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International Journal of Otorhinolaryngology and Head and Neck Surgery
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2454-5929 - ISSN (Online) 2454-5937
Published by Medip Academy Homepage  [12 journals]
  • Use of sound therapy in management of tullio phenomenon associated with
           unilateral endolymphatic hydrops

    • Authors: Mohamed Wael M. Mustafa, Aida A. Abdelmaksoud
      Pages: 1765 - 1767
      Abstract: Background: The tullio phenomenon consists of the production of vestibular signs or symptoms by an acoustic stimulus. TP was found to be present in many inner ear pathologies such as superior semicircular canal dehiscence, perilymphatic fistula and endolymphatic hydrops. No previous study probed the value of tinnitus maskers in the alleviation of Tullio phenomenon associated with endolymphatic hydrops.Methods: Twenty one patients who had a confirmed unilateral endolymphatic hydrops associated with Tullio phenomenon were selected for the study. Their age ranged from 20 to 52 years old. Tinnitus masker±amplification was used according to the audiological findings of each patient. The device was used in the affected ear for a minimum of 6 months.Results: Ten patients reported marked improvement on a graded scale with a mean of 8.6±1.2 as regards the occurrence of tullio phenomenon. Six patients achieved an average amelioration (mean 5.9±0.12) while five patients reported failure of the device (mean 3.4±0.6).Conclusions: Sound therapy using tinnitus masker±amplification is a good tool for alleviation of tullio phenomenon associated with unilateral endolymphatic hydrops.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204176
      Issue No: Vol. 6, No. 10 (2020)
  • A cross sectional study on the bacteriologic pattern of chronic otitis
           media and its antibiotic sensitivity

    • Authors: Ramya Shree C., Prabakaran S., Rajasekaran S., Priya K., Namasivaya Navin R. B.
      Pages: 1768 - 1772
      Abstract: Background: Chronic otitis media is the commonest middle ear and mastoid cavity disease, which has the tendency of causing morbidity to the patients ranging from deafness to intracranial complications. Hence this study was done to identify the local bacteriological pattern and its antibiotic sensitivity for treating them with appropriate antibiotic therapy.Methods: This cross-sectional study was done retrospectively with reports of culture and sensitivity of chronic otitis media from microbiology department. The sample was sent from the department of otorhinolaryngology in Chettinad hospital and research institute, Chennai, during the period from January 2018 to January 2020.Results: On assessing about 188 reports, 17 patients had no growth of organism. The commonest organism isolated was Pseudomonas species (33.0%) which was sensitive to imipenem (96.8%), followed by Staphylococcus (28.7%) which was sensitive to linezolid and teicoplanin (98.1%).Conclusions: The study concludes imipenem for Pseudomonas species and linezolid/teicoplanin for Staphylococcus. The appropriate and adequate antibiotic therapy is always recommended for chronic otitis media to avoid complications.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20203989
      Issue No: Vol. 6, No. 10 (2020)
  • Ear, nose and throat emergencies: an experience in rural area

    • Authors: Deepshikha Sumbria, Waqar Ul Hamid, Aamir Yousuf, Rauf Ahmad
      Pages: 1773 - 1777
      Abstract: Background: Ear, nose and throat (ENT) emergencies are very common throughout the world. Early diagnosis and prompt treatment in the hands of expert will result in reduction of morbidity, mortality and referrals.Methods: This retrospective study was conducted on 352 patients reporting in out-patient department (OPD) and emergency of District Hospital Ramban from June 2016 to May 2017. Demographic data as well as diagnosis were studied. The type of anaesthesia and type of procedure and outcome of emergency case were recorded. Patients with terminal cancer care admitted were excluded from the study.  Results: A total of 352 patients, 204 males and 148 females were included in present study. The commonest emergency was foreign body (69.03%), trauma (11.9%), epistaxis (9.6%), and abscess (6.8%). Procedures done were foreign body removal, fracture reductions, soft tissue injury repair, incision and drainage, packing and cauterisation.Conclusions: Foreign body is the most common cause of ENT emergency and it is a preventable accident. Education of parents and public at large will go a long way in reducing these preventable mishaps in children. Timely management of emergencies in the hand of experts reduces the mortality and complication rate.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20203967
      Issue No: Vol. 6, No. 10 (2020)
  • A clinicopathological study on fungal infection in nasal polyposis

    • Authors: K. Paventhan, M. Lakshmi Narayana, Aswin Vaishali P. N.
      Pages: 1778 - 1782
      Abstract: Background: Nasal polyposis is a multifactorial disease. Despite the presence of numerous theories proposed towards the aetiology of nasal polyp, inflammation is the main causative factor. Fungi can impair the local immune system and bring about an inflammatory response causing polyp formation. The aim and objective of the research was to know the prevalence of fungal infection in nasal polyposis and to assess the microbiological and pathological features of fungi in nasal polyposis.Methods: A total of 100 patients operated for nasal polyposis were included in the study excluding immune-compromised patients. All the nasal polyposis cases were subjected to clinical examination, diagnostic nasal endoscopy and medical treatment before undergoing surgical treatment. Polyps removed were subjected to histopathological examination (HPE) and potassium hydroxide (KOH) wet mount examination under microscope.  Results: Out of the 100 patients studied 66 patients (66%) were in the age group between 31 to 60 years. 85 patients had bilateral polyps, in which fungal element was isolated in 11 patients and among 15 patients with antrochoanal polyp 1 patient had fungal isolates. Of the 17 patients who had previous history of surgery, fungi were isolated in 4 patients and the rest were from patient who got operated for the first time. 3 out of the 8 patients, who had recurrence, were positive for fungal infection.Conclusions: Fungi are found to be more prevalent in nasal polyps and fungi can be considered as one of the main causative factor for formation of nasal polyposis and its recurrence after surgery. Anti-fungal agents could be a helping hand in the management of nasal polyposis to prevent its recurrence. 
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20203963
      Issue No: Vol. 6, No. 10 (2020)
  • A study of phonosurgeries in vocal dysfunction in Salem district

    • Authors: K. Mahendran, M. Praveen Kumar
      Pages: 1783 - 1786
      Abstract: Background: Phonosurgery essentially is surgery defined to improve or restore the voice. The objective of the study was to analyze and categorize the various benign lesions of the vocal cord causing vocal dysfunction requiring phonosurgeries, to analyze the incidence and distribution of cases according to age, sex, and etiology among the patients who require intense medical and voice therapy with surgical intervention. Methods: This prospective study was conducted in fifty patients with vocal dysfunction from the ear, neck and throat (ENT) outpatient department of Otorhinolaryngology, Mohan Kumaramangalam Government General Hospital, Salem in the year September 2018 to October 2019 who failed conservative medical and voice therapy requiring phonological procedure were included in this study. Phonomicrosurgery was done for the patients with benign vocal fold mucosal disorders and medialization laryngoplasty using Gore-Tex was done for the patients with unilateral vocal cord palsy causing vocal dysfunction.Results: The present study on phono surgery concludes vocal polyp is the commonest benign lesion of the vocal cord that constitutes 40% in our study population. Males are affected more than females. Proper investigation of voice and larynx provides the exact pathological nature of the lesion and determines the timing of surgical intervention.Conclusion: Most of the patients who underwent medialization laryngoplasty using Gore-Tex also had a good outcome at the end of the voice therapy. 
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20203987
      Issue No: Vol. 6, No. 10 (2020)
  • Correlation between microscopic and endoscopic approach to tympanoplasty:
           a comparative study

    • Authors: Jitendra Rathod, Reena Vare, Annju Thomas
      Pages: 1787 - 1792
      Abstract: Background: The objective of the study was to evaluate the role of endoscopes in the management of dry central perforations of the tympanic membrane, compare the visualization of middle ear anatomy, time taken for the procedure and each step of the surgery and preoperative and postoperative hearing results/improvement.Methods: Fifty patients of chronic suppurative otitis media without cholesteatoma who came to ENT OPD at MGM medical college and hospital Aurangabad were included. They were divided into 2 groups with 25 patients each. Group A underwent microscopic approach to tympanoplasty and group b underwent endoscopic approach to tympanoplasty. Patients were assessed pre and postoperatively after 7 days, 14 days, 1 month, 3 months and 6 months with postoperative audiometry in the third month. Results: There was an improvement in the post-operative audiometry air bone gap (ABG) in both the groups. The operative time for group A was comparatively lesser than group B. Residual perforation were detected in one patient in group A at postoperative months 3 and 6, and for group B at postoperative month 3 and in two patients at postoperative month 6.Conclusions: A shorter operative duration is an advantage of microscopic tympanoplasty technique. One handed technique is one of the disadvantages of endoscope. The endoscopic approach gave better results in terms of easy visualization of the entire tympanic membrane and ossicular system. Tympanoplasty using endoscope was found to be an effective method for management of dry central perforations of the tympanic membrane.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20203990
      Issue No: Vol. 6, No. 10 (2020)
  • Comparative study of nasal packs, quilts and splints in septal surgery

    • Authors: Pankaj Arora, Manish Munjal, Ajit Singh Khurana, Shubham Munjal, Tulika Saggar
      Pages: 1793 - 1798
      Abstract: Background: Nasal packing, quilting and splinting are utilized in septal surgery to have a patent airway. The effects on the patient have been studied.Methods: 60 subjects with deviated nasal septum requiring septal surgery were selected from the Rhinology division of otorhinolaryngology services of Dayanand Medical College and Hospital, Ludhiana. Comparison between nasal packing, nasal splints and quilt suturing was carried out in a period of one and a half years.Results: All the 20 patients (100%) of anterior nasal packing had severe local discomfort but no postoperative hematoma. 1 patient (5%) of quilt stitching showed septal swelling and 1 patient (5%) of anterior nasal packing suffered from moderate degree of fever. There was no such episode in any of the patients in whom quilt stitching and splints were used. 6 patients (30%) of anterior nasal packing had crust formation which was not seen in quilt stitching and splint patients. 7 patients (35%) of nasal packing had ulceration of nasal mucosa on removal of pack, while none had in the quilt stitching or nasal splint group. 2 (10%) patients with anterior nasal packing had postoperative synechiae formation.Conclusion: Quilting and splinting are the ideal tamponade post septal intervention As except for mild discomfort they do not experience the unpleasant sequel of accordion nasal packs. Moreover, it makes the procedure a day care surgery.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204177
      Issue No: Vol. 6, No. 10 (2020)
  • Etiological profile and correlation of radiological and endoscopic
           modalities for evaluation of nasal obstruction: a hospital-based study

    • Authors: Kavita Sachdeva, Ruchir Varshney
      Pages: 1799 - 1803
      Abstract: Background: Nasal obstruction causes considerable disease burden on our society and is frequently under-treated and under-evaluated. Aim of the study was to establish etiological profile and evaluate correlation of radiological and endoscopic modalities for evaluation of nasal obstruction.Methods: Ninety patients with nasal obstruction presenting to OPD of a tertiary hospital were evaluated with history/physical examination, rhinoscopy and radiological assessment by X-ray of para nasal sinuses (PNS), Computerized tomography of PNS (CT-PNS) and nasal endoscopy.Results: Inflammatory polyps were most common cause (33%) of nasal obstruction in our population which was young in age (20-40 years), the obstruction being predominantly of short duration (<10 months). CT-PNS had significantly better performance than X-ray PNS in detection of nasal polyp and cyst. There was good agreement between CT-PNS and nasal endoscopy for most of the cases. Polyps and mucosal oedema had significantly higher detection rates by endoscopy while CT-PNS was better in assessment of DNS.Conclusion: CT-PNS and Nasal endoscopy are superior for assessment of nasal obstruction and complement each other. 
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204178
      Issue No: Vol. 6, No. 10 (2020)
  • Comparative study of endoscopic tympanoplasty and conventional

    • Authors: Priyanka Aggarwal, Barjinder Singh Sohal, J. P. Goyal
      Pages: 1804 - 1810
      Abstract: Background: To compare the results of endoscopic tympanoplasty with that of conventional tympanoplasty and to evaluate and compare the graft uptake in both of these methods. The study was done to evaluate the improvement in hearing after tympanoplasty and the problems faced while doing the endoscope assisted tympanoplasty.Methods: Between July 2010 to June 2013, 50 patients underwent tympanoplasty, 25 were endoscope assisted (group A) and 25 were microscope assisted (group B). Results of surgery were compared at the end of three and six months post operation.Results: The success rate in terms of graft uptake rate was 88% with endoscope assisted tympanoplasty and 84% with other microscope assisted tympanoplasty. Overall success rate was 86.0%. Mean hearing improvement was (16.24±10.21 dB) and (14.28±7.10 dB) in group A and group B respectively.Conclusions: Tympanoplasty with its visualization of hidden corners, justifies tympanoplasty by using endoscope in selected cases with comparable improved results in the literature. Furthermore, the cost of the endoscope is much less (about 10%) in comparision to operating microscope, making it more cost effective in developing countries. However, the endoscope cannot be employed in every case as one hand is blocked. In terms of Patient comfort, the endoscope assisted outnumbers the benefits of other conventional methods.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204179
      Issue No: Vol. 6, No. 10 (2020)
  • Factors affecting outcome of cochlear implant: an observational study

    • Authors: Parth Patni, Deepak Dalmia, Udayanila T., Harish Katakdhond, Karthika Bhagavan
      Pages: 1811 - 1817
      Abstract: Background: Aim and objectives of the study was to evaluate various factors affecting outcome in cochlear implant surgery.Methods: A hospital based retrospective observational study in which 51 patients who underwent cochlear implant surgery from July 2017 to January 2019 were evaluated at Dr. Babasaheb Ambedkar Memorial Hospital, Byculla, Mumbai using 3 parameters i.e. Revised CAP score (CAP), meaningful auditory integration scale (MAIS), speech intelligibility rating (SIR) at various intervals postoperatively and outcome was evaluated.Results: It was found that the postoperative mean scores in all age groups were comparable but not significant at 3, 6 and 9 months interval while the difference was statistically significant at 12 and 24 months interval post implantation with less than 2 years age group performing better than other age groups patients with less than 2 years duration of auditory deprivation, the mean scores were found to be statistically significant at 12 and  24 months implantation Relationship to common causes such as prenatal infections, low birth weight, prolonged labour, hyperbilirubinemia, meningitis and consanguineous marriage were considered but not significant. No significant difference was observed in parent’s education level, urban-rural population to the outcome of cochlear implantation.Conclusions: Two most important factors that affect the outcome cochlear implantation are the age at implantation and the duration of auditory deprivation. Other factors are important but not significant and do not affect the outcome significantly.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204180
      Issue No: Vol. 6, No. 10 (2020)
  • Microbiological profile of common bacterial isolates from acute
           tonsillitis in pediatric age group patients

    • Authors: Ashish Sharma, Naga Babu Pyadala
      Pages: 1818 - 1820
      Abstract: Background: The paediatric age group are more prone to tonsillitis. The management of tonsillitis mainly based on understanding of microbiological and pathological features. This study aimed to discuss the microbiological profile of acute tonsillitis in children.Methods: Children fewer than 16 years age group was included in this study and the children underwent tonsillectomy or in antibiotics for at least one month were excluded from study. The throat swabs were taken for microbiological diagnosis.Results: A total of 150 children were diagnosed as acute tonsillitis during the period of 1 year from January 2019 to December 2019. The mean age group of children were 9.6 years. There were total 70 males and 80 females. The most common isolates were Streptococcus viridians group, Group A β-hemolytic Streptococci. There were only 3 cases with polymicrobial growth. The histopathological examination reported acute tonsillitis with follicular hyperplasia in all children.Conclusions: The understanding of microbiological profile could help in management of acute tonsillitis. The pathological profile can help us to identify the organisms which are difficult to culture.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204181
      Issue No: Vol. 6, No. 10 (2020)
  • Clinicopathological profile of sinonasal masses-a tertiary care centre
           study in rural India

    • Authors: Vidya Rokade, Kiran J. Shinde, Girishkumar R. More
      Pages: 1821 - 1826
      Abstract: Background: A variety of mass lesions occur within the paranasal sinus (PNS) and nasal cavity and thus it becomes mandatory for otorhinolaryngologist to elicit detailed history and thorough examination before reaching a final diagnosis. This is retrospective study of all sinonasal masses who were undergone surgical management in the institute of rural India and so in the environment.Methods: This is a retrospective observational study of 70 patients with sinonasal masses treated at a rural tertiary care hospital in rural western Maharashtra from period of Jan 2016 to May 2018. History, clinical assessment and histopathological examination (HPE) was done in all cases as per hospital record supplemented by radiological investigation as per requirement. The patients were grouped as per their histopathological diagnosis as non-neoplastic/inflammatory and neoplastic.Results: A total of 70 patients were analysed age ranging (11-70 years). Majority of the patients were in the age groups 21-40 years (47%). There were 43 (61%) male and 27 (39%) female with M:F ratio 1.6:1. On HPE, 50 (71%) cases were non neoplastic/inflammatory and 20 (29%) cases were neoplastic lesions. HPE revealed that 50 (71%) cases were non neoplastic and 20 (29%) cases were neoplastic lesions.Conclusions: Sinonasal masses have various differential diagnoses. They are fairly common with male predominance. Benign conditions show a peak during 2nd to 4th decade of life while malignancy increasing with the age after 4th decade. In non-neoplastic lesion, Allergic nasal polyp is the commonest histological pattern seen while in malignant lesions squamous cell carcinoma is noted with 100% male predominance. 
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204182
      Issue No: Vol. 6, No. 10 (2020)
  • Evaluation of the quality of life before and after functional endoscopic
           sinus surgery among patients with nasal polyps by means of SF-36

    • Authors: Farah Deeba, Syed Waseem Abbas, Ihsan Ali
      Pages: 1827 - 1829
      Abstract: Background: Aim of the study was to evaluate the quality of life before and after FESS among patients with nasal polyps.Material and Method: This study was done in Government Medical College Srinagar from January 2019 to December 2019 for a period of 12 months.  A total of 69 patients with nasal polyposis who underwent FESS were included in the study. They were given a questionnaire SF-36 to be fulfilled preoperatively, 3 months and at 6 months after surgery.Result: The preoperative SF-36 score was 79.35 and postoperative score was 83.62 at 3 months, 86.88 at 6 months.Conclusion: SF-36 questionnaire values showed improvement at 3 months and then at 6 months of follow up.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204183
      Issue No: Vol. 6, No. 10 (2020)
  • Ludwig’s angina: analysis of clinical features and their management
           strategy: a study of 30 patients

    • Authors: Harpreet Singh, Rupinder Singh, Gagandeep Goyal, Vikas Dhillon, Varun Arora, Asitama Sarkar
      Pages: 1830 - 1836
      Abstract: Background: Ludwig’s Angina is rapidly progressing infection of submandibular space that can cause severe airway compromise and death. The present study was done to evaluate the clinical features and management strategies in Ludwig’s angina.Methods: Thirty patients presenting with clinical diagnosis of Ludwig’s Angina were recruited in the study. All patients were given systemic antibiotics. Tooth extraction and surgical drainage was done wherever required. Patient records were reviewed for age, sex, duration of symptoms, clinical presentation, etiology, culture/sensitivity reports, requirement of surgical drainage or tracheostomy, hospital stay and complications.Results: The most common age group was third decade of life. Caries tooth was most common etiology followed by gingivitis. Difficulty in swallowing and pain in neck were the most common symptoms. Diabetes was the most common associated co-morbidity followed by chronic renal failure. Surgical treatment was required in twenty-one cases. Eight cases were treated medically while one patient expired during medical treatment. Necrotizing fasciitis was the most common complication. For most patients the hospital stay was between 1-2 weeks.Conclusion: We advocate that surgical management should be done at earliest in presence of respiratory difficulty as medical treatment alone can prove to be dangerous. It can be managed conservatively in younger patients without any associated co-morbidity or respiratory difficulty. However no single factor can predict the behaviour of this disease and it is advisable to be ready for immediate airway management.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204184
      Issue No: Vol. 6, No. 10 (2020)
  • Allergic tonsillar polyp: an uncommon lesion

    • Authors: Anil A. Vare, Rena A. Vare, Sanjana U. Nair
      Pages: 1837 - 1840
      Abstract: Background: Tonsils are not so commonly affected by allergic lesions or polyps. In this study we attempt to elucidate the nature of tonsillar polyps.Methods: The present study is a hospital based retrospective clinicopathological study in which a total of nine cases whose histopathological slides were reviewed and patient follow up was obtained.  Results: There were 5 males and 4 females between the age group of 15 to 30 years. Most of the cases presented with complaints of repeated throat pain, difficulty swallowing, foreign body sensation in throat and dry irritating cough. On examination a pedunculated sessile mass in seen protruding from the surface of the palatine tonsil usually unilateral. The clinical differentials included were tonsillar lipoma, haemangioma, lymphangioma, inclusion cyst and neoplasm. Based on histopathological examination following tonsillectomy with polypectomy a conclusion of allergic polyp was made and clinical follow up information of patients were obtained post-operatively. In this series we examine the clinicopathological features of polypoidal lesions of tonsils whose specific diagnosis was obtained after histopathological examination.Conclusions: A histopathological examination must be obtained in all cases of tonsillar polyps for proper post-operative management.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204185
      Issue No: Vol. 6, No. 10 (2020)
  • Role of mometasone furoate nasal spray versus saline nasal spray in
           treatment of adenoid hypertrophy: a prospective, randomized study

    • Authors: Rabia Monga, Sanjeev Bhagat, Vishal Sharma, Dimple Sahni, Harjinder Singh, Dinesh Kumar Sharma
      Pages: 1841 - 1844
      Abstract: Background: Adenoid hypertrophy is a common disorder in the paediatric population, presenting with multiple signs and symptoms ranging from nasal obstruction to obstructive sleep apnoea. Most common symptom is usually nasal airway obstruction. This prospective, randomized study aims to evaluate the efficacy of mometasone furoate spray in reducing size and clinical symptoms in patients with adenoid hypertrophy compared to saline spray.Methods: 60 patients in the age group of 3-11 years were enrolled in the study. Five symptoms were included that were hypo nasal speech, snoring, night cough, open mouth breathing and nasal obstruction which were scored as never=0, mild (sometimes)=1, moderate (less than 50% of times)=2, and severe (constant)=3. Diagnosis of adenoid hypertrophy was made on basis of nasal endoscopy.Results: Significant improvement was seen in individual as well as overall symptom score in group A as compared to group B after 8 weeks of treatment (p<0.001). There was significant improvement in mean adenoid grade as per nasal endoscopy at 8 weeks post therapy (p<0.001) which was not seen after 4 weeks of therapy.Conclusion: Intranasal steroid sprays have good role in decreasing the symptoms of adenoid hypertrophy and has reduced number of adenoidectomies required. The long-term effects as well as optimal duration of therapy is still controversial and needs to be studied further.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204186
      Issue No: Vol. 6, No. 10 (2020)
  • Association of hearing loss and lead exposure in a North Indian tertiary
           hospital: a pilot study

    • Authors: Anuja Bhargava, Syed M. faiz, Saloni Singh, Deepika Goswami, Harsha Singh
      Pages: 1845 - 1849
      Abstract: Background: Lead poisoning is one of the most common metal poisonings. Lead is present in many man-made structures, work environments and various products. It has been consistently shown that low as well as high exposure levels to heavy metals have an adverse effect on human health, leading to conditions such as cardiovascular and pulmonary dysfunctions.Methods: A total of 25 patients (50 ears) presented with hearing loss were included in the study on the basis of inclusion and exclusion criterion. All the patients were subjected to pure tone audiometry and blood lead levels followed by data analysis. Statistical analysis was used and data was analysed using Statistical package for social sciences (SPSS) 21.0 software. Chi-square test and ANOVA were used to compare the data. P value less than 0.05 was considered as significant.Results: Age group of patients included in study was 5-50 years with female predominance. Blood lead levels were independent of sex and age of patient, however statistical association was noted with pure tone audiometry (hearing loss).Conclusions: As positive correlation was observed between lead levels and hearing loss, we emphasize on the fact that further studies on a larger sample size including a control arm should be planned.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204187
      Issue No: Vol. 6, No. 10 (2020)
  • Surgical alternative to tracheoesophageal prosthesis for voice
           preservation in selected hypopharyngeal carcinoma

    • Authors: Neena Chaudhary, Shweta Jaitly, Rajeev Kumar Verma, Shashank Gupta, Para Chaudhary
      Pages: 1850 - 1853
      Abstract: Background: Pearson’s near-total laryngectomy (NTL) is a voice- preserving alternative to total laryngectomy in patients with advanced but localized laryngeal and hypopharyngeal cancers, wherein lung- powered speech is achieved by creation of a dynamic biological trachea-pharyngeal shunt. Report our experience with NTL in a series of 24 patients.Methods: A prospective case series analysis was done at VMMC and Safdarjung Hospital from January 2014- September 2019 after attaining ethical clearance. Twenty-four patients with lateralized, locally advanced hypopharyngeal carcinoma, not involving interarytenoid and post- cricoid areas were included in the study. Patients who had involvement of the post cricoid region, interarytenoid region or involvement of bilateral cricoarytenoid units were excluded from the study. The subjects underwent Pearson’s NTL and were followed- up to examine for disease- control and functional results.Results: 22 patients (91.6%) attained a good quality voice following surgery with 2 patients (8.3%) developing minor aspiration problems. 1 patient (4.16%) developed local recurrence after 5 months. Surgical complications were surgical site infection (20.8%), pharyngocutaneous fistula (16.67%) and shunt stenosis (4.16%).Conclusion: NTL is an oncologically safe alternative to total laryngectomy in selected patients and is capable of achieving excellent functional results with minimal surgical complications and post-operative maintenance.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204188
      Issue No: Vol. 6, No. 10 (2020)
  • Diagnostic efficacy of high-resolution computed tomography findings in
           patients of chronic suppurative otitis media atticoantral type

    • Authors: Nikki Gajjar, Neena Bhalodiya, Simple Bhadania
      Pages: 1854 - 1858
      Abstract: Background: High resolution computed tomography (HRCT) provides information about anatomy and pathology of temporal bone and middle ear cleft, thus becoming important imaging modality in diagnosis and pre-operative planning in patients of chronic suppurative otitis media (attico-antral) CSOM (AA) type. The aim of study was to study disease extension and plan surgery accordingly in patients of CSOM (AA) and to study correlation between the HRCT findings and intra-operative findings of CSOM (AA) like soft tissue density mass, ossicular chain erosion, facial canal dehiscence, semi-circular canal erosion.Methods: Study of 70 patients clinically diagnosed of having CSOM (AA) in period between August 2018 to March 2020 was done at Sola civil hospital, Ahmedabad. All patients were advised HRCT temporal bone except those who had contraindications to CT scan, analysed and operated. Pre-operative CT-scan findings and intra-operative findings were compared for statistical analysis.Results: Soft tissue density was found in 100% of cases on HRCT temporal bone. Bony erosion seen in 25% of cases. 90% showed ossicular erosion. Lateral semi-circular canal fistula was observed in 10% of cases with facial canal dehiscence in 10% of cases. Intra-operative findings showed accuracy of HRCT in detecting soft tissue density to be 100%; bony erosion was observed in 25% cases. 10% patients had lateral semi-circular canal fistula. Facial canal dehiscence was seen in 15% cases.Conclusion: HRCT has proved quite useful and reliable to identify the disease extension before surgery and plan surgery accordingly. 
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204189
      Issue No: Vol. 6, No. 10 (2020)
  • Clinical, pathological and radiological profile of sinonasal masses in
           patients presenting to a tertiary care center: a retrospective
           observational study

    • Authors: Neena Bhalodiya, Kerul J. Prajapati, Parth Hingol, Simple Bhadania
      Pages: 1859 - 1866
      Abstract: Background: The study aimed to assess the profile of various pathological conditions that present with nasal mass in Indian patients.Methods: This is a retrospective observational study of 43 patients of sinonasal masses who visited GMERS Medical College and Hospital, Sola, Ahmedabad, India during May 2017 to March 2020. The clinical profile of sinus or nasal masses were observed along with their radiological features on computed tomography scans of paranasal sinuses. The age and gender sub group were also assessed for distribution of these conditions. Most of the patients were managed with surgical techniques.  Results: Overall, clinical profile of 43 patients was observed. The clinicopathological examination aided by endoscopic and imaging studies revealed that 20 (46.5%) patients presented with the non-neoplastic masses and remaining were with neoplastic masses (53.5%). The overall M: F ratio was 1.5:1. Most of the patients belong to         11-30 years age group. The most common symptoms were mass in the nasal cavity and nasal discharge. Polyps were most common lesions seen (25.6%). Surgical intervention in the form of biopsy, excision of mass, functional endoscopic sinus surgery was performed in all patients.Conclusions: This study gives an insight into various lesions presenting as sinonasal masses and their clinical and pathological profile. Overall, surgical management in form of excision by endoscopic or external approach is effective modality of treatment supplemented with appropriate medical management.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204190
      Issue No: Vol. 6, No. 10 (2020)
  • Latency and amplitude of P300 using speech and non-speech stimuli - a
           normative study

    • Authors: Bhimraj B. Ramteke, Sushil N. Meshram
      Pages: 1867 - 1873
      Abstract: Background: The P300 was among the first auditory response in a collection of events related or endogenous evoked responses. The P300 is related to cognition and use of knowledge about the environment.Methods: The subjects (n=60) selected with an equal distribution of genders. P300 evoked potentials elicited by non-speech and speech stimuli is recorded.  Results: There is a significant difference in latency of P300 for speech verses non-speech stimuli as well as there is a significant difference in the latency of P300 among males and females for speech versus non speech stimuli. No significant difference in amplitude of P300 for speech versus non-speech stimuli and for right versus left ears.Conclusions: P300 latency is influenced by stimulus used and gender variation. The present study showed that the non-speech stimuli had lower latencies compared with speech stimuli. For the P300 amplitude values, the difference between groups were not significant.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204191
      Issue No: Vol. 6, No. 10 (2020)
  • Role of topodiagnostic tests in evaluation of facial nerve palsy in head

    • Authors: Manish Munjal, Hem Lata Badyal, Anju Mehndiratta, Shubham Munjal, Iti Bharadwaj, Shivam Kalra, Arnav Mehta
      Pages: 1874 - 1877
      Abstract: Background: Head injury with temporal bone trauma manifests with facial nerve palsy. The site of lesion can be assessed by various tests.Methods: A retrospective study of 500 cases of head injury was undertaken to study the role of topodiagnostic tests in localising the site of lesion in 48 patients of facial palsy. The study was undertaken by the otology services of Dayanand medical college and hospital, Ludhiana during a period of one year.Cases: 500 cases admitted with head injury were screened. The cases with facial nerve paralysis were then enrolled in the study.Results: In 48 patients of facial palsy, taste sensation was diminished in 67% (21 cases); acoustic reflex absent in 86.8% (33 cases) and Schirmer’s test showed reduced lacrimation in 29.1% (14 cases).Conclusions: The topodiagnostic tests do not always localise the site of lesion in head injury.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204192
      Issue No: Vol. 6, No. 10 (2020)
  • Utility of Rinne’s tuning fork test for quantitative assessment of
           conductive hearing loss

    • Authors: Shivakumar Senniappan, Rohith Chendigi
      Pages: 1878 - 1881
      Abstract: Background: The Rinne tuning fork test is used routinely in clinical ENT examination. It is used to assess the person’s hearing acuity. Ideally, 3 tuning forks are used 256, 512 and 1024 Hz. Rinne tuning fork tests can be used to diagnose conductive hearing loss. Aim of our study an attempt is made to find the utility of three different tuning forks (256,512,1024 Hz) for quantification of conductive hearing loss and their accuracy.Methods: A retrospective study with a sample size of 300 was undertaken over 12 months from April 2018 to March 2019 at the out-patient department of ENT of VMKV medical college and hospital, Salem. Patients of both sexes and aged above 10 yrs presenting with conductive hearing loss due to varied etiology were subjected to complete ENT examination including Rinne test with three different tuning forks (256, 512, 1024 Hz).Results: The results of all the tuning forks (256, 512, 1024 Hz) shows that 29 patients were Rinne’s positive to all tuning forks had the air-bone gap range of 15 dB to 19 dB with a mean air-bone gap of 17.63 dB. 83 patients were negative to 256 Hz tuning fork but positive to 512 and 1024 Hz tuning forks had the air-bone gap range of 20 to 29 dB with a mean air-bone gap of 25.46 dB.Conclusions: We conclude that Rinne’s tuning fork test can be used to quantify the degree of conductive hearing loss into mild (20-30 dB), moderate (30-45 dB), and severe (45-60 dB).
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20203988
      Issue No: Vol. 6, No. 10 (2020)
  • Recurrent and Hodgkin’s lymphoma-associated multicentric Castleman’s
           disease in head and neck region

    • Authors: Vinodh Kumar Selvaraj, Deleep Kumar Gudipudi
      Pages: 1882 - 1885
      Abstract: Background: Castleman’s disease (CD) is a rare lymphoproliferative disorder. It can involve single (unicentric CD) or multiple (multicentric CD) lymph nodal regions. It occurs predominantly in mediastinum, and treatment options include surgery, radiotherapy, chemotherapy, and monoclonal antibodies. Methods: Here, we describe two cases of CD which presented with stridor. The first case was a 38-year-old male, a recurrent multicentric CD in retropharyngeal and cervical lymph nodal regions, treated with radiotherapy and rituximab. The second case was a 25-year-old male, a multicentric CD in lower cervical lymph nodal region, treated with steroids and radiotherapy. He subsequently developed Hodgkin’s lymphoma and was treated for the same with chemotherapy and involved-field radiation therapy (IFRT).Results: Post-treatment, both the patients were asymptomatic and progression-free at 15 months and 42 months follow-up, respectively.Conclusions: Combined modality of treatment with radiotherapy and chemotherapy or monoclonal antibodies offers good local control in multicentric CD.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204193
      Issue No: Vol. 6, No. 10 (2020)
  • Skin metastasis within radiation field in treated squamous cell carcinoma
           of larynx

    • Authors: Vinodh Kumar Selvaraj, Deleep Kumar Gudipudi
      Pages: 1886 - 1890
      Abstract: Cutaneous metastasis from squamous cell carcinoma (SCC) of larynx is very uncommon. Skin mestatsis in a treated of case of SCC larynx is considered to be a sign of impending distant metastasis and dismal prognosis. There are very few case reports in literature describing such presentations, and very minimal information on treatment options available for these patients. Here, we describe two cases of locally advanced SCC larynx treated with chemoradiation upfront, who later presented with cutaneous metastasis in neck within the previous radiation field.  Evaluation for distant metastasis was done and started on palliative chemotherapy. The first patient had complete resolution of cutaneous nodules post 8 cycles of weekly palliative chemotherapy. However, post 18 cycles of chemotherapy, he developed a metachronous primary in upper thoracic oesophagus and disease progressed loco-regionally too. The second patient’s general condition deteriorated after 1st cycle of palliative chemotherapy, hence was offered best supportive care. Cutaneous nodules in a treated SCC of larynx must raise the suspicion of metastasis, warranting histological examination, and whole-body imaging work-up to rule out distant metastasis. Palliative chemotherapy must be advocated in all eligible patients to delay disease progression. Best supportive care can be offered in patients not eligible for chemotherapy.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204194
      Issue No: Vol. 6, No. 10 (2020)
  • Tuberculous retropharyngeal abscess presenting as severe dyspnea

    • Authors: Cheikh Ahmedou Lame, Birame Loum, Cheikhna Ba Ndiaye, Sagar Diop, Moustapha Diop, Madjiguene Kone
      Pages: 1891 - 1893
      Abstract: Tuberculous retropharyngeal abscess is an exceptional condition, with high potential of functional morbidity and mortality if not treated appropriately. The authors report a new case of airway obstructive retropharyngeal abscess revealing cervical Pott disease. A 59 years old man presented at Ear, neck and throat (ENT) department with severe acute dyspnea. The history revealed progressive chronic dysphagia associated with asthenia and important weight loss. Physical examination found a state 3 dyspnoeic patient, presenting hyper flexed neck with limited movements. Nasofibroscopy showed a huge retropharyngeal bulge. Computed tomography (CT) scan showed a large retropharyngeal abscess located in front of vertebral spondylodiscitis with anterior dislocation of C4-C5-C6 vertebrae. Trans-oral incision with drainage of the retropharyngeal abscess was performed under general anaesthesia. Bacteriologic assessment of the pus confirmed tuberculosis infection. Anti-tuberculous medication was delivered, associated with spinal stabilization by a rigid cervical collar. Tuberculous retropharyngeal abscess is a very rare condition. Early diagnosis and treatment are necessary to prevent neurological and life-threatening complications. Collaboration between ENTs, anaesthetists, neurosurgeons and infectious disease specialists remains incontournable.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204195
      Issue No: Vol. 6, No. 10 (2020)
  • Impacted inter-arytenoid chicken bone

    • Authors: Manish Munjal, Shikha Gupta, Tanvir Singh, Porshia Rishi, Harjnder Sidhu, Shubham Munjal, Sivjot Binepal
      Pages: 1894 - 1896
      Abstract: The anebriated individual with sluggish reflexes is likely to aspirate inadverently fluids, semisolids and solids alike. Fish and chicken preparations with their sharp skeletal bones may lacerate or get entangled in the mucosa of the upper aerodigestive tract. The tonsillar fauces, pyriform fossae, post cricoid region, supraglottis, glottis, subglottis, trachea, carina and either bronchi are the common sites of impaction of sharp-edged foreign bodies. We herein present a case involving a 40-year-old patient who had aspirated a laryngotracheal foreign body (chicken bone) 3 days prior to hospital admission, which was removed by tracheostomy and suspension microlaryngoscopy.  
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204196
      Issue No: Vol. 6, No. 10 (2020)
  • Lymphoepithelial cell carcinoma of larynx masquerading as squamous cell

    • Authors: Subbiah Shanmugam, Sujay Susikar, T. Bharanidharan, Venkatachalam Veerappan
      Pages: 1897 - 1899
      Abstract: Lymphoepithelial carcinoma is one of the common neoplasms seen to occur in nasopharyngeal subsite. Lymphoepithelial carcinoma (LEC) of the larynx is an uncommon entity; with 34 such cases reported in literature. Lymphoepithelial carcinoma (LEC) seems to behave in a fashion similar to nasopharyngeal carcinoma, except that most cases have not been associated with Epstein barr virus (EBV). We describe this patient with lymphoepithelial carcinoma (LEC) of supraglottic larynx who was treated with total laryngectomy and adjuvant radiotherapy and is on regular follow-up showed no evidence of local or distant metastasis.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204197
      Issue No: Vol. 6, No. 10 (2020)
  • Chondroid syringoma of the upper lip: a rare entity

    • Authors: Ashiya Goel, Aman ., Vinny Raheja, Manisha Kumari
      Pages: 1900 - 1902
      Abstract: Chondroid syringomas are uncommon cutaneous neoplasms of sweat gland origin which are slow-growing, nontender, subcutaneous or intracutaneous in location and often occurring in the head and neck region. Chondroid syringoma should be considered in the differential diagnosis of any subcutaneous nodule over the face. The clinician may miss the diagnosis of this lesion and if it is suspected, tumour should be excised with a margin of normal tissue and regular follow up should be done.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204198
      Issue No: Vol. 6, No. 10 (2020)
  • Isolated epiglottic rhinosporidiosis: a rare case report

    • Authors: Aurobinda Das, Rajat Kumar Dash, Kamalini Bepari
      Pages: 1903 - 1905
      Abstract: Rhinosporidiosis is a chronic granulomatous disease, caused by Rhinosporidium seeberi. More than 70% of cases are nasal. Usually extranasal rhinosporidiosis is associated with nasal rhinosporidiosis. Isolated extra nasal variety of laryngeal and tracheal rhinosporidiosis are very rare, 7 cases has detected till date. A 45 years male of LSES with habit of pond bath presented to ENT OPD, VIMSAR, Burla, with chief complain of intermittent blood vomiting for last 30 days, associated with foreign body sensation in throat without any dysphagia or dyspnea. On ILE, there is polypoidal pinkish mass studded with white spots found at lingual surface of epiglottis. Ant and post rhinoscopic examination found to be normal. UGIE guided biopsy shows rhinosporiodic mass. Under GA, DL had done mass was excised and base cauterised with bipolar cautery and send for HPE. HPE confirmed the diagnosis. Post operative follow up upto 10 months showed no recurrence. Epiglottic rhinosporidiosis may be one of the differential diagnosis of epiglottic growths especially in endemic zone. Laryngeal involvement of rhinosporidiosis has diagnostic and therapeutic challenges, due to the potential risk of bleeding, aspiration and recurrence.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204199
      Issue No: Vol. 6, No. 10 (2020)
  • Intrathyroidal thyroglossal duct cyst: two interesting cases and review of

    • Authors: Blessy B. Prabha, Vijay Rangachari, Vidya B. Bhat
      Pages: 1906 - 1909
      Abstract: The features and presentation of thyroglossal duct cyst as a midline neck swelling are well known. We present two cases of intrathyroidal thyroglossal duct cyst who presented as a classical thyroid nodule. Distinguishing features, clinical work up, management, histopathological findings and literature review are presented. Intra-thyroidal thyroglossal duct cyst masquerading as a thyroid nodule is rare, and should be borne in mind in the differential diagnosis of solitary nodule of thyroid. Preoperative aspiration cytology findings of benign squamous cells should be a pointer towards the presence of intrathyroidal thyroglossal cyst.   
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204200
      Issue No: Vol. 6, No. 10 (2020)
  • Impacted denture in the left bronchus: aspiration in an awake state

    • Authors: Abhijit Raj, Susan K. Sebastian, Vikas Vijayan
      Pages: 1910 - 1912
      Abstract: Tracheobronchial foreign body aspiration is rare in adults. In adults it usually happens in a state of impaired alertness. We report a case of aspiration of a partial denture in an alert patient who presented with minimal symptoms. She was successfully treated with removal of the impacted denture from the left lower lobe bronchus by rigid bronchoscopy.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204201
      Issue No: Vol. 6, No. 10 (2020)
  • Tackling the wanderer: the mouse parathyroids

    • Authors: Manish Munjal, Japneet Kaur, Amanjit Singh, Amanjot Kaur, Rishi Porshia, Shubham Munjal, Anmol Bains
      Pages: 1913 - 1915
      Abstract: Parathyroid surgery in aching, groaning, moaning, presentation has a successful outcome with intraoperative PTH descalating to less than 50% of the preoperative value. The inferior parathyroids are commonly not at the expected location with respect to the thyroids. Surgical pointers and wide exposure are the key to quick access with minimal collateral tissue trauma.  
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204202
      Issue No: Vol. 6, No. 10 (2020)
  • Giant pediatric tubercular retropharyngeal abscess: a rare case

    • Authors: Vinny Raheja, Manisha Kumari, Ashiya Goel, Aman .
      Pages: 1916 - 1918
      Abstract: A 9-year old child presented with tubercular retropharyngeal abscess leading to stridor. Tubercular retropharyngeal abscess is an extremely rare condition in children. Early management reduces the risk of lethal complications. Due to the absence of classical signs, the diagnosis may be delayed. Therefore, adequate radiological investigations and microbiological studies of aspirate must be done to rule out tubercular aetiology. Conservative medical management should be given in uncomplicated cases. Surgical drainage must be done in cases resistant to medical therapy or presenting with complications.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204203
      Issue No: Vol. 6, No. 10 (2020)
  • Pleomorphic adenoma of dorsum of the nose: a rare occurrence

    • Authors: Rajiv Kumar Jain, Chultim D. Bhutia, Deepak Kumar Gupta, Ashvanee Kumar Chaudhary, Gagan Rangari, Anjali Singh
      Pages: 1919 - 1922
      Abstract: Pleomorphic adenoma are common benign salivary gland tumours, which are found in majority in major salivary glands such as parotids and submandibular glands. However, Pleomorphic adenoma to originate from dorsum of the nose is a rare entity. In rare cases, it can be found in unusual sites such as upper aero digestive tracts, palate and lacrimal glands. Complete surgical resection is the treatment of choice. Though, the evolution to malignancy and recurrence is not usually encountered, still a long-term follow-up is recommended. Here, we report a 53 year old female , complained of swelling in the left side of dorsum of nose for 10 years with a feeling of heaviness over the left side of face and difficulty in vision on the side of swelling due to the enlarged size of the swelling which gave a feeling of vision disruption , also had a prior history of  incision and drainage 4 years ,done elsewhere. On clinical examination, nodular mass was palpated on left side dorsum of nose which was freely mobile, and Skin over the swelling had blackish pigmentation. Anterior rhinoscopy revealed no abnormalities. Complete surgical excision via a lateral rhinotomy incision was performed. Cytological and histological evaluation revealed the presence of pleomorphic adenoma. We observed a decent cosmetic outcome with no evidence of recurrence.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204204
      Issue No: Vol. 6, No. 10 (2020)
  • Occuloplastic intervention in mycosis

    • Authors: Manish Munjal, Porshia Rishi, Nitika Tuli, Harjinder Singh, Ojassvi Rishi, Shubham Munjal, Tej Mehar
      Pages: 1923 - 1926
      Abstract: Mycosis of the paranasal sinuses with an indolent course is usually noted in the immunocompetent and the likely species is usually aspergillosis. The fungus is predominantly seen in the maxillary sinus. It encroaches into its vicinity either by contiguous spread or as a skip lesion, with a normal tissue in between. Imaging studies, CT or MRI clinches the diagnosis. Laterally the infratemporal fossa and superiorly the orbit are the regions of concern. Progressive cheek paresthesia and restricted eye movements and field of vision are the clinical presentations in such a scenario. Oral antifungals “the imidazoles” though are quite effective but often a surgical intervention is called for, other than for the purpose of a biopsy. Oculoplastic intervention was undertaken in one patient.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204205
      Issue No: Vol. 6, No. 10 (2020)
  • Simple management of the neck platysma bands: a technique

    • Authors: Clarós Pedro, Sobolewska Aleksandra, Clarós Andrés
      Pages: 1927 - 1931
      Abstract: The aging effect of the neck is characterized by loss of elasticity and contractility of the skin. This aging is manifested clinically by the projection of the platysma bands, the redundancy of the skin, the accumulation of fat in the sub-mental, sub-mandibular regions, and the loss of the cervical-mental angle. Besides of face-lifting, there are other techniques for solving the aesthetic problems of platysma bands. This report aims to present our technique of the simple management of the platysma bands. We report our experience with the correction of platysma bands. The procedure is performed under local anaesthesia. The incision involves the skin and subcutaneous tissue; going from the lateral to the medial edge of the platysma band without cutting the muscle. The dissection of the muscle is continued to the deep side of the bands. This dissection is meticulous to preserve the superficial facial anastomotic plexus and the branch of the transverse cervical nerve afterward the muscle is cut. The technique mainly concerns individuals between the 4th and 6th decades. Women appear to be more concerned about the aesthetic appearance of their neck than men are. This technique is a simple surgical method, and in the majority of the cases, the results are satisfactory. It can be used alone or combined with face lifting. The technique of aesthetic treatment of platysma bands is a simple, effective surgical procedure and in most cases, the results are satisfactory.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204206
      Issue No: Vol. 6, No. 10 (2020)
  • The evaluation of various morphological aspects of septal cartilage-a
           cadaveric study: a 6 months observation study in KLEs, Dr. Prabhakar kore
           hospital, Belagavi

    • Authors: Indresh Chandra, Shama Bellad
      Pages: 1932 - 1936
      Abstract: The nasal septum provides support for the portion of cartilaginous nasal dorsum, and it is responsible for determining the projection of the nasal tip. Septal cartilage plays an important role as a donor graft material in modern rhinoplasty. An anatomical study was performed on 10 adult cadavers. The excised septal cartilage was placed on grid paper; digital images were taken; all septal cartilage was divided into nine equivalent quadrants; and quantitative measurements for length, height, and area were calculated and compared. The average length of the septum was 35.8 mm, while the average height was 25.9 mm. The average septal area was 679.7 mm2. The septal thickness mean values were analysed in nine quadrants, ranging from 1.21 to 2.08 mm. Specifically, the central and cranial areas were thickest, and the area corresponding to the L-strut was thinnest. Anatomical variations of the thickness of septal cartilage excisions were found to be statistically significant, and these differences play an important role in the proper selection of the septal grafts.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204207
      Issue No: Vol. 6, No. 10 (2020)
  • The frontal sinus- physiological and pathophysiological aspects- an
           endoscopist’s perspective: a review

    • Authors: Manish Munjal, Sanjeev Puri, Garima Matta, Shubham Munjal
      Pages: 1937 - 1940
      Abstract: In this era of minimally invasive surgical interventions, the knowledge of the physiology and pathophysiology of the frontal sinus is vital to the endoscopic rhinologist. The conventional procedure of sinus surgery has given way to functional endoscopic sinus surgery whereby now the emphasis is not on cleaning the sinus but reverting the function of the sinus. The surgery is only done at the frontal recess only. The physiology and pathophysiology of the frontal sinus needs an introspection.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204208
      Issue No: Vol. 6, No. 10 (2020)
  • Mastoid surgery: a high-risk aerosol generating surgical procedure in
           COVID-19 pandemic

    • Authors: Santosh Kumar Swain, Rohit Agrawala
      Pages: 1941 - 1946
      Abstract: Corona virus disease 2019 (COVID-19) is highly contagious disease occurred by the severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) which spreads human to human through respiratory secretions. It was declared as public health emergency all over the world. There is lack of data in relation to the otologic or mastoid surgery during COVID-19 pandemic. Aerosolization of the novel corona virus SARS-CoV-2 is associated with middle ear and mastoid surgery. So, the safety precautions are important parts in this present pandemic time for preventing transmission of the infections to the surgeon and team members of the surgery. Preoperative screening for COVID-19 is must for safety of the surgeon and team members. The mastoid surgery on the positive, suspected or unknown status for COVID-19 patients need protection with adequate Personal protection equipment (PPE) such as disposable cap, N95 respirator and sealed eye protection or Powered air-purifying respirator (PAPR), disposable gown and gloves. In the mastoid surgery, there is scarcity of the medical literature related to the transmission of the novel corona virus SARS-CoV-2and its prevention during present COVID-19 pandemic. So, the aim of this review article is to increase awareness among the otolaryngologists for preventing the viral exposure during the mastoid surgery.
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204209
      Issue No: Vol. 6, No. 10 (2020)
  • The noninvasive assessment of maxillary sinus

    • Authors: Manish Munjal, Ritu Gupta, Porshia Rishi, Ajay Goyal, Shubham Munjal, Shubham Garg, Archit Pal Singh
      Pages: 1947 - 1950
      Abstract: The maxillary sinus with its antigravity drainage affected by pathology at the osteomeatal unit, necessitates an intervention, medical or surgical. Role of basic imaging in pretreatment evaluation is elaborated upon.   
      PubDate: 2020-09-23
      DOI: 10.18203/issn.2454-5929.ijohns20204210
      Issue No: Vol. 6, No. 10 (2020)
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