Pub Date : 2023-11-27DOI: 10.18203/issn.2454-5929.ijohns20233593
Sonali Malhotra
Foreign bodies in the esophagus pose a common ENT emergency, often involving a single coin that typically passes without harm. However, the occurrence of paired coin foreign bodies is exceptionally rare. A notable case involves a 3-year-old child who presented to the ENT emergency department with sudden dysphagia and vomiting. A plain X-ray of the soft tissue in the neck and chest revealed a unique finding-a double circular opacity in the cervical esophagus, indicating the ingestion of two foreign bodies in perfect radiological alignment. Given the rarity of such cases, coupled with the challenges in diagnosis when a comprehensive history is unavailable, this instance stands out. The child underwent a rigid esophagoscopy under general anesthesia to address the situation. This case underscores the importance of considering uncommon scenarios in clinical practice and the necessity for thorough diagnostic approaches, especially in the absence of a detailed patient history. The presentation of dual foreign bodies in precise radiological alignment adds a layer of complexity to the diagnosis, highlighting the need for a nuanced and vigilant approach in managing such infrequent but potentially serious cases in the ENT emergency setting.
食道异物是耳鼻喉科常见的急症，通常只涉及一枚硬币，一般不会造成伤害。然而，成对的硬币异物却异常罕见。一个值得注意的病例是，一名 3 岁儿童因突发吞咽困难和呕吐到耳鼻喉科急诊就诊。颈部和胸部软组织的普通 X 光片显示了一个独特的发现--颈部食管的双圆形不通畅，表明摄入了两个在放射学上完全一致的异物。鉴于此类病例的罕见性，再加上在没有全面病史的情况下诊断所面临的挑战，这个病例显得尤为突出。针对这种情况，患儿在全身麻醉下接受了硬质食管镜检查。本病例强调了在临床实践中考虑不常见情况的重要性，以及采用全面诊断方法的必要性，尤其是在缺乏详细病史的情况下。双异物的出现与精确的放射学排列增加了诊断的复杂性，突出表明在耳鼻喉科急诊环境中处理此类不常见但可能很严重的病例时需要采取细致和警惕的方法。
{"title":"Double coin ingestion in a child: a rare occurrence","authors":"Sonali Malhotra","doi":"10.18203/issn.2454-5929.ijohns20233593","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233593","url":null,"abstract":"Foreign bodies in the esophagus pose a common ENT emergency, often involving a single coin that typically passes without harm. However, the occurrence of paired coin foreign bodies is exceptionally rare. A notable case involves a 3-year-old child who presented to the ENT emergency department with sudden dysphagia and vomiting. A plain X-ray of the soft tissue in the neck and chest revealed a unique finding-a double circular opacity in the cervical esophagus, indicating the ingestion of two foreign bodies in perfect radiological alignment. Given the rarity of such cases, coupled with the challenges in diagnosis when a comprehensive history is unavailable, this instance stands out. The child underwent a rigid esophagoscopy under general anesthesia to address the situation. This case underscores the importance of considering uncommon scenarios in clinical practice and the necessity for thorough diagnostic approaches, especially in the absence of a detailed patient history. The presentation of dual foreign bodies in precise radiological alignment adds a layer of complexity to the diagnosis, highlighting the need for a nuanced and vigilant approach in managing such infrequent but potentially serious cases in the ENT emergency setting.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139228503","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 : 2023-11-27DOI: 10.18203/issn.2454-5929.ijohns20233586
S. Anchan, Anjali Khialani, Athira Raj
CMV esophagitis is usually encountered in immunocompromised individuals and esophagus is rarely affected in immunocompetent individuals. CMV esophagitis associated with arytenoid cyst has not yet been reported in literature to the best of my knowledge and can be considered in case of recurrence of cyst following excision. The objective of this study is to report the unique presentation of CMV in an immunocompetent patient. A middle-aged immunocompetent lady presenting with dysphagia was diagnosed to have arytenoid cyst. Biopsy from upper esophagus revealed cytomegalovirus inclusion bodies and immunological test were performed to confirm the pathology. The cyst excision lead to recurrence. It was excised again followed by a course of intravenous ganciclovir. Currently, the role of antiviral in treatment of CMV esophagitis in immunocompetent individual is not well established. We have obtained good result in this patient with a course of Ganciclovir following excision of the cyst. The rarity of cytomegaloviral upper esophageal involvement, its association with arytenoid cyst and the utility of antivirus in treatment of an immunocompetent host makes this case report unique and interesting.
{"title":"Cytomegalovirus esophagitis associated with arytenoid cyst in an immunocompetent host","authors":"S. Anchan, Anjali Khialani, Athira Raj","doi":"10.18203/issn.2454-5929.ijohns20233586","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233586","url":null,"abstract":"CMV esophagitis is usually encountered in immunocompromised individuals and esophagus is rarely affected in immunocompetent individuals. CMV esophagitis associated with arytenoid cyst has not yet been reported in literature to the best of my knowledge and can be considered in case of recurrence of cyst following excision. The objective of this study is to report the unique presentation of CMV in an immunocompetent patient. A middle-aged immunocompetent lady presenting with dysphagia was diagnosed to have arytenoid cyst. Biopsy from upper esophagus revealed cytomegalovirus inclusion bodies and immunological test were performed to confirm the pathology. The cyst excision lead to recurrence. It was excised again followed by a course of intravenous ganciclovir. Currently, the role of antiviral in treatment of CMV esophagitis in immunocompetent individual is not well established. We have obtained good result in this patient with a course of Ganciclovir following excision of the cyst. The rarity of cytomegaloviral upper esophageal involvement, its association with arytenoid cyst and the utility of antivirus in treatment of an immunocompetent host makes this case report unique and interesting.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"231 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139229327","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 : 2023-11-27DOI: 10.18203/issn.2454-5929.ijohns20233584
S. S., Ravikeerti G.
Thyroid hemiagenesis is one of the rarest congenital anomaly of thyroid gland and found a total of 256 cases reported with female predominance. The left lobe is more commonly seen with thyroid hemi agenesis than the right lobe, with a ratio of 3.6: 1. We hereby reported a case of 50 years old female with the agenesis of the right lobe and isthmus of thyroid gland. Thyroid hemiagenesis can be associated with hyper or hypothyroidism. In our case patient had normal thyroid function tests. On ultrasonography of neck, a large heterogeneous lesion measuring 8.0×4.0×8.0 cm noted in the anterior aspect of neck, predominantly on the right side and seen crossing midline to the left. In our case we detected thyroid hemiagensis incidentally with the help of ultrasonography and confirmed it intra-operatively. Ultrasonography is the most cost-effective means of diagnosing thyroid hemiagenesis.
{"title":"An unusual case report of thyroid hemiagenesis with multinodular colloid goitre","authors":"S. S., Ravikeerti G.","doi":"10.18203/issn.2454-5929.ijohns20233584","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233584","url":null,"abstract":"Thyroid hemiagenesis is one of the rarest congenital anomaly of thyroid gland and found a total of 256 cases reported with female predominance. The left lobe is more commonly seen with thyroid hemi agenesis than the right lobe, with a ratio of 3.6: 1. We hereby reported a case of 50 years old female with the agenesis of the right lobe and isthmus of thyroid gland. Thyroid hemiagenesis can be associated with hyper or hypothyroidism. In our case patient had normal thyroid function tests. On ultrasonography of neck, a large heterogeneous lesion measuring 8.0×4.0×8.0 cm noted in the anterior aspect of neck, predominantly on the right side and seen crossing midline to the left. In our case we detected thyroid hemiagensis incidentally with the help of ultrasonography and confirmed it intra-operatively. Ultrasonography is the most cost-effective means of diagnosing thyroid hemiagenesis.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139233499","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 : 2023-11-27DOI: 10.18203/issn.2454-5929.ijohns20233590
Roshan Ali, Arun Maran Sattien, Liano Lucy, S. Thingbaijam
Giant lipomas are benign soft tissue tumor found rarely in the neck and are still rarer in the anterior part of neck. Laryngeal hamartoma (LH) is a very rare lesions and the number of reported cases is limited. Herein, we report a case of 68 years old male with a history of painless, slow growing swelling on anterior neck for past 8 years and also complaints of dyspnoea and stridor for past 6 months. FNAC from anterior neck swelling was suggestive of lipoma. USG and CT findings were suggestive of soft tissue lesions. Indirect and flexible laryngoscopy shows a large pedunculated, globular mass in interarytenoid region. A complete surgical excision of the anterior neck mass and interarytenoid polyp was done. Diagnosis of lipoma and hamartoma was confirmed on histopathology. Patient was followed up for 2 years with no evidence of recurrence.
{"title":"Synchronous presentation of giant anterior neck lipoma and interarytenoid hamartoma","authors":"Roshan Ali, Arun Maran Sattien, Liano Lucy, S. Thingbaijam","doi":"10.18203/issn.2454-5929.ijohns20233590","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233590","url":null,"abstract":"Giant lipomas are benign soft tissue tumor found rarely in the neck and are still rarer in the anterior part of neck. Laryngeal hamartoma (LH) is a very rare lesions and the number of reported cases is limited. Herein, we report a case of 68 years old male with a history of painless, slow growing swelling on anterior neck for past 8 years and also complaints of dyspnoea and stridor for past 6 months. FNAC from anterior neck swelling was suggestive of lipoma. USG and CT findings were suggestive of soft tissue lesions. Indirect and flexible laryngoscopy shows a large pedunculated, globular mass in interarytenoid region. A complete surgical excision of the anterior neck mass and interarytenoid polyp was done. Diagnosis of lipoma and hamartoma was confirmed on histopathology. Patient was followed up for 2 years with no evidence of recurrence.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139232515","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 : 2023-11-27DOI: 10.18203/issn.2454-5929.ijohns20233591
Ankita Aggarwal, Khushboo Goel, Sanjeev Bhagat, D. Sahni, D. Sharma, Vishav Yadav
This study was aimed to compare the effect of oral steroids and itraconazole in reducing the recurrence in allergic fungal rhinosinusitis (AFRS) patients undergoing ESS. In this randomized controlled trial, 50 patients of both sexes aged between 15-60 years with AFRS were subjected to functional endoscopic sinus surgery (ESS). In the post-operative period, patients were randomly divided into 2 groups containing 25 patients each. Group A received systemic steroid followed by topical steroid. Group B received oral itraconazole. Patients were followed at the end of 6, 10 and 14 weeks after surgery. Sinonasal outcome test 22 (SNOT-22) Lund Kennedy endoscopic score (LKES), AEC and serum total IgE were repeated at each post-operative visit and compared with the preoperative values. Repeat NCCT nose and PNS was done at 14th week to look for recurrence. Statistically significant difference was seen between the two groups in AEC, LKES and SNOT-22 with group A showing more significant improvement than group B, but not in serum IgE and Lund Mackay computed tomography (LMCT) score. The group A had 24% (n=6) recurrence rate, while group B had 44% (n=11) recurrence rate. The difference in the two groups in recurrence was not statistically significant. We evaluated multiple parameters including radiological and endoscopic scores to find the difference between the two drugs and found steroid to be superior than itraconazole.
{"title":"Itraconazole versus steroids in post operative cases of allergic fungal rhinosinusitis: a randomized controlled trial","authors":"Ankita Aggarwal, Khushboo Goel, Sanjeev Bhagat, D. Sahni, D. Sharma, Vishav Yadav","doi":"10.18203/issn.2454-5929.ijohns20233591","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233591","url":null,"abstract":"This study was aimed to compare the effect of oral steroids and itraconazole in reducing the recurrence in allergic fungal rhinosinusitis (AFRS) patients undergoing ESS. In this randomized controlled trial, 50 patients of both sexes aged between 15-60 years with AFRS were subjected to functional endoscopic sinus surgery (ESS). In the post-operative period, patients were randomly divided into 2 groups containing 25 patients each. Group A received systemic steroid followed by topical steroid. Group B received oral itraconazole. Patients were followed at the end of 6, 10 and 14 weeks after surgery. Sinonasal outcome test 22 (SNOT-22) Lund Kennedy endoscopic score (LKES), AEC and serum total IgE were repeated at each post-operative visit and compared with the preoperative values. Repeat NCCT nose and PNS was done at 14th week to look for recurrence. Statistically significant difference was seen between the two groups in AEC, LKES and SNOT-22 with group A showing more significant improvement than group B, but not in serum IgE and Lund Mackay computed tomography (LMCT) score. The group A had 24% (n=6) recurrence rate, while group B had 44% (n=11) recurrence rate. The difference in the two groups in recurrence was not statistically significant. We evaluated multiple parameters including radiological and endoscopic scores to find the difference between the two drugs and found steroid to be superior than itraconazole.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139233073","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 : 2023-11-10DOI: 10.18203/issn.2454-5929.ijohns20233536
Amrit Thapa, I. D. Roy, B. Jayan, Saugat Ray, Andrews Navin Kumar, Amit Antil
Background: Objective of the study was to determine linear and volumetric changes in pharyngeal airway dimensions in class III patients treated by different modalities of orthognathic surgery and to compare the results of different orthognathic surgical modalities, and determine the change at the position of the hyoid bone. Methods: Pre and post-treatment lateral cephalogram of 53 class III adult patients who were treated by different modalities of orthognathic surgery studied to assess the changes in pharyngeal airway dimensions and hyoid bone position after orthognathic surgery. 28 patients were treated with mandibular set back, and 25 patients were treated with Bijaw surgery. Lateral cephalogram records were taken before treatment (T1), after surgery (T2), the end of the fixed treatment (T3) and 1 year after debonding (T4). Results: Interception of both surgical modalities has significant impact on various skeletal and pharyngeal parameters i.e., BMeH (0.00), PNS (0.009), MPS (0.13), GOP (0.001), IPS (0.007), SAS (0.006), and MAS (0.00). OJ (overjet) and OB (overbite) was significant especially after time interval of one year. In Bijaw groups, PPST4 parameter was significantly increased (0.0000), SPST4 (0.000), GOP (0.000), EPS (0.000) and IPS parameter was significantly decreased (0.045). Significant difference was observed in T4 time interval in superior pharyngeal airway space, posterior airway space and middle airway space with (p<0.05). Conclusions: Pharyngeal airway is significantly altered following orthognathic surgery in class III patients and it depends on the type of surgical modality employed were Bijaw surgery has significant impact on oropharyngeal and hypopharyngeal airway space.
{"title":"Volumetric analysis of pharyngeal airway dimensions and hyoid bone position following orthognathic surgery in skeletal class III patients: a cross sectional cephalometric study","authors":"Amrit Thapa, I. D. Roy, B. Jayan, Saugat Ray, Andrews Navin Kumar, Amit Antil","doi":"10.18203/issn.2454-5929.ijohns20233536","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233536","url":null,"abstract":"Background: Objective of the study was to determine linear and volumetric changes in pharyngeal airway dimensions in class III patients treated by different modalities of orthognathic surgery and to compare the results of different orthognathic surgical modalities, and determine the change at the position of the hyoid bone. Methods: Pre and post-treatment lateral cephalogram of 53 class III adult patients who were treated by different modalities of orthognathic surgery studied to assess the changes in pharyngeal airway dimensions and hyoid bone position after orthognathic surgery. 28 patients were treated with mandibular set back, and 25 patients were treated with Bijaw surgery. Lateral cephalogram records were taken before treatment (T1), after surgery (T2), the end of the fixed treatment (T3) and 1 year after debonding (T4). Results: Interception of both surgical modalities has significant impact on various skeletal and pharyngeal parameters i.e., BMeH (0.00), PNS (0.009), MPS (0.13), GOP (0.001), IPS (0.007), SAS (0.006), and MAS (0.00). OJ (overjet) and OB (overbite) was significant especially after time interval of one year. In Bijaw groups, PPST4 parameter was significantly increased (0.0000), SPST4 (0.000), GOP (0.000), EPS (0.000) and IPS parameter was significantly decreased (0.045). Significant difference was observed in T4 time interval in superior pharyngeal airway space, posterior airway space and middle airway space with (p<0.05). Conclusions: Pharyngeal airway is significantly altered following orthognathic surgery in class III patients and it depends on the type of surgical modality employed were Bijaw surgery has significant impact on oropharyngeal and hypopharyngeal airway space.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"116 48","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135136621","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 : 2023-11-06DOI: 10.18203/issn.2454-5929.ijohns20233517
Ilambarathi M., Avinash Bijlani, Dhrubo Roy
Vestibular migraine (VM) is a disorder connecting two clinical conditions, migraine and vertigo. A high prevalence of VM (~30%) is reported among Indians suffering from dizziness. Yet, there is no gold standard for diagnosis and treatment. Trials specifically for patients with VM are scarce. This review provides an overview on VM and its management in the Indian clinical setting. An evidence-based discussion and review of literature on VM was performed by expert panelists, and opinions were gathered. Experts opined that in vertigo clinics, around 50% of patients are diagnosed with VM, with a higher predominance in females aged 30-50 years, while in children, the age of manifestation is 12-14 years. The most common presenting symptoms of VM among adults are spontaneous vertigo, followed by positional vertigo with headache, nausea, vomiting, photophobia and phonophobia, while intolerance to loud sounds and sudden falls are common symptoms in children with VM. Common comorbidities associated with VM are benign paroxysmal positional vertigo (BPPV) and Meniere’s disease (MD). Experts opined that there are currently no approved standardized treatment protocols for VM. The steps in the management of VM include diet and lifestyle modification, along with medicines for symptomatic relief (abortive) and prophylaxis and vestibular rehabilitation. Globally, prochlorperazine, a vestibular suppressant, is widely used for the management of vertigo and its associated symptoms. According to experts, prochlorperazine 5 mg twice or thrice daily for 5-7 days can play a significant role as an abortive treatment in the management of various patient profiles of VM.
{"title":"Vestibular migraine and its management in Indian clinical setting: a narrative review","authors":"Ilambarathi M., Avinash Bijlani, Dhrubo Roy","doi":"10.18203/issn.2454-5929.ijohns20233517","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233517","url":null,"abstract":"Vestibular migraine (VM) is a disorder connecting two clinical conditions, migraine and vertigo. A high prevalence of VM (~30%) is reported among Indians suffering from dizziness. Yet, there is no gold standard for diagnosis and treatment. Trials specifically for patients with VM are scarce. This review provides an overview on VM and its management in the Indian clinical setting. An evidence-based discussion and review of literature on VM was performed by expert panelists, and opinions were gathered. Experts opined that in vertigo clinics, around 50% of patients are diagnosed with VM, with a higher predominance in females aged 30-50 years, while in children, the age of manifestation is 12-14 years. The most common presenting symptoms of VM among adults are spontaneous vertigo, followed by positional vertigo with headache, nausea, vomiting, photophobia and phonophobia, while intolerance to loud sounds and sudden falls are common symptoms in children with VM. Common comorbidities associated with VM are benign paroxysmal positional vertigo (BPPV) and Meniere’s disease (MD). Experts opined that there are currently no approved standardized treatment protocols for VM. The steps in the management of VM include diet and lifestyle modification, along with medicines for symptomatic relief (abortive) and prophylaxis and vestibular rehabilitation. Globally, prochlorperazine, a vestibular suppressant, is widely used for the management of vertigo and its associated symptoms. According to experts, prochlorperazine 5 mg twice or thrice daily for 5-7 days can play a significant role as an abortive treatment in the management of various patient profiles of VM.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"18 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135678998","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 : 2023-10-25DOI: 10.18203/issn.2454-5929.ijohns20233226
Santosh Kumar Swain, Manas Ranjan Sahu
The doctor-patient relationship has undergone a sea change in the past few decades because of the result of fast commercialization and globalization of the medical profession. Miscommunication and lack of patient consent are important points that lead to complaints against surgeons in otorhinolaryngology and other medical specialties. Otolaryngology is a dynamic field, with standards of care changing with the advent and popularization of numerous technological innovations. Inadequate documentation and suing unusual terminologies are the well-known reason for errors in Otorhinolaryngology. The treatment has the potential to affect the ability for getting hearing, smelling, talking, swallowing, and breathing. So, any event that affects adversely results in a dramatic impact on quality of life. This specialty typically also involves the face and the part of the body that most people associate with one’s identity. Most complications due to otorhinolaryngological surgeries may not result in litigation, however, management of the post-complication period is important to prevent lawsuits. Adequate awareness of the factors involved in lawsuits in Otorhinolaryngology allows surgeons to reduce their risk of prosecution.
{"title":"Medicolegal issues in otorhinolaryngology: a review","authors":"Santosh Kumar Swain, Manas Ranjan Sahu","doi":"10.18203/issn.2454-5929.ijohns20233226","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233226","url":null,"abstract":"The doctor-patient relationship has undergone a sea change in the past few decades because of the result of fast commercialization and globalization of the medical profession. Miscommunication and lack of patient consent are important points that lead to complaints against surgeons in otorhinolaryngology and other medical specialties. Otolaryngology is a dynamic field, with standards of care changing with the advent and popularization of numerous technological innovations. Inadequate documentation and suing unusual terminologies are the well-known reason for errors in Otorhinolaryngology. The treatment has the potential to affect the ability for getting hearing, smelling, talking, swallowing, and breathing. So, any event that affects adversely results in a dramatic impact on quality of life. This specialty typically also involves the face and the part of the body that most people associate with one’s identity. Most complications due to otorhinolaryngological surgeries may not result in litigation, however, management of the post-complication period is important to prevent lawsuits. Adequate awareness of the factors involved in lawsuits in Otorhinolaryngology allows surgeons to reduce their risk of prosecution.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"15 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167246","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 : 2023-10-25DOI: 10.18203/issn.2454-5929.ijohns20233220
Febin James, Nigil Sreedharan, Josmy George
Teeth in non-dentate areas including the intra-sinus and intranasal teeth are rarely encountered in clinical practice. Although the majority of patients remain asymptomatic, the usual presenting complaints are nasal obstruction, epistaxis, hyposmia and headache. In this article, we present a case of an intranasal tooth in a 38-year-old male who presented with complaints of hyposmia and nasal obstruction. Computed tomography (CT) of the paranasal sinuses and nasal cavity showed a tooth-like structure in the left inferior nasal cavity extending from the hard palate. The mainstay of treatment is the surgical removal of the ectopic tooth under anaesthesia. Even in asymptomatic patients, surgical removal of the nasal tooth is advised to prevent complications. Along with a clinician’s understanding of the condition, imaging aids in the diagnosis of an ectopic tooth. Imaging, particularly with CT, also helps plan the surgical approach to treatment.
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Pub Date : 2023-10-25DOI: 10.18203/issn.2454-5929.ijohns20233219
Amol Anandrao Patil, Suchina E. K.
Sudden sensorineural hearing loss is defined as hearing loss of 30db or more at least 3 consecutive audiometric frequencies occurring within 72 hours period or less. Unilateral presentation of sudden sensorineural hearing loss is common, however bilateral sequential presentation of this disease is very rare. Clinically we couldn’t anticipate the occurrence of sequential bilateral sudden sensorineural hearing loss at the first time. This bilateral sudden sensorineural hearing loss will affect the quality of life of patient. So, we report a case of 60 years old female patient with profound bilateral sudden sensorineural hearing loss with time interval of 4 years between involvement of both ears. Even though high dose steroid administered intravenously and intratympanic the patient’s hearing was not restored and eventually require hearing aids. The purpose of presenting this article is that sequential profound bilateral sensorineural hearing loss may present without any warning sign, response to treatment is very poor and the rarity of this condition.
{"title":"Idiopathic sequential bilateral profound sudden sensorineural hearing loss occurring 4 years after unilateral presentation","authors":"Amol Anandrao Patil, Suchina E. K.","doi":"10.18203/issn.2454-5929.ijohns20233219","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233219","url":null,"abstract":"Sudden sensorineural hearing loss is defined as hearing loss of 30db or more at least 3 consecutive audiometric frequencies occurring within 72 hours period or less. Unilateral presentation of sudden sensorineural hearing loss is common, however bilateral sequential presentation of this disease is very rare. Clinically we couldn’t anticipate the occurrence of sequential bilateral sudden sensorineural hearing loss at the first time. This bilateral sudden sensorineural hearing loss will affect the quality of life of patient. So, we report a case of 60 years old female patient with profound bilateral sudden sensorineural hearing loss with time interval of 4 years between involvement of both ears. Even though high dose steroid administered intravenously and intratympanic the patient’s hearing was not restored and eventually require hearing aids. The purpose of presenting this article is that sequential profound bilateral sensorineural hearing loss may present without any warning sign, response to treatment is very poor and the rarity of this condition.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167385","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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