Pub Date : 2024-07-26DOI: 10.18203/issn.2454-5929.ijohns20242039
Nikhil M. John, Vivekananda Ashok, T. Varghese
Background: Adenoidectomy stands as one of the most frequently performed surgical procedures in children. Coblation adenoidectomy has emerged as a preferred method, with advantages such as diminished postoperative pain and swifter recovery. However, its application via trans nasal access in children, particularly those with anatomical variations, poses significant challenges. The aim of this study is to introduce and evaluate the advantages and limitations of transoral endoscopic coblation adenoidectomy in paediatric patients, with a focus on assessing its efficacy and safety. Methods: A total of 80 children who presented to the outpatient department with chronic adenoid hypertrophy, aged between 2 and 12 years, were selected for participation in this study. Transoral coblation adenoidectomy was performed on all selected patients. The procedure was carried out with the patient placed in either Rose position or reverse Trendelenburg position, chosen randomly. Results: Complete clearance of adenoid tissue was done under visualisation. There were no intraoperative adverse events. Bleeding during the procedure was minimal, suggesting excellent hemostasis. Postoperative pain reported by patients were minimal. Conclusions: Transoral endoscopic coblation adenoidectomy stands as a promising approach in the management of chronic adenoid hypertrophy in children, offering more advantages in children with narrow airways and coexisting anatomical variations. The findings of this study support the notion that transoral endoscopic coblation adenoidectomy achieves complete clearance of adenoid tissue with minimal intraoperative adverse events and postoperative complications. Additionally, the procedure results in minimal postoperative pain and allows for shorter hospital stay.
{"title":"Transoral endoscopic coblation adenoidectomy - a novel approach of performing adenoidectomy in children","authors":"Nikhil M. John, Vivekananda Ashok, T. Varghese","doi":"10.18203/issn.2454-5929.ijohns20242039","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242039","url":null,"abstract":"Background: Adenoidectomy stands as one of the most frequently performed surgical procedures in children. Coblation adenoidectomy has emerged as a preferred method, with advantages such as diminished postoperative pain and swifter recovery. However, its application via trans nasal access in children, particularly those with anatomical variations, poses significant challenges. The aim of this study is to introduce and evaluate the advantages and limitations of transoral endoscopic coblation adenoidectomy in paediatric patients, with a focus on assessing its efficacy and safety.\u0000Methods: A total of 80 children who presented to the outpatient department with chronic adenoid hypertrophy, aged between 2 and 12 years, were selected for participation in this study. Transoral coblation adenoidectomy was performed on all selected patients. The procedure was carried out with the patient placed in either Rose position or reverse Trendelenburg position, chosen randomly. \u0000Results: Complete clearance of adenoid tissue was done under visualisation. There were no intraoperative adverse events. Bleeding during the procedure was minimal, suggesting excellent hemostasis. Postoperative pain reported by patients were minimal.\u0000Conclusions: Transoral endoscopic coblation adenoidectomy stands as a promising approach in the management of chronic adenoid hypertrophy in children, offering more advantages in children with narrow airways and coexisting anatomical variations. The findings of this study support the notion that transoral endoscopic coblation adenoidectomy achieves complete clearance of adenoid tissue with minimal intraoperative adverse events and postoperative complications. Additionally, the procedure results in minimal postoperative pain and allows for shorter hospital stay.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"49 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.18203/issn.2454-5929.ijohns20242042
Pratik Kumar, J. Gulia, Nikhil Arora, Bhavesh Kumar, Parmod Jangra
Background: The objective of the study was to evaluate and compare the results of endoscope assisted tympanoplasty with microscope assisted tympanoplasty. Methods: A prospective comparative study was conducted from January 2020 – September 2021 and included 60 patients of either sex in age group of 18-50 years having unilateral or bilateral inactive (mucosal) chronic otitis media with central perforation. Patients were randomly divided into 2 groups comprising of 30 patients each. Group-A (n=30) patients underwent endoscope assisted tympanoplasty while group-B (n=30) patients underwent microscope assisted tympanoplasty. Results: The overall graft take up rate in group-A and group-B was 93.33% and 96.67% respectively. In group-A, graft take-up was 90.90% in grade-IV perforations and 88.89% in grade-V perforations and graft take-up was 100% in grade-II and grade-III perforation. While in group-B, graft take-up was 91.67% for grade-III perforations, and 100% uptake was seen in grade-I, grade-IV and grade-V perforation. In group-A, pre-operative average air bone (AB) gap was 30.95 dB and post operatively it was 14.44 dB with an average hearing gain of 16.55dB while in group-B, the average pre-operative AB gap was 32.81dB and post-operative AB gap was 13.71dB with an average hearing gain of 19.11dB. Mean average time taken in group-A was 79.83±8.78 minutes, while in group-B it was 101.13±11.07 minutes. The average pain assessment score was 4.9 in group-A as compared to a score of 5.4 in group-B. Conclusions: The results of endoscope assisted and microscope assisted tympanoplasty are comparable. The operating microscope and endoscope should be employed as per the patient’s requirement and surgeon’s expertise.
背景：该研究旨在评估和比较内窥镜辅助鼓室成形术与显微镜辅助鼓室成形术的效果：研究目的是评估和比较内窥镜辅助鼓室成形术与显微镜辅助鼓室成形术的效果：这项前瞻性比较研究于 2020 年 1 月至 2021 年 9 月进行，共纳入 60 名 18-50 岁年龄组的单侧或双侧非活动性（粘膜）慢性中耳炎伴中央穿孔的男女患者。患者被随机分为两组，每组 30 人。A组（30人）患者接受内窥镜辅助鼓室成形术，B组（30人）患者接受显微镜辅助鼓室成形术。 结果：A 组和 B 组的移植物总吸收率分别为 93.33% 和 96.67%。在A组中，IV级穿孔的移植物吸收率为90.90%，V级穿孔的移植物吸收率为88.89%，II级和III级穿孔的移植物吸收率为100%。而在 B 组，III 级穿孔的移植物吸收率为 91.67%，I 级、IV 级和 V 级穿孔的移植物吸收率为 100%。在 A 组中，术前平均气骨（AB）间隙为 30.95 分贝，术后为 14.44 分贝，平均听力增益为 16.55 分贝；而在 B 组中，术前平均气骨间隙为 32.81 分贝，术后为 13.71 分贝，平均听力增益为 19.11 分贝。A 组的平均时间为（79.83±8.78）分钟，B 组为（101.13±11.07）分钟。A 组的平均疼痛评估分数为 4.9 分，而 B 组为 5.4 分：结论：内窥镜辅助鼓室成形术和显微镜辅助鼓室成形术的效果相当。手术显微镜和内窥镜的使用应根据患者的要求和外科医生的专业知识而定。
{"title":"Endoscopes as an alternative to microscopes for tympanoplasty: a comparative study","authors":"Pratik Kumar, J. Gulia, Nikhil Arora, Bhavesh Kumar, Parmod Jangra","doi":"10.18203/issn.2454-5929.ijohns20242042","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242042","url":null,"abstract":"Background: The objective of the study was to evaluate and compare the results of endoscope assisted tympanoplasty with microscope assisted tympanoplasty.\u0000Methods: A prospective comparative study was conducted from January 2020 – September 2021 and included 60 patients of either sex in age group of 18-50 years having unilateral or bilateral inactive (mucosal) chronic otitis media with central perforation. Patients were randomly divided into 2 groups comprising of 30 patients each. Group-A (n=30) patients underwent endoscope assisted tympanoplasty while group-B (n=30) patients underwent microscope assisted tympanoplasty. \u0000Results: The overall graft take up rate in group-A and group-B was 93.33% and 96.67% respectively. In group-A, graft take-up was 90.90% in grade-IV perforations and 88.89% in grade-V perforations and graft take-up was 100% in grade-II and grade-III perforation. While in group-B, graft take-up was 91.67% for grade-III perforations, and 100% uptake was seen in grade-I, grade-IV and grade-V perforation. In group-A, pre-operative average air bone (AB) gap was 30.95 dB and post operatively it was 14.44 dB with an average hearing gain of 16.55dB while in group-B, the average pre-operative AB gap was 32.81dB and post-operative AB gap was 13.71dB with an average hearing gain of 19.11dB. Mean average time taken in group-A was 79.83±8.78 minutes, while in group-B it was 101.13±11.07 minutes. The average pain assessment score was 4.9 in group-A as compared to a score of 5.4 in group-B.\u0000Conclusions: The results of endoscope assisted and microscope assisted tympanoplasty are comparable. The operating microscope and endoscope should be employed as per the patient’s requirement and surgeon’s expertise.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"52 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hemangioendothelioma (HE) is an uncommon vascular tumor originating from endothelial cells lining blood vessels that can manifest in various anatomical locations, including the oral cavity. The spectrum varies from Intermediate between entirely benign hemangiomas to highly malignant angiosarcomas. Generally epithelioid HE (EHE), variants have a low degree of malignancy, with a tendency to local relapse but a less metastatic potential. Here we describe a rare case of epitheloid hemangiendothelioma, asymptomatic soft pinkish growth in the lower lip of a 65 years old Female, an excisional biopsy was performed and confirmed by histopathological diagnosis. This report adds valuable insight to the uncertainty in selecting the most suitable treatment with dilemma in management. A wide excision is the treatment of choice with regular follow-up is advised as potential for high recurrence.
{"title":"Hemangioendothelioma of the lower lip masquerading as traumatic lesion: a rare case report and review of literature","authors":"Apurva Chouksey, Pratiksha Pawar, Satyajit Tekade, Shishir Dubey, Ameya Bihani, Shubhanshi Kangloo, Michael Prakasam","doi":"10.18203/issn.2454-5929.ijohns20242052","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242052","url":null,"abstract":"Hemangioendothelioma (HE) is an uncommon vascular tumor originating from endothelial cells lining blood vessels that can manifest in various anatomical locations, including the oral cavity. The spectrum varies from Intermediate between entirely benign hemangiomas to highly malignant angiosarcomas. Generally epithelioid HE (EHE), variants have a low degree of malignancy, with a tendency to local relapse but a less metastatic potential. Here we describe a rare case of epitheloid hemangiendothelioma, asymptomatic soft pinkish growth in the lower lip of a 65 years old Female, an excisional biopsy was performed and confirmed by histopathological diagnosis. This report adds valuable insight to the uncertainty in selecting the most suitable treatment with dilemma in management. A wide excision is the treatment of choice with regular follow-up is advised as potential for high recurrence.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"57 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.18203/issn.2454-5929.ijohns20242034
Zumreta Pintol, A. Šukalo, Meliha Mehić, Amna Tanović Avdić, R. Baljic, U. Glamočlija
Background: Acute nasopharyngitis is often treated with hypertonic saline that can be combined with additional compounds, such as lysozyme. The aim of this study was to compare efficacy and safety of hypertonic saline solution with or without lysozyme in the treatment of acute nasopharyngitis. Methods: Non-interventional, prospective, multicentre, observational, parallel study was conducted on adult subjects with symptoms of acute nasopharyngitis. Subjects were divided into hypertonic saline or lysozyme group (receiving slightly hypertonic nasal spray with addition of lysozyme). Time until the patency of both nasal passages was measured after the first application of therapy. The congestion severity was assessed by using a visual analogue scale before the therapy application, after 30 minutes, and after seven days. Adverse reactions were monitored and evaluated. Results: The total number of included subjects was 252 (60 in the hypertonic saline group and 192 in the lysozyme group). In both groups, a significantly better assessment of the severity of the nasal passages’ obstruction was recorded after 30 minutes and seven days from therapy start (for all compared time intervals p<0.001). The lysozyme group had a significantly lower nasal congestion score compared to hypertonic saline 30 minutes after therapy (p<0.001) and seven days from the therapy start (p=0.001). In the hypertonic saline group, a significantly shorter time was observed to establish the patency of the nasal passages after the first therapy application (p<0.001). All adverse events were mild. Conclusions: Addition of lysozyme to slightly hypertonic nasal spray brings added value in the pharmacotherapy of acute nasopharyngitis.
{"title":"Lysozyme addition to slightly hypertonic nasal spray in the treatment of acute nasopharyngitis: a prospective post-marketing study","authors":"Zumreta Pintol, A. Šukalo, Meliha Mehić, Amna Tanović Avdić, R. Baljic, U. Glamočlija","doi":"10.18203/issn.2454-5929.ijohns20242034","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242034","url":null,"abstract":"Background: Acute nasopharyngitis is often treated with hypertonic saline that can be combined with additional compounds, such as lysozyme. The aim of this study was to compare efficacy and safety of hypertonic saline solution with or without lysozyme in the treatment of acute nasopharyngitis.\u0000Methods: Non-interventional, prospective, multicentre, observational, parallel study was conducted on adult subjects with symptoms of acute nasopharyngitis. Subjects were divided into hypertonic saline or lysozyme group (receiving slightly hypertonic nasal spray with addition of lysozyme). Time until the patency of both nasal passages was measured after the first application of therapy. The congestion severity was assessed by using a visual analogue scale before the therapy application, after 30 minutes, and after seven days. Adverse reactions were monitored and evaluated. \u0000Results: The total number of included subjects was 252 (60 in the hypertonic saline group and 192 in the lysozyme group). In both groups, a significantly better assessment of the severity of the nasal passages’ obstruction was recorded after 30 minutes and seven days from therapy start (for all compared time intervals p<0.001). The lysozyme group had a significantly lower nasal congestion score compared to hypertonic saline 30 minutes after therapy (p<0.001) and seven days from the therapy start (p=0.001). In the hypertonic saline group, a significantly shorter time was observed to establish the patency of the nasal passages after the first therapy application (p<0.001). All adverse events were mild.\u0000Conclusions: Addition of lysozyme to slightly hypertonic nasal spray brings added value in the pharmacotherapy of acute nasopharyngitis.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.18203/issn.2454-5929.ijohns20242044
O. C. Wengerman, Jonathan Maya Epelstein, Hector De La Garza Hesles, María J. Sanabrais López, Michelle Mizrahi Yaffe
Rhabdomyosarcoma (RMS) is a malignant tumor that affects skeletal muscles, typically found in the head and neck region of children. There have been a few reported cases of RMS occurring in the oral cavity. The prognosis of a patient with this condition depends on many clinical and biological factors, including age, the location of the tumor, histopathological subtype, and whether it has spread at the time of diagnosis. This case report and literature review focus on an unusual presentation of embryonal RMS in the uvula. The report described a case of a young Mexican child presented with symptoms such as edema, swelling of the soft palate, and necrosis of the uvula. The authors discuss the characteristics, management, and treatment of this neoplasm, providing valuable insights on the prognosis and therapeutic approaches for this rare condition and considering that the head and neck region can be a challenging site to treat due to the young age of the patient and the critical anatomy of this area.
{"title":"Embryonal rhabdomyosarcoma presenting as edema of the soft palate and necrosis of the uvula: a case report and review of the literature","authors":"O. C. Wengerman, Jonathan Maya Epelstein, Hector De La Garza Hesles, María J. Sanabrais López, Michelle Mizrahi Yaffe","doi":"10.18203/issn.2454-5929.ijohns20242044","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242044","url":null,"abstract":"Rhabdomyosarcoma (RMS) is a malignant tumor that affects skeletal muscles, typically found in the head and neck region of children. There have been a few reported cases of RMS occurring in the oral cavity. The prognosis of a patient with this condition depends on many clinical and biological factors, including age, the location of the tumor, histopathological subtype, and whether it has spread at the time of diagnosis. This case report and literature review focus on an unusual presentation of embryonal RMS in the uvula. The report described a case of a young Mexican child presented with symptoms such as edema, swelling of the soft palate, and necrosis of the uvula. The authors discuss the characteristics, management, and treatment of this neoplasm, providing valuable insights on the prognosis and therapeutic approaches for this rare condition and considering that the head and neck region can be a challenging site to treat due to the young age of the patient and the critical anatomy of this area.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"29 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141800690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.18203/issn.2454-5929.ijohns20242037
Shailee Mehta, Farida Wadia, Mithram Z. Wadia, Alok Karulkar
Background: Objectives of the study were to assess the age group affected, common presentation, extent of disease of mucormycosis and treatment modalities in post covid patients. Methods: All covid positive patients or recently recovered from covid with features of mucormycosis endoscopically and radiologically were included in this study. All patients that came in the outpatient department were screened using nasal endoscope and CT scans were performed. Patient’s clinical findings and endoscopic findings were correlated with the scans during the pandemic and decision to operate the cases was taken. It was a team approach by otorhinolaryngologist, ophthalmologist, endocrinologist, intensivist and nephrologist. Patients were followed up to 1 year. Results: 65 patients that suggested of mucormycosis clinically, endoscopically, and radiologically were studied. It included 50 (76.9%) males and 15 (23.1%) females and histologically after operating, mucor was present in 44 cases (67.6) and 9 (13.8%) were aspergillosis. Conclusions: Post-COVID mucormycosis was reported after the second COVID wave in India especially after steroid therapies in diabetic patients. Thus, a timely, aggressive, team approach using Modified Denkers or open maxillectomy along with proper intravenous antifungals is the key to survival in such patients.
{"title":"Clinical characteristics, management, and outcomes of post COVID-19 mucormycosis in a private ENT hospital in Surat: a retrospective analysis","authors":"Shailee Mehta, Farida Wadia, Mithram Z. Wadia, Alok Karulkar","doi":"10.18203/issn.2454-5929.ijohns20242037","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242037","url":null,"abstract":"Background: Objectives of the study were to assess the age group affected, common presentation, extent of disease of mucormycosis and treatment modalities in post covid patients.\u0000Methods: All covid positive patients or recently recovered from covid with features of mucormycosis endoscopically and radiologically were included in this study. All patients that came in the outpatient department were screened using nasal endoscope and CT scans were performed. Patient’s clinical findings and endoscopic findings were correlated with the scans during the pandemic and decision to operate the cases was taken. It was a team approach by otorhinolaryngologist, ophthalmologist, endocrinologist, intensivist and nephrologist. Patients were followed up to 1 year. \u0000Results: 65 patients that suggested of mucormycosis clinically, endoscopically, and radiologically were studied. It included 50 (76.9%) males and 15 (23.1%) females and histologically after operating, mucor was present in 44 cases (67.6) and 9 (13.8%) were aspergillosis.\u0000Conclusions: Post-COVID mucormycosis was reported after the second COVID wave in India especially after steroid therapies in diabetic patients. Thus, a timely, aggressive, team approach using Modified Denkers or open maxillectomy along with proper intravenous antifungals is the key to survival in such patients.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141802233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.18203/issn.2454-5929.ijohns20242051
Vasanthi Patil, Akshay D. S., Ganesh D. Borewad
Head and neck surgeons must be aware of Non recurrent laryngeal nerve, a rare entity, to avoid postoperative morbidity. In this case report, a 38-year-old female who underwent thyroid surgery and a right non-recurrent laryngeal nerve was identified intra-operatively were reported.
{"title":"Right nonrecurrent laryngeal nerve: a surgical trap","authors":"Vasanthi Patil, Akshay D. S., Ganesh D. Borewad","doi":"10.18203/issn.2454-5929.ijohns20242051","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242051","url":null,"abstract":"Head and neck surgeons must be aware of Non recurrent laryngeal nerve, a rare entity, to avoid postoperative morbidity. In this case report, a 38-year-old female who underwent thyroid surgery and a right non-recurrent laryngeal nerve was identified intra-operatively were reported.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"10 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.18203/issn.2454-5929.ijohns20242043
S. Vadivu, K. Madhav, Sreenivas Kamath K., Vijaya Krishnan P., Karthikeyan K., Mohan Kameswaran
Sinonasal barotrauma is due to sudden change of surrounding pressure. Divers and aviators are the two main groups that get affected. Many otorhinolaryngologists are not familiar with this entity. We present a case series of five patients, in which three patients had sinus barotrauma due to flight journey and one after scuba diving and other one working in hyperbaric oxygen chamber. All five patients presented with dragging frontal headache, nasal discharge with altered blood, nasal block and were managed conservatively.
{"title":"Paranasal sinus dysbarism: an unrecognized entity","authors":"S. Vadivu, K. Madhav, Sreenivas Kamath K., Vijaya Krishnan P., Karthikeyan K., Mohan Kameswaran","doi":"10.18203/issn.2454-5929.ijohns20242043","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242043","url":null,"abstract":"Sinonasal barotrauma is due to sudden change of surrounding pressure. Divers and aviators are the two main groups that get affected. Many otorhinolaryngologists are not familiar with this entity. We present a case series of five patients, in which three patients had sinus barotrauma due to flight journey and one after scuba diving and other one working in hyperbaric oxygen chamber. All five patients presented with dragging frontal headache, nasal discharge with altered blood, nasal block and were managed conservatively. ","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"57 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.18203/issn.2454-5929.ijohns20242038
Parth V. Pomal, N. Bhalodiya, Chaitry K. Shah, Sharvil M. Nimavat, Maitri D. Parmar, Yash A. Gandhi
Background: Careful medical history and physical examination is must while evaluating neck swelling in which the patient’s age, the location, size, and duration of swelling are crucial points for diagnosis. The objectives of this study were to study the commonest cause of neck swelling in our tertiary hospital set up and to assess the common pathologies presenting as neck swellings in our region and their clinical, radiological and cytopathological correlation to understand the nature of the lesion and accuracy of the diagnostic tools in finding a definitive diagnosis and its respective management. Methods: Total 100 patients from July 2019 to January 2021 of neck swelling were included in this prospective study. They were subjected to detailed clinical history, clinical examination, haematological and hormonal investigation, radiological and cytological investigations. Special investigations were done for some specific cases. Ultrasonography, fine needle aspiration cytology (FNAC) and histopathological examinations (HPE) were compared with each other to evaluate their accuracy as a diagnostic tool for neck swellings. Results: During our study we found that for accurate diagnosis and treatment combined approach based on history, clinical examination, ultrasonography, FNAC and HPE followed by surgical and/or medical management is recommended. Thyroid swellings were most common entity found in neck swelling with female dominating benign neck swellings. Conclusions: Although medical management has its own role in management of benign neck swelling, surgical management consists of treatment of choice.
{"title":"A prospective study of management of benign neck swellings at tertiary care centre","authors":"Parth V. Pomal, N. Bhalodiya, Chaitry K. Shah, Sharvil M. Nimavat, Maitri D. Parmar, Yash A. Gandhi","doi":"10.18203/issn.2454-5929.ijohns20242038","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242038","url":null,"abstract":"Background: Careful medical history and physical examination is must while evaluating neck swelling in which the patient’s age, the location, size, and duration of swelling are crucial points for diagnosis. The objectives of this study were to study the commonest cause of neck swelling in our tertiary hospital set up and to assess the common pathologies presenting as neck swellings in our region and their clinical, radiological and cytopathological correlation to understand the nature of the lesion and accuracy of the diagnostic tools in finding a definitive diagnosis and its respective management.\u0000Methods: Total 100 patients from July 2019 to January 2021 of neck swelling were included in this prospective study. They were subjected to detailed clinical history, clinical examination, haematological and hormonal investigation, radiological and cytological investigations. Special investigations were done for some specific cases. Ultrasonography, fine needle aspiration cytology (FNAC) and histopathological examinations (HPE) were compared with each other to evaluate their accuracy as a diagnostic tool for neck swellings. \u0000Results: During our study we found that for accurate diagnosis and treatment combined approach based on history, clinical examination, ultrasonography, FNAC and HPE followed by surgical and/or medical management is recommended. Thyroid swellings were most common entity found in neck swelling with female dominating benign neck swellings.\u0000Conclusions: Although medical management has its own role in management of benign neck swelling, surgical management consists of treatment of choice.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"29 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141800679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.18203/issn.2454-5929.ijohns20242045
Libason Hosea
Sudden sensorineural hearing loss refers to the unexplained rapid onset of hearing loss occurring in a person who was apparently well. The exact cause of this nature of hearing loss is unknown in most cases, although it is linked to viral infections, vascular compromise or coagulation disorders in the blood, metabolic conditions such as diabetes mellitus, autoimmune conditions of the inner ear, endolymphatic hydrops such as in Meniere’s disease, or traumatic injury to the inner ear. A case of a 20-year-old male who was apparently healthy before presenting with the sudden onset of bilateral hearing loss, accompanied by tinnitus and dizziness was presented. There was no headache, loss of consciousness, or visual disturbance, and the patient had no history of head trauma. Otoscopy, anterior rhinoscopy, and neurological examination were apparently normal. The diagnosis of sudden sensorineural hearing loss was made, and the patient's pure tone audiometry results showed profound sensorineural hearing loss on the right side, and moderate sensorineural hearing loss on the left. The patient was treated with methylprednisolone and acyclovir. We have presented a rare case of bilateral sudden sensorineural hearing loss in a young adult male who had no risk factors. The cause of sudden sensorineural hearing loss in this patient was thought to be idiopathic.
{"title":"Bilateral sudden sensorineural hearing loss: a rare case report","authors":"Libason Hosea","doi":"10.18203/issn.2454-5929.ijohns20242045","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20242045","url":null,"abstract":"Sudden sensorineural hearing loss refers to the unexplained rapid onset of hearing loss occurring in a person who was apparently well. The exact cause of this nature of hearing loss is unknown in most cases, although it is linked to viral infections, vascular compromise or coagulation disorders in the blood, metabolic conditions such as diabetes mellitus, autoimmune conditions of the inner ear, endolymphatic hydrops such as in Meniere’s disease, or traumatic injury to the inner ear. A case of a 20-year-old male who was apparently healthy before presenting with the sudden onset of bilateral hearing loss, accompanied by tinnitus and dizziness was presented. There was no headache, loss of consciousness, or visual disturbance, and the patient had no history of head trauma. Otoscopy, anterior rhinoscopy, and neurological examination were apparently normal. The diagnosis of sudden sensorineural hearing loss was made, and the patient's pure tone audiometry results showed profound sensorineural hearing loss on the right side, and moderate sensorineural hearing loss on the left. The patient was treated with methylprednisolone and acyclovir. We have presented a rare case of bilateral sudden sensorineural hearing loss in a young adult male who had no risk factors. The cause of sudden sensorineural hearing loss in this patient was thought to be idiopathic.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"47 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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