0 (0%) complication in 2 (5.71%) it was not showing significant differences. p value was not significant and showing that the differences in value was not having any level of significance in same group. It is concluded that topical nasal steroids are not so effective as surgical drainage of exudative material (myringotomy). Conclusion: Use of steroid causes nasal irritation and temporary relief only and in some patient causes only retention of fluid. Sometimes grommet retained in tympanic membrane and not extruded out needed manual removel. Beside that Overall results are in the favour of myringotomy with grommet insertion as a better modality.
      Citation: Indian Journal of Otology 2017 23(3):146-150
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_46_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Impact of smoking and tobacco addiction on sensorineural hearing loss
           among normal healthy participants: A cross-sectional cohort study

    • Authors: Balaji Sekher, Vikas Sinha, Sushil G Jha
      Pages: 151 - 154
      Abstract: Balaji Sekher, Vikas Sinha, Sushil G Jha
      Indian Journal of Otology 2017 23(3):151-154
      Background: Cigarette smoking and tobacco addiction is one of the major health issues worldwide. Tobacco addiction is generally related to health issues such as chronic obstructive pulmonary disease and heart disease hypertension. It is also said that tobacco addiction causes sensorineural hearing loss (SNHL). Aim and Objective: The aim of this study was to show direct correlation between tobacco addiction and SNHL. Materials and Methods: In our study, sixty participants who are addicted to tobacco products at least minimum of 20 years were taken as subjects and matched with age-specific controls who do not have any tobacco addiction. They were asked to undergo basic history taking session, otoscopy, and pure tone audiometry, and results were analyzed. Results: SNHL is more common in tobacco users than the age-specific control group. Conclusion: TObacco addiction (both smoking and tobacco chewing) is associated with increased risk of developing SNHL.
      Citation: Indian Journal of Otology 2017 23(3):151-154
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_10_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Evaluation of effects of diabetes mellitus type 2 and hyperlipidemia on
           hearing

    • Authors: Sandip M Parmar, Pushkar Khare, Meenu Chaudhary
      Pages: 155 - 161
      Abstract: Sandip M Parmar, Pushkar Khare, Meenu Chaudhary
      Indian Journal of Otology 2017 23(3):155-161
      Background: Age related hearing loss or Presbyacusis may be defined as mid to late onset, bilateral, progressive sensorineural hearing loss, where underlying causes have been excluded. In recent decades there has been a rapid progression in population aging, and with advancing age, chronic diseases and functional impairments become more common. Varying ranges of the prevalence of sensorineural deafness in subjects with diabetes and hyperlipidemia has been reported. The present study was undertaken to determine whether or not diabetes mellitus type 2 and hyperlipidemia induced auditory dysfunction. Materials and Methods: A cross sectional observational study was undertaken which comprised of a total of 200 subjects who were divided in 4 groups, which comprised of 50 control subjects in one group and 150 case subjects in the other 3 groups with presence of diabetes mellitus type 2, hyperlipidemia and those having both diabetes mellitus type 2 and hyperlipidemia. All subjects were evaluated by conducting pure tone audiometry and blood investigations like lipid profile and fasting and postprandial blood sugars. Results: It was observed that hearing loss was more prevalent (62%) and highly significant (P 0.001) as compared to controls in patients with both diabetes mellitus type 2 and hyperlipidemia together. The hearing loss was significantly more for higher frequencies in air and bone conduction thresholds. Conclusion: The prevalence of sensorineural hearing loss was increased in subjects having both diabetes mellitus type 2 and hyperlipidemia and these subjects are at a higher risk of developing sensorineural hearing loss. The hearing loss was progressive, bilateral and affected mainly higher frequencies.
      Citation: Indian Journal of Otology 2017 23(3):155-161
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_136_16
      Issue No: Vol. 23, No. 3 (2017)
       
  • Effects of nonlinear amplification on differential sensitivity measures in
           individuals with cochlear hearing impairment

    • Authors: N Devi, G Amritha, Kishore Tanniru
      Pages: 162 - 167
      Abstract: N Devi, G Amritha, Kishore Tanniru
      Indian Journal of Otology 2017 23(3):162-167
      Objective: The current study focused on exploring the influence of multichannel amplification with wide dynamic range compression (WDRC) on frequency, intensity, and duration discrimination measures at two frequencies in different channels of amplification. Methods: Discrimination measures were performed on twenty ears with moderate flat sensorineural hearing loss using 2-down and 1-up adaptive procedure to achieve 70.7% response on the psychometric function. All stimuli were generated through AUX script and presented using Psycon version 2.18 experimental software and delivered through the speakers oriented at an angle of 0° azimuth. Discrimination measures were performed in both aided and unaided conditions for two pure tone frequencies of 750 and 1500 Hz with 500 ms duration (on/off ramp duration of 80 ms to avoid spectral splatter) presented at a level of 20 dBSL (with reference to the threshold separately in each condition). The responses were recorded through three interval alternative forced choice paradigm with visual feedback. An average of final four reversals out of eight was considered for discrimination threshold estimation. Results and Conclusions: Results revealed a statistically significant deterioration in intensity discrimination and a significant improvement in difference limen for frequency and duration with nonlinear amplification. The deteriorated intensity discrimination scores were explained in perspectives of WDRC acting in amplification device.
      Citation: Indian Journal of Otology 2017 23(3):162-167
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_2_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Beck depression Inventory-II in hearing impaired elderly patients: A
           presbycusis study

    • Authors: Mohammad Hossein Nilforoush, Mahsa Sepehrnejad, Zahra Habibi
      Pages: 168 - 170
      Abstract: Mohammad Hossein Nilforoush, Mahsa Sepehrnejad, Zahra Habibi
      Indian Journal of Otology 2017 23(3):168-170
      Background and Objective: Hearing impairment is one of the most common sensory deficits in human communities. Recent studies have shown that presbycusis happens earlier than before. Hearing loss due to the aging process, or presbycusis, can cause inability to interpret sounds in speech, decreased ability to communicate and withdrew from society. Therefore these factors may lead to psychological problems such as depression. Since there are few studies evaluating the side effects of presbycusis in Iran, we started the study of depression in presbycusis clients referred to the audiology clinics of Isfahan University of medical science, Isfahan, Iran. Materials and Methods: In this cross-sectional study, the relationship between demographic characteristics and depression was determined. In order to collect information and evaluate depression, Beck Depression Inventory-II (BDI-II) was utilized and conducted on 35 cases. Results: Results indicated that 8.6fcr% had minimal depression, 14.3% with mild, 20.0% moderate depression and 57.1% had severe depression. No significant correlation between age, gender and depression was achieved. Conclusion: Using depression questionnaire such as BDI-II during aural rehabilitation process could be valuable. More complications were found in acceptance of hearing aids in elderly people with depression. Psychological treatment can be suitable while audiological management was accomplished simultaneously for this group.
      Citation: Indian Journal of Otology 2017 23(3):168-170
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_63_16
      Issue No: Vol. 23, No. 3 (2017)
       
  • Comparison of manual and computer-assisted measurement of cochlear nerve
           obtained from magnetic resonance imaging

    • Authors: S Jeevakala, A Brintha Therese, Rajeswaran Rangasami
      Pages: 171 - 175
      Abstract: S Jeevakala, A Brintha Therese, Rajeswaran Rangasami
      Indian Journal of Otology 2017 23(3):171-175
      Objectives: Cochlear implantation of sensorineural hearing loss requires accurate measurement of cochlear nerve (CN). The precise measurement of very small structures can be improved by automated segmentation and measurement. The variability and reproducibility of the computer-assisted measurement were compared with manual measurements. Materials and Methods: The 3D-constructive interference in steady state magnetic resonance imaging (MRI) images of twenty patients who were referred for MRI in the assessment of giddiness/vertigo or fitness for cochlear implant during the period from June 2013 to June 2014 were analyzed. The CN sizes were measured manually by two independent radiologists. The automatic measurements were then performed on the same images, and its correlation and agreement were calculated between automated and manual measurements. Results: The intra-observer correlation coefficients were significantly larger for cross-sectional area (CSA) of CN using automated measurements when compared to manual measurement (intra-observer r: 0.94021 vs. 0.91437). Similarly, the inter-observer correlation for CSA of CN is also higher in automated measurements (inter measurement r: 0.94786 vs. 0.92013). Conclusions: Using computer-assisted CN dimension measurement, the intra- and inter-observer correlation can be improved when compared to manual measurements. The automated measurement can assist the radiologist in eliminating the need for tedious manual tracing and thus, the time and effort for manual segmentation are also significantly reduced.
      Citation: Indian Journal of Otology 2017 23(3):171-175
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_79_16
      Issue No: Vol. 23, No. 3 (2017)
       
  • Radiological changes in anatomy of temporal bone in cases of unsafe
           chronic suppurative otitis media: A retrospective study

    • Authors: Vinit Kumar Sharma, Neeraj Prajapati, Rohit Sharma, Zafar Iqbal, Shubham Dadoo
      Pages: 176 - 179
      Abstract: Vinit Kumar Sharma, Neeraj Prajapati, Rohit Sharma, Zafar Iqbal, Shubham Dadoo
      Indian Journal of Otology 2017 23(3):176-179
      Introduction: The ability of high-resolution computed tomography (HRCT) to depict the status of structure of the temporal bone represents a major advance in delineating pathology before surgical exploration of ear in cases of unsafe chronic suppurative otitis media (CSOM) or cholesteatoma. Aims and Objectives: The aim of this study was to evaluate the role of HRCT temporal bone in cases of unsafe CSOM and to assess the erosion of various structures in middle ear cleft. Study Design: This was a retrospective analysis. Materials and Methods: Fifty HRCT scans of temporal bone of the patients who were diagnosed as case of unsafe CSOM were selected and analyzed retrospectively. Criterion for inclusion was CSOM with cholesteatoma or granulations or polyp or posterior canal wall sagging or foul smelling discharge. In HRCT scans, 1 mm thickness sections were studied in both axial and coronal planes. Criterion for exclusion was history of previous ear surgery, history suggestive of head injury or skull base trauma in the past or known cases of temporal bone neoplastic pathology. Results: Maximum number of patients belonged to the age group of 21–30 years. Ossicular erosion was the most common (90%) finding followed by scutum erosion (84%). Erosion of sigmoid sinus plate was seen in only one case (2%). Cochlear promontory fistula was seen in none of the computed tomography scans. In ossicular chain, incus was the most common ossicle to be necrosed (92%) followed by malleus (66%). Conclusion: HRCT temporal bone delineates the location and extent of the disease and provides information on anatomical variations and complications.
      Citation: Indian Journal of Otology 2017 23(3):176-179
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_15_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Pseudomonas aeruginosa and its sensitivity spectrum in chronic suppurative
           otitis media: A study from Garhwal hills of Uttarakhand State, India

    • Authors: Deepak Juyal, Munesh Sharma, Vikrant Negi, Rajat Prakash, Neelam Sharma
      Pages: 180 - 184
      Abstract: Deepak Juyal, Munesh Sharma, Vikrant Negi, Rajat Prakash, Neelam Sharma
      Indian Journal of Otology 2017 23(3):180-184
      Introduction: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity, with recurrent ear discharge through a perforated tympanic membrane. It is a major health problem in developing countries causing serious local damage and life-threatening complications. The advent of sophisticated systemic antibiotics and their irrational use has led to the emergence of multidrug-resistant (MDR) bacterial strains and disease complication in return. Pseudomonas aeruginosa, one of the most common organisms to cause CSOM, is a notorious pathogen and is known for its MDR attribute. Objective: The aim of this study was to know the prevalence of P. aeruginosa among the patients suffering from CSOM, to analyze their antimicrobial susceptibility pattern, and to find out MDR P. aeruginosa strains. Materials and Methods: A total of 571 patients clinically diagnosed of CSOM were enrolled in the study (559 patients with unilateral and 12 with bilateral discharge), and 583 samples were obtained from them. Sample processing and identification was done by standard bacteriological methods. One hundred eighty-seven strains were identified as P. aeruginosa and were subjected to antimicrobial susceptibility testing for 10 different antibiotics categorized into five classes. Results: Of total 583 samples collected, growth was seen in 576 (98.8%) samples. P. aeruginosa strains were isolated from 187 (32.1%) samples. Piperacillin-tazobactam (75.4%), amikacin (74.3%), imipenem (70.6%), and cefepime (69.0%) were found to be the most effective antibiotics. Twenty-nine (15.5%) strains were resistant to all the five classes of antibiotics tested. The rate of resistance to fluoroquinolones (48.7%) was highest, followed by antipseudomonal penicillin (41.7%), and was lowest for carbapenems (29.4%). Conclusion: Knowing the etiological agents of CSOM and their antibiogram is of paramount importance for an efficient treatment and prevention of both disease complications and antimicrobial resistance.
      Citation: Indian Journal of Otology 2017 23(3):180-184
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_31_14
      Issue No: Vol. 23, No. 3 (2017)
       
  • Speech language development after cochlear implants in prelingual children
           according to the age of implantation

    • Authors: Alexandre Caixeta Guimarães, Henrique Furlan Pauna, Silvia Badur Curi, Vagner Rodrigues Silva, Alexandre S. M Duarte, Arthur Menino Castilho
      Pages: 185 - 188
      Abstract: Alexandre Caixeta Guimarães, Henrique Furlan Pauna, Silvia Badur Curi, Vagner Rodrigues Silva, Alexandre S. M Duarte, Arthur Menino Castilho
      Indian Journal of Otology 2017 23(3):185-188
      Objectives: The purpose of this article is to evaluate the results regarding speech development of implanted children according to the age of implantation. Materials and Methods: This is a retrospective study with all implanted children at a tertiary hospital from 2003 to 2010. Children were grouped according to the age of the activation of the cochlear implant (CI), gender, and etiology. The degree of oral communication and the speech development using the MacArthur-Bates scale were evaluated. Results: Fifty-six children were included, 23 of them were activated before 3 years of age and 33 between 3 and 6 years. The average time of CIs use was 66 months with no significant difference between groups. Oral communication and the MacArthur-Bates Communicative Development Inventories were significantly better in children activated before 3 years (P = 0.018). Conclusion: The oral communication and speech development of children implanted before 3 years of age were significantly better than children implanted after 3 years of age.
      Citation: Indian Journal of Otology 2017 23(3):185-188
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_50_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Comparison of myringostapediopexy and malleostapediopexy tympanoplasty
           with sculptured incus in case of hearing reconstruction in tubotympanic
           chronic otitis media: A case series

    • Authors: Virendra Pratap Singh, Neha Sharma, Chetan Bansal
      Pages: 189 - 192
      Abstract: Virendra Pratap Singh, Neha Sharma, Chetan Bansal
      Indian Journal of Otology 2017 23(3):189-192
      Introduction: Chronic suppurative otitis media (CSOM) is a burden on Indian population due to hearing loss due to deformation of the ossicular chain which needs reconstruction (ossiculoplasty). This study is an attempt to analyze the use of autogenous incus in ossiculoplasty for the same. Aim: The aim of this study is comparison of malleostapediopexy and myringostapediopexy in seventy cases of tubotympanic CSOM. Materials and Methods: Seventy patients with CSOM were operated and tympanoplasty was done. Ossiculoplasty was done using incus interposition as malleostapediopexy and myringostapediopexy and results analyzed. Results: In the present study, the pre- and post-operative air-bone gap values for myringostapediopexy cases were 38.00 ± 6.84 and 27.28 ± 5.12, respectively, and for type malleostapediopexy were 37.95 ± 7.51 and 18.08 ± 4.34, respectively. Statistical Test Used: Unpaired t-test. Conclusion: A better outcome was seen in malleostapediopexy than myringostapediopexy.
      Citation: Indian Journal of Otology 2017 23(3):189-192
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_58_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Preauricular sinus: A comparative study between different surgical
           approaches

    • Authors: Ahmed Shaker ElAassar, Mohammad Abd-El Hady, Sherif M Askar, Hazem Said Amer, Mohammad Waheed El-Anwar
      Pages: 193 - 196
      Abstract: Ahmed Shaker ElAassar, Mohammad Abd-El Hady, Sherif M Askar, Hazem Said Amer, Mohammad Waheed El-Anwar
      Indian Journal of Otology 2017 23(3):193-196
      Background: The preauricular sinus is a congenital abnormality of the external ear that is usually asymptomatic. However, if recurrent infection, persistent discharge or abscess formation occurs, complete surgical excision of the sinus is required. Objective: The objective of the study is to compare the long-term results of the preauricular sinus excision by simple sinectomy, microscopic-assisted sinectomy, and supra-auricular approach. Patients and Methods: Patients who had symptomatic preauricular sinus scheduled for surgical excision were randomly categorized into three groups: Group A (sinectomy) for whom preauricular sinus was excised by simple sinectomy using methylene blue; Group B (microscopic-assisted sinectomy) treated by simple sinectomy using the microscopic to follow, dissect out and excise the sinus tract(s); and Group C (supra-auricular approach) treated by the supra-auricular approach. Results: Excisions of 68 preauricular sinuses were carried out in 58 patients. The mean follow-up period was 19.7 months with a range of 9–30 months. The overall recurrence rate was 13.4% (9 cases). The timing of recurrence ranged from 3 to 6 months (3–12 months). The simple sinectomy technique had the highest recurrence rate (28%). The recurrence rate of the microscopic-assisted technique was 15% while the supra-auricular approach had the lowest recurrence rate (3.4%). Conclusion: The supra-auricular approach offers the most favorable outcome for the management of the preauricular sinus.
      Citation: Indian Journal of Otology 2017 23(3):193-196
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_69_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Simultaneous labyrinthectomy and cochlear implantation for a case of
           otosclerosis with intractable vertigo

    • Authors: Joyce Pascal Rozario, Anjali Lepcha, John Mathew
      Pages: 197 - 199
      Abstract: Joyce Pascal Rozario, Anjali Lepcha, John Mathew
      Indian Journal of Otology 2017 23(3):197-199
      Stapedotomy, though a common surgical procedure for otosclerosis, if inadequately performed, can cause dreaded complications of vertigo and profound hearing loss. Labyrinthectomy with cochlear implantation can be considered in cases of intractable vertigo, as numerous reports have shown that the cochlea still remains responsive to electrical stimulation postlabyrinthectomy. This report presents a case of otosclerosis, with severe to profound deafness and intractable vertigo poststapedotomy surgery, which was treated with simultaneous labyrinthectomy and cochlear implantation. This patient had good control of vertigo postoperatively and the Dizziness Handicap Index score pre- and post-operative were 80 and 38, respectively, with significant improvement in speech perception.
      Citation: Indian Journal of Otology 2017 23(3):197-199
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_84_16
      Issue No: Vol. 23, No. 3 (2017)
       
  • Basal cell carcinoma of the Auricular concha

    • Authors: Mohammad Waheed El-Anwar, Mohamed Salah
      Pages: 200 - 202
      Abstract: Mohammad Waheed El-Anwar, Mohamed Salah
      Indian Journal of Otology 2017 23(3):200-202
      Basal cell carcinoma (BCC) is the most common skin cancer. Eighty percent of BCC affect the facial skin. The important challenge is removing all tumor cells to avoid recurrence because recurrent tumor is more difficult to cure. The current study describes the first surgically removed BCC of the concha and describes its management. A 65-year-old woman presented with left painless fixed conchal swelling proved by punch biopsy to be BCC. This mass was totally removed with 0.5 safety margin with excision of all the conchal cartilage and lower part of ascending ramus of the helix. Postauricular raw area was left to be healed with frequent dressing. Histopathological examination confirmed the diagnosis of BCC and proved free surgical margin. The patient was cosmetically satisfied and symptom free up to date without complication or recurrence. A case of BCC of the conchae was reported and could be safely and completely removed. This directs surgeon attention to BCC as a cause of conchal swelling as an early diagnosis when it is still small allows easy, safe removal without the need for reconstruction.
      Citation: Indian Journal of Otology 2017 23(3):200-202
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_105_16
      Issue No: Vol. 23, No. 3 (2017)
       
  • Unrare but unfamiliar preauricular pilomatricoma mimicking parotid tumor

    • Authors: Anna Park, Jeong Hwan Choi
      Pages: 203 - 204
      Abstract: Anna Park, Jeong Hwan Choi
      Indian Journal of Otology 2017 23(3):203-204
      Pilomatricoma is a benign skin tumor arising from the outer root sheath cell of the hair follicle that usually present in the head and neck region. Pilomatricoma usually presents as an asymptomatic, solitary, firm or hard, freely mobile, dermal or subcutaneous nodule, and exhibits no fixation to neighboring tissues and has a cartilage-like hardness. The characteristic image findings are reported as well-defined subcutaneous masses with or without visible calcification. Despite these general clinical characteristics, the preoperative diagnosis-based solely on the clinical examination is often difficult because of various manifestations frequently presented by the tumor.
      Citation: Indian Journal of Otology 2017 23(3):203-204
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_107_16
      Issue No: Vol. 23, No. 3 (2017)
       
  • Left mastoid abscess and right automastoidectomy: Two rare complications
           of cholesteatoma in a patient

    • Authors: Boon Chye Gan, Mohd Khairi Md Daud
      Pages: 205 - 207
      Abstract: Boon Chye Gan, Mohd Khairi Md Daud
      Indian Journal of Otology 2017 23(3):205-207
      In most cases of cholesteatoma, patients have a history of occasional scanty ear discharge, tinnitus, and gradual progression of hearing loss that may not bother their daily activities. Therefore, late presentation may occur when this group of patients attributes little importance to the otological symptoms. We report a patient with bilateral cholesteatoma who presented with mastoid abscess on the left ear and automastoidectomy on the right ear. Early detection and management of cholesteatoma is crucial in preventing its complication.
      Citation: Indian Journal of Otology 2017 23(3):205-207
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_48_17
      Issue No: Vol. 23, No. 3 (2017)
       
  • Reimplantation of an amputated pinna: A case report and review of
           literature

    • Authors: Brajpal Singh Tyagi, Sushant Tyagi
      Pages: 208 - 210
      Abstract: Brajpal Singh Tyagi, Sushant Tyagi
      Indian Journal of Otology 2017 23(3):208-210
      Management of the partial or total amputations of the external ear has always stayed a difficult problem for otolaryngologists and plastic surgeons. For successful reimplantations of these amputations, multidisciplinary approach consisting of aggressive medical therapy with broad-spectrum intravenous antibiotics, anticoagulation, and reperfusion in conjunction with efficient surgical approach is needed. The surgeon's main objective is to obtain the best cosmetic result without damaging the auricular area to allow for subsequent future ear reconstruction in case any failure occurs after replantation. To enhance the survival of a reattached ear segment, Mladick et al. have advocated the use of the retroauricular pocket. This technique involves deepithelialization of the amputated part of the avulsed cartilage, followed by reattachment to the amputation stump and then burial into a retroauricular skin pocket. This increases the surface area of the avulsed segment in contact with surrounding nutrients, maximizing the probability of graft uptake and survival. We have used this technique successfully in our case and found acceptable results with it.
      Citation: Indian Journal of Otology 2017 23(3):208-210
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_110_16
      Issue No: Vol. 23, No. 3 (2017)
       
  • Multimodality approach in evaluation of common crus aplasia

    • Authors: Sai Kiran Pendem, Rajeswaran Rangasami, S Sanjeev Mohanty, Prabhu Radhan Radhakrishnan
      Pages: 211 - 215
      Abstract: Sai Kiran Pendem, Rajeswaran Rangasami, S Sanjeev Mohanty, Prabhu Radhan Radhakrishnan
      Indian Journal of Otology 2017 23(3):211-215
      Common crus aplsia is a rare congenital anomaly caused due to abnormal reabsorption of neuroectodermal tissue of membranous common crus. Three patients came to the Department of Otorhinolaryngology with the complaints of poor response to sound. Audiometry examination revealed bilateral sensorineural hearing loss. They were referred to radiology department for high resolution computed tomography (HRCT) and magnetic resonance imaging (MRI) temporal bone as a part of preoperative cochlear implant work up. In the present study, we discuss the HRCT and MRI findings helpful in the diagnosis of this rare anomaly in three cases.
      Citation: Indian Journal of Otology 2017 23(3):211-215
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_140_15
      Issue No: Vol. 23, No. 3 (2017)
       
  • Malnutrition among children having otitis media: A Hospital-based
           cross-sectional study in Lucknow District

    • Authors: Mahmood Dhahir Al-Mendalawi
      Pages: 216 - 216
      Abstract: Mahmood Dhahir Al-Mendalawi
      Indian Journal of Otology 2017 23(3):216-216

      Citation: Indian Journal of Otology 2017 23(3):216-216
      PubDate: Thu,31 Aug 2017
      DOI: 10.4103/indianjotol.INDIANJOTOL_104_16
      Issue No: Vol. 23, No. 3 (2017)
       
 
 
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