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International Journal of Otorhinolaryngology and Head and Neck Surgery
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2454-5929 - ISSN (Online) 2454-5937
Published by Medip Academy Homepage  [12 journals]
  • The patterns of head and neck tumours in Northern Ghana: a
           histopathological review in a tertiary referral hospital in Northern Ghana

    • Authors: Edmund M. Der, Kwadwo F. Antwi, Theophilus J. K. Adjeso
      Pages: 946 - 956
      Abstract: Background: There is paucity of published data on head and neck tumours (HNTs) in Ghana, even the few studies available were conducted in the middle and southern belts of the country. The present study in northern Ghana, was conducted to study the histopathological characteristics of HNTs and offer recommendations.Methods: This retrospective study analysed HNTs for the past 10 years at the Tamale Teaching Hospital in northern Ghana.  Results: There were 576 HNTs, with 66.0% benign and 34.0% malignant. The mean age (years) was 34.9±21.6. Females were commonly affected 53.6%. Benign tumours were diagnosed in relatively young patients with mean age of 29.6±19.2, compared to 44.9±22.6 for the malignant tumours. Patients commonly present late with HNTs. The common anatomical sites were: odontogenic and maxillofacial bone (18.4%), oral cavity and mobile tongue (18.1%), and hypopharynx and larynx (13.9%). The histopathological subtypes were: squamous papilloma (13.9%), squamous cell carcinoma (SCC) (12.8%), and salivary gland pleomorphic adenoma (9.4%). The common benign tumours were; squamous papilloma (21.1%), salivary glands pleomorphic adenoma (14.2%), and benign vascular tumours (13.9%). For malignant tumours the order was; SCC (37.8%), lymphoma (11.2%) and olfactory neuroblastoma (10.2%). A significant number of patients had no history of cigarette smoking (p<0.0001).Conclusions: Benign tumours were the common neoplastic lesions within the head and neck region. HNTs were common in relatively young patients and in females. Benign tumours were diagnosed in relatively young patients compared to malignant tumours. Patient with malignant tumours presented early to health facilities, compared to those with benign tumours.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223042
      Issue No: Vol. 8, No. 12 (2022)
  • Cartilage palisades versus temporalis fascia: a randomised control trial

    • Authors: Vanita Sarin, Arpita Chatterjee Shahi
      Pages: 962 - 966
      Abstract: Background: Tympanic membrane perforation is a common cause of hearing loss. Various surgical techniques with different graft materials have been described for the treatment of perforations. The most widely used graft materials are the cartilage and temporalis fascia.Methods: We conducted a prospective randomised control longitudinal study to document the post operative hearing outcomes of type 1 tympanoplasty in patients with inactive mucosal chronic otitis media (n=120) using the cartilage palisades tympanoplasty technique (n=60) and temporalis fascia (n=60).Results: It was found that the mean AB (air-bone) gap at 5 months post operatively was 12.35±7.17 dB with temporalis fascia and 11.39±7.907 dB in cartilage palisades tympanoplasty. At 12 months the AB gap was 14.98±9.915 dB in temporalis fascia group as compared 11.41±8.288 dB for cartilage palisades group. Thus, hearing improvement was better in cartilage palisades group, but interestingly the comparison of the air conduction gain and subjective improvement at the end of 5 and 12 months between the two techniques was not statistically significant and parallels the above findings.Conclusions: Hence we conclude that both temporalis fascia and cartilage palisades were acceptable graft material for successful closure of tympanic membrane perforation.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223044
      Issue No: Vol. 8, No. 12 (2022)
  • Prevalence of rhinology related consultations in an ear, nose throat
           clinic in a period of 1 year

    • Authors: Mohamed Al-Alarayedh, Zainab Al-Marzooq, Muneera Alrowaila, Heba Al-Reefy
      Pages: 967 - 961
      Abstract: Background: Several studies have been conducted to forecast the top emergencies that are frequently seen among patients in an ENT clinic. In the past four years, there has been only one study that calculates the prevalence of a specific rhinology disease (allergic rhinitis) in five Middle Eastern countries. The results of the study have demonstrated that 1808 of 33,486 subjects enrolled in the study have fulfilled the case definition of allergic rhinitis. The mentioned study has only reviewed active cases of allergic rhinitis, disinclining other rhinology conditions that patients frequently complain of. The following paper will calculate the prevalence of common rhinology conditions generally in a specialized ENT clinic in the Kingdom of Bahrain over a period of 1 year.Methods: Patients’ information was collected prospectively on monthly basis starting from June 2021 until June 2022. The patients were registered under a senior ENT consultant at a semi-governmental hospital in The Kingdom of Bahrain.Results: Out of 2711 subjects enrolled in the study, 1424 patients have been registered with rhinology related complaints, exhibiting approximately (52.4%) of the total sample size. Allergic rhinitis was the most prevalent clinically diagnosed rhinology disease and Rhinoplasty surgery was the most frequently operated surgery. The socio-demographics of the study measured (52.0%) Higher females ration between Rhinology patients. In contrast, A higher percentage of males attended the clinic for otology/ear consultations (57.2%).Conclusions: Rhinology related consultations is concluded to be more prevalent compared to otology and laryngology.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223043
      Issue No: Vol. 8, No. 12 (2022)
  • The smoker’s larynx: a histopathological study

    • Authors: Manish Munjal, Bhavna Garg, Shubham Munjal, Tulika Saggar, Avantika Garg, Arshnoor ., Arnav Mehta
      Pages: 967 - 970
      Abstract: Background: Larynx of chronic smokers was clinically evaluated under high powered magnification as well as on histopathology to study the effect of fumes of nicotine on the vocal cords.Methods: 32 chronic smokers undergoing Lewis suspension micro laryngeal surgery were selected from the laryngology clinics of Dayanand Medical College and Hospital, Ludhiana. Intraoperative findings were recorded and the specimens were sent for histopathological examination. The study was undertaken in a period of one and a half years (June 2009-December 2010).  Results: Maximum patients 31% (10 patients) underwent microlaryngeal surgery were smokers in the middle age group (40-50 years) and minimum 9.3% (3 patients) were above 60 years of age. Vocal polyp/polypoidal change was seen in 7 (21.87%) patients was the predominant finding followed by a chronic hypertrophic change 5 (15.62%) patients.  leucoplakia 4 (12.5%) cases, tubercular caseation 3 (9.3%), vocal nodules 4 (12.5%) and vocal cysts 1 (3.125%) were the other findings in our series.Conclusions: Nicotine fumes affect the epithelium of the vocal cord leading to hypertrophic or hyperplastic transition. Vocal cord polypoidal change, squamous cell carcinoma and chronic hypertrophic laryngitis, in that order were the lesion in our series.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223045
      Issue No: Vol. 8, No. 12 (2022)
  • Complications of squamosal type of chronic otitis media- its management in
           a tertiary care centre

    • Authors: Rupam Borgohain, Asha Saikia
      Pages: 971 - 976
      Abstract: Background: Chronic otitis media of squamosal type is inflammation of the middle ear cleft presenting with recurrent ear discharge through a tympanic membrane perforation. The disease spectrum ranges from mild to severe forms of complications. The aim is to find the incidence of complications of unsafe CSOM, its management and the demographic profile associated with it.Methods: This hospital-based observational study was carried out on 25 patients admitted in the ENT department of a tertiary care centre during a period of 1 year. Diagnosis was made by taking a thorough history, clinical, audiological and radiological investigations. The data collected were tabulated in Microsoft excel worksheet and the variables were summarized as percentages and proportions.Results: Out of 25 patients, 9 patients had complications and the most common extracranial and intracranial complications were mastoid abscess and brain abscess respectively. Complications were more common in the age group of 11-20 years. In all the patients, multiple intravenous antibiotics were given covering gram positive, gram negative and anaerobic organisms. The intracranial complications were managed by neurosurgery or neurology followed by mastoidectomy to eradicate the disease at source.Conclusions: Significant decrease has been seen in the incidence of complications and mortality due to availability of newer and effective antibiotics along with early diagnosis and intervention. However, they are still prevalent among the lower socio-economic strata, poor hygiene and overcrowding communities. This study was aimed at creating awareness among the population to avail medical treatment at the earliest possible to avoid complications.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223046
      Issue No: Vol. 8, No. 12 (2022)
  • Cricotracheal resection: a rare procedure in adults

    • Authors: Kuauhyama Luna Ortiz, Cesar O. Cabrera Ochoa, Luis C. Zacarias Ramon, Zelik Luna Peteul, Dorian Y. García Ortega
      Pages: 977 - 980
      Abstract: Benign or malignant tumors originating in the cricotracheal region (cricoid cartilage and first tracheal ring) are considered rare events in adult patients. Although there are several treatment options for benign tumors, cricotracheal resection remains the gold standard treatment for malignant tumors. The objective of the present study is to describe the cases that have been treated at our institutions. We selected five cases from a database of 800 clinical records. Three cases were treated at the national cancer institute, Mexico, and two in other institutions. All cases were treated by the same surgeon. Out of four women and one man, with a median age of 52 years, there were two cases of adenoid cystic carcinoma, two of idiopathic stenosis, and one of hemangiopericytoma. All underwent cricotracheal resection with laryngotracheal anastomosis and are still alive. Stenosis or primary tumors of the cricotracheal region can be initially treated with endoscopy. However, cricotracheal resection remains the gold standard treatment as it is a safe surgical procedure with minimal and acceptable sequelae. It also improves disease-free period, overall survival, and quality of life, albeit with a low and acceptable morbidity rate. 
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223047
      Issue No: Vol. 8, No. 12 (2022)
  • Severe epistaxis and pregnancy ''about two cases'' and
           review of the literature

    • Authors: Sacko Hamidou Baba, Bagayoko Hawa Dicko, Abdoul Razak Dicko, Kodio Aminata
      Pages: 981 - 983
      Abstract: Epistaxis is a health ENT problem which is still current, this is one of the commonly encountered emergencies in Rhinology. The nasal mucosa suffered influence systemic, local, metabolic or hormonal disorders causing a slowdown of muco-ciliary function during pregnancy. These observations relate the clinical and therapeutic particularities of the management for severe epistaxis in women during the last trimester of pregnancy. The woman's hormonal system is unique in its kind due to cyclic changes during pregnancy, the menstrual cycle and menopause. Our clinical observations confirm the effects of these metabolic, endocrinological and physiological alterations related to pregnancy. In a tropical environment with the inadequacy of ENT specialists, base medical personnel is often confronted with delicate clinical situations in the evolution of ENT diseases. Management for epistaxis during pregnancy is special because of its context, well evident diagnosis requires vital gestures as evidenced by our observations. The ear, nose and throat specialist must necessarily be well warned of its physiological changes during pregnancy to better understand the clinical evolution of certain common throat diseases as epistaxis. Epistaxis during pregnancy is a subject that remains topical in the field of care, it is promoted directly or indirectly by hormonal changes. Multidisciplinary management in coordination must be done in a timely manner because the risks are not negligible for the health of the mother and the child.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20222996
      Issue No: Vol. 8, No. 12 (2022)
  • Speech and swallowing rehabilitation of post-partial mandibulectomy: a
           case report

    • Authors: Sunil Kumar Ravi, Vachavai Sai Samyuktha, Paramesh Sumanth, Saraswathi Thupakula
      Pages: 984 - 987
      Abstract: Squamous cell carcinomas of the oral cavity require multiple treatment approaches such as chemotherapy, radiotherapy, and surgical treatment. Glossectomy and mandibulectomy are the most common surgical treatment procedures for oral carcinoma with pre-, and post-surgical chemo-radiotherapy depending on the stage of cancer. The patients with glossectomy and mandibulectomy are at risk of developing a wide range of impairments in speech and swallowing functions due to surgical procedures and post chemo-radiation therapy (trismus and xerostomia). The present case report describes a 52-year-old male who had a history of oral squamous cell carcinoma and underwent wide excision of maxillar and mandibular regions who presented with severe speech and swallowing impairments. On examination of speech and swallowing functions, the patient exhibited oral dysphagia of moderate severity and poor speech intelligibility. The patient had undergone 50 speech and swallow therapy sessions over two months duration and post-therapy evaluation showed improvements in speech and swallowing functions. The patient had exhibited improvements in quality of life on various physical and functional domains post-rehabilitation. However, the improvements were limited due to the presence of trismus and hypernasality due to maxillar resection. This case report describes the importance of speech and swallowing rehabilitation to improve the post-surgical impairments in speech and swallowing functions and also the overall quality of life of patients with oral cancers.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223048
      Issue No: Vol. 8, No. 12 (2022)
  • Advanced stage nasopharyngeal carcinoma in children

    • Authors: Anisa Haqul Khoiria, Sagung Rai Indrasari, Camelia Herdini, Danu Yudistira
      Pages: 988 - 992
      Abstract: Nasopharyngeal carcinoma (NPC) is common in adult and elderly population, however, the incidence among children is still very low worldwide. Due to its rarity and non-specific clinical presentation, the diagnosis in children is often delayed and misinterpreted. The difficulty in reaching the final diagnosis was related to its hidden anatomical location, raising challenges in performing endoscopy and biopsy in children to obtain the precise histopathologic feature. We reported two cases on nasopharyngeal carcinoma in children with two different peculiar complaints. The first patient was 12 years old boy who complained of multiple recurrent unilateral masses on the left neck and history of nosebleeds with an unknown history of the previous histopathology features of the neck masses obtained by complete surgical neck mass removal beforehand. The second patient was 15 years old boy with main complaint of chronic headache, accompanied by doubled vision with apparent family history of malignancy, particularly nasopharyngeal carcinoma. Based on the history of illness, physical examination, imaging, and histopathology, we concluded that both patients were diagnosed with advanced stage nasopharyngeal carcinoma with different types of histopathologic feature.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223049
      Issue No: Vol. 8, No. 12 (2022)
  • Bedside emergency tracheostomy in Ludwig neck- a dilemma: case report

    • Authors: Manish Munjal, Sandeep Kundra, Amit Berry, Shubham Munjal, Salony Sharma, Swati ., Shivam Talwar, Deeksha Chawla, Hardeep Kaur, Lovleen Sandhu, Dhruv Gupta
      Pages: 993 - 996
      Abstract: A stony hard rigid neck is the typical presentation in the angina of Von Ludwig. Suddenly with excruciating pain generalized severe cellulitis of the neck is noticed. It flares up quickly and extends on either side, in the submandibular, sublingual and submental triangles thereby manifesting as a medical emergency. This necessitates a prompt diagnosis and intervention medical or surgical as the case maybe, lest a life maybe lost. A neck swelling secondary to self-manipulation of a loose dental plate with impacted wire is being reported. This odontogenic infection had accessed the deeper tissues of a neck with elevation of the floor of the mouth obstructing the airway with consequent breathlessness and stridor; with need to regain his airway by emergency tracheostomy. At the same time a cervical fasciotomy was undertaken to drain the potentially involved spaces. 
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223050
      Issue No: Vol. 8, No. 12 (2022)
  • Right internal jugular vein phlebectasia-a rare cause of neck swelling in
           paediatric population

    • Authors: Varunkumar Jayakumar, Priyanka Kumar Arora
      Pages: 997 - 999
      Abstract: Reporting a case of an 8-year-old boy presenting with a right neck swelling appearing on straining which otherwise not seen with a diagnosis of right internal jugular vein phlebectasia. Paediatric population with neck swellings more commonly misdiagnosed clinically and hence with non-invasive radiological investigations like Ultrasonography with colour doppler and contrast enhanced computed tomography was done to confirm the diagnosis. Phlebectasias are at times incidental findings and stay asymptomatic, hence proper diagnosis with radiological investigations is needed as they are misdiagnosed with other neck swellings. Only few cases of internal jugular vein phlebectasias have been reported and approximately 20 cases have undergone surgery for cosmetic purposed and majority were managed conservatively like in our case report. This needs to be kept as a differential diagnosis in a paediatric patient presenting with neck swelling.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223051
      Issue No: Vol. 8, No. 12 (2022)
  • Sinonasal angiomatous polyp: a case report

    • Authors: Preeti Dhingra, Naresh Palapalle, Dilroop K. Poyyil, Rakesh Katna
      Pages: 1000 - 1003
      Abstract: Sinonasal angiomatous polyp (SAP) is a rare variant of sino-nasal polyp. Sinonasal inflammatory polyps are classified histo-pathologically into 5 types: edematous, glandular, fibrous, cystic and angiomatous. They present with various different patterns and clinical features like epistaxis, nasal discharge, nasal blockage and characterised histo-pathologically by presence of prominent dilated capillary-type blood vessels. It constitutes about 4-5% of all nasal polyps. They usually present as a unilateral, painless, soft, gelatinous, translucent and polypoidal mass in nasal cavity. These polyps can grow rapidly and aggressively causing erosion of bone and severe bleeding like a cancerous lesion, making difficult to differentiate it from malignant lesion. Various differential diagnosis of SAP include inflammatory polyp, haemangioma, mucocele, fungus ball, inverted papilloma, juvenile naso-pharyngeal angiofibroma, and malignant tumors like squamous cell carcinoma, adenoid cystic carcinoma, and melanoma MRI is considered better than CT scan for diagnosis. Treatment of choice is endoscopic surgical excision with restoration of sinus drainage..
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223052
      Issue No: Vol. 8, No. 12 (2022)
  • Postauricular sinus: a case report

    • Authors: Soumick R. Sahoo, Pallavi Nayak, Nilanjan Datta
      Pages: 1004 - 1006
      Abstract: Post auricular sinus is a rare variant of the preauricular sinus in which sinus opening is located posterior to the tragus. Surgical excision of the sinus tract with its branches should be done in cases presenting with recurrent infections. There are 2 approaches unidirectional and bidirectional and the choice of approach depends on the preference of the surgeon. In our case right side post-auricular sinus was noted in a 35-year-old male which was surgically excised by unidirectional approach.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223053
      Issue No: Vol. 8, No. 12 (2022)
  • Triple intervention in congenital wry neck: case report

    • Authors: Manish Munjal, Shubham Munjal, Vineeta Arora, Karambir Gill, Salony Sharma, Deeksha Chawla, Hardeep Kaur, Loveleen Sandhu, Kanwarpreet Sidhu, Anjana Pillai, Tanisha Joshi
      Pages: 1007 - 1011
      Abstract: Wry neck or congenital muscular torticollis is consequent to shortened or contracted sternocleidomastoid muscle (SCM). A painless, retracted sternocleidomastoid muscle is the characteristic feature which results in tugging the neck towards affected side, and draws the shoulder upward and forces the chin in the opposite direction. The incidence is between 0.4 to 1.9%. A 17 years old lady with torticollis since childhood is being discussed in detail with the steps of surgical intervention; at three sites to attain a sternocleidomastoid release and resistance free neck and thus a free head movement. This was followed by application of cervical collar, active physiotherapy and postural exercises. The ignorance and improper advice during childhood had led to this marked deformity at adolescence. 
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223054
      Issue No: Vol. 8, No. 12 (2022)
  • Plasma cell mucositis masquerading as squamous cell carcinoma- a surgical
           dilemma: a rare case report and review of literature

    • Authors: Ashish Gopal, Maya Singh, Ishwar Singh, Sharmana Mandal
      Pages: 1012 - 1016
      Abstract: Plasma cell mucositis is a rare, idiopathic, multifocal, benign proliferative disorder affecting upper aerodigestive tract. It is a very rare condition and less than 50 cases reported in literature. A 62 years old female patient reported with complaints of oral discomfort, superficial erosive ulceration on the tongue, and burning sensation on eating food for last 2 years. Initially, Incisional biopsy of the involved mucosal area confirmed the diagnosis of well differentiated squamous cell carcinoma for which hemi-glossectomy was done. However histopathological examination submitted revealed a hyperplastic epithelium with a dense infiltrate of mature polyclonal plasma cells in the superficial layer of lamina propria, for which plasma cell mucositis was made a diagnosis. Plasma cell mucositis is a diagnosis of exclusion, to be differentiated from other infective, reactive, autoimmune, allergic and neoplastic disorders with plasma cell infiltrates. Management includes topical, intralesional, systemic corticosteroids and debulking procedures. Regular follow-up is essential due to the possibility of its clinical persistence and chances of malignant transformation.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223055
      Issue No: Vol. 8, No. 12 (2022)
  • Atypical presentation of thyroglossal cyst in pediatric patient: a case

    • Authors: Ekta Narang, Sonali Tyagi, Neha Jain, Jyoti Singh
      Pages: 1017 - 1019
      Abstract: Thyroglossal duct cysts are the most common cause of congenital neck swelling that may present at any age. Classically, it presents as an anterior midline neck swelling that moves with protrusion of the tongue. The usual treatment of choice is Sistrunk operation. It can have atypical presentation requiring a thorough preoperative assessment before intervention. Here we discussed a case of atypical presentation of thyroglossal duct cyst in a 4 year old child.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223056
      Issue No: Vol. 8, No. 12 (2022)
  • Cervical laceration courtesy, the unbreakable kite string: case report

    • Authors: Manish Munjal, Shubham Munjal, Jyoti Jindal, Shivam Talwar, Deeksha Chawla, Hardeep Kaur, Loveleen Sandhu, Mehtab Grewal, Ruchika Gill, Jasmeen Chahal, Tanvi Joshi
      Pages: 1020 - 1024
      Abstract: Kite flying is a sporting activity in Indian subcontinent and winters is the time of the year when rooftops are crowded and all eyes are towards the sky. The traditional glass spiked cotton threads made kite string Indian manja has been superseded by the inexpensive strong synthetic nonbiodegradable Chinese manja. This unstretchable and unbreakable string is fraught with life threatening primary and secondary impact kite string injuries. The kite-flyers themselves, the kite catchers, assistants, two-wheelers, drivers, pillion riders as well as, the pedestrians are the victims. We present a unique patient, who sustained a primary cervical injury with extensive laceration and tearing of the external jugular vein.
      PubDate: 2022-11-24
      DOI: 10.18203/issn.2454-5929.ijohns20223057
      Issue No: Vol. 8, No. 12 (2022)
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