Pub Date : 2022-07-15DOI: 10.18231/j.ijoas.2022.016
D. Kaushal, N. Chauhan, Sonali Sharma
Globus pharyngeus is a common disorder encountered in patients in Otorhinolaryngology out-patient department. Patients often express this as a feeling of foreign body stuck in throat or choking sensation in throat. Detailed history and investigations are needed to rule out malignancy. Patient should be thoroughly counselled to relieve anxiety.
{"title":"An insight into globus pharyngeus: A diagnostic dilemma","authors":"D. Kaushal, N. Chauhan, Sonali Sharma","doi":"10.18231/j.ijoas.2022.016","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.016","url":null,"abstract":"Globus pharyngeus is a common disorder encountered in patients in Otorhinolaryngology out-patient department. Patients often express this as a feeling of foreign body stuck in throat or choking sensation in throat. Detailed history and investigations are needed to rule out malignancy. Patient should be thoroughly counselled to relieve anxiety.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"447 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116071923","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 : 2022-07-15DOI: 10.18231/j.ijoas.2022.014
Sphoorthi Basavannaiah
Keloids over ear are benign, fibrous proliferations that have high recurrence. Trauma to ear or any surgical intervention form the main aetiology for these out-pouchings. Treating keloids has become a challenge to the surgeons. Here are 2 cases presented at our tertiary care set up which have undergone surgical excision twice elsewhere and the demonstration now is worse than presentation before.
{"title":"Keloid over ear: Recurrent & persistent multiple mushrooms which are incompletely expunged","authors":"Sphoorthi Basavannaiah","doi":"10.18231/j.ijoas.2022.014","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.014","url":null,"abstract":"Keloids over ear are benign, fibrous proliferations that have high recurrence. Trauma to ear or any surgical intervention form the main aetiology for these out-pouchings. Treating keloids has become a challenge to the surgeons. Here are 2 cases presented at our tertiary care set up which have undergone surgical excision twice elsewhere and the demonstration now is worse than presentation before.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122480219","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 : 2022-07-15DOI: 10.18231/j.ijoas.2022.009
Rakesh K. Singh, P. Kumari, R. Singh, S. Mishra, Prateek Kumar, P. Prakash
The pathophysiology of Chronic Rhino-Sinusitis with Nasal Polyposis (CRSwNP) showed distinct ethnic and geographic differences whereas the Western Caucasian population revealed Th2 eosinophilic inflammation in contrary to the Asian Mongolian population with Th1-Th17 non-eosinophilic inflammatory pattern. Prospective Observational study was undertaken from December 2019 to December 2021 on 50 patients who were diagnosed to have sinonasal polyposis. The collected polyp tissue was sent to the histopathological department for further microscopic evaluation. The types of inflammatory cell infiltrate studied in the tissue specimens obtained during surgery included lymphocytes, eosinophils, neutrophils, mast cells, and plasma cells. The age of patients ranged from 11 to 70 years with a mean age of 31.80±17.69 years. The male to female ratio was 1.3:1. The 62% of patients showed the predominance of eosinophil which was of grade III and grade IV category, Lymphocyte infiltrate of grades III and IV was present in 46% of cases, Mast cell was 30% and 10% of grade III and Grade IV respectively, and the Neutrophils were found only in 22% and 105 of cases of grade III & Grade IV, respectively which was the least of all inflammatory cells found in polyp tissue. The cellular predominance was shifted toward the Th2 type of inflammation with the predominance of Eosinophil, Lymphocytes, Plasma cells, and mast cells in the Asian Aryan sub origin population contrary to the Th17 type of inflammation as indicated by the least infiltration of Neutrophils as reported in Asian Mongolian Populations.
{"title":"Inflammatory cell distribution accrediting Th2 inflammation in Sinonasal polyp in Indian Population","authors":"Rakesh K. Singh, P. Kumari, R. Singh, S. Mishra, Prateek Kumar, P. Prakash","doi":"10.18231/j.ijoas.2022.009","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.009","url":null,"abstract":"The pathophysiology of Chronic Rhino-Sinusitis with Nasal Polyposis (CRSwNP) showed distinct ethnic and geographic differences whereas the Western Caucasian population revealed Th2 eosinophilic inflammation in contrary to the Asian Mongolian population with Th1-Th17 non-eosinophilic inflammatory pattern. Prospective Observational study was undertaken from December 2019 to December 2021 on 50 patients who were diagnosed to have sinonasal polyposis. The collected polyp tissue was sent to the histopathological department for further microscopic evaluation. The types of inflammatory cell infiltrate studied in the tissue specimens obtained during surgery included lymphocytes, eosinophils, neutrophils, mast cells, and plasma cells. The age of patients ranged from 11 to 70 years with a mean age of 31.80±17.69 years. The male to female ratio was 1.3:1. The 62% of patients showed the predominance of eosinophil which was of grade III and grade IV category, Lymphocyte infiltrate of grades III and IV was present in 46% of cases, Mast cell was 30% and 10% of grade III and Grade IV respectively, and the Neutrophils were found only in 22% and 105 of cases of grade III & Grade IV, respectively which was the least of all inflammatory cells found in polyp tissue. The cellular predominance was shifted toward the Th2 type of inflammation with the predominance of Eosinophil, Lymphocytes, Plasma cells, and mast cells in the Asian Aryan sub origin population contrary to the Th17 type of inflammation as indicated by the least infiltration of Neutrophils as reported in Asian Mongolian Populations.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124321220","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 : 2022-07-15DOI: 10.18231/j.ijoas.2022.007
Manish Gupta
{"title":"Microscope in Thyroid Surgery?","authors":"Manish Gupta","doi":"10.18231/j.ijoas.2022.007","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.007","url":null,"abstract":"","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127515807","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 : 2022-07-15DOI: 10.18231/j.ijoas.2022.015
S. Nayak, Prasheeta Bhaskar, Adarsh D Kumar, Mansi A R Venkatramanan, A. Harugop
As India faced a combined threat from mucormycosis and COVID 19 early diagnosis and appropriate treatment played an important role in reducing the morbidity and mortality due to the fungal infections. The current case study helped us in understanding the need to confirm the diagnosis before starting the antifungals which are highly nephrotoxic and they also helped us in the follow-up of the patient post-surgery.
{"title":"The threat of fungus in the era of virus – Mucormycosis and Covid 19","authors":"S. Nayak, Prasheeta Bhaskar, Adarsh D Kumar, Mansi A R Venkatramanan, A. Harugop","doi":"10.18231/j.ijoas.2022.015","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.015","url":null,"abstract":"As India faced a combined threat from mucormycosis and COVID 19 early diagnosis and appropriate treatment played an important role in reducing the morbidity and mortality due to the fungal infections. The current case study helped us in understanding the need to confirm the diagnosis before starting the antifungals which are highly nephrotoxic and they also helped us in the follow-up of the patient post-surgery.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121158870","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 : 2022-07-15DOI: 10.18231/j.ijoas.2022.010
J. Nagar, S. Joshi, R. Verma, A. Patel, Kapil Nath Deora, G. Sharma
Fibrous dysplasia is a benign tumor of bone, uncommonly affecting the maxilla, congenital, recurrent character and etiology unknown, caused by a bone modeling disorder in which normal bone is replaced by immature fibrous tissue. The lesion may involve one or more bones being the maxilla the facial bone more affected. We report a case of monostotic variety fibrous dysplasia in a male patient complaining of progressive swelling in rt maxilla that compress the inferior orbital bone and finally produce significant loss of vision. In this case, Computed Tomography (CT) was the main radiographic examination to demonstrate the extension and radiodensity that the lesion assumes in the craniofacial bones, being therefore of fundamental importance in the surgical planning and in the longitudinal follow-up of the operated patient. The diagnosis was confirmed by anatopathology and the treatment of choice was removal of the tumor [total maxillectomy in this case followed by reconstruction of palate and defect. This article also aims to review the main clinical, radiological, histopathological, differential diagnosis and Fibrous dysplasia treatment.
{"title":"A rare case report of fibrous dysplasia of maxillary bone causing progressive vision loss: Case report","authors":"J. Nagar, S. Joshi, R. Verma, A. Patel, Kapil Nath Deora, G. Sharma","doi":"10.18231/j.ijoas.2022.010","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.010","url":null,"abstract":"Fibrous dysplasia is a benign tumor of bone, uncommonly affecting the maxilla, congenital, recurrent character and etiology unknown, caused by a bone modeling disorder in which normal bone is replaced by immature fibrous tissue. The lesion may involve one or more bones being the maxilla the facial bone more affected. We report a case of monostotic variety fibrous dysplasia in a male patient complaining of progressive swelling in rt maxilla that compress the inferior orbital bone and finally produce significant loss of vision. In this case, Computed Tomography (CT) was the main radiographic examination to demonstrate the extension and radiodensity that the lesion assumes in the craniofacial bones, being therefore of fundamental importance in the surgical planning and in the longitudinal follow-up of the operated patient. The diagnosis was confirmed by anatopathology and the treatment of choice was removal of the tumor [total maxillectomy in this case followed by reconstruction of palate and defect. This article also aims to review the main clinical, radiological, histopathological, differential diagnosis and Fibrous dysplasia treatment.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132356435","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 : 2022-07-15DOI: 10.18231/j.ijoas.2022.012
Natasha Byahatti
Pachyonychia congenital (PC), is a rare genetic disorder, autosomal dominant, disorder of keratinization. This condition is characterized by cutaneous manifestation mainly hyperkeratosis of skin and mucosae and hypertrophy of nails. In this condition, almost 50% of the patients will have oral leukokeratosis. The case report here is of a 15 years old girl, presented with dystrophic, thickened fingernails and toenails with subungual hyperkeratosis, palmoplantar keratoderma, hyperkeratotic plaques in buccal mucosae. Histological examination shows acanthosis, parakeratosis and ballooning of epithelial cells, these features were consistent leukokeratosis, and has been diagnosed as Pachyonychia Congenita type 1. This is a rare condition hence, has been reported.
{"title":"Oral manifestation of pachyonychia congenita type 1: Jadassohn lewandowsky syndrome","authors":"Natasha Byahatti","doi":"10.18231/j.ijoas.2022.012","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.012","url":null,"abstract":"Pachyonychia congenital (PC), is a rare genetic disorder, autosomal dominant, disorder of keratinization. This condition is characterized by cutaneous manifestation mainly hyperkeratosis of skin and mucosae and hypertrophy of nails. In this condition, almost 50% of the patients will have oral leukokeratosis. The case report here is of a 15 years old girl, presented with dystrophic, thickened fingernails and toenails with subungual hyperkeratosis, palmoplantar keratoderma, hyperkeratotic plaques in buccal mucosae. Histological examination shows acanthosis, parakeratosis and ballooning of epithelial cells, these features were consistent leukokeratosis, and has been diagnosed as Pachyonychia Congenita type 1. This is a rare condition hence, has been reported.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125722051","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 : 2022-04-15DOI: 10.18231/j.ijoas.2022.005
Snekha P Dominic, Agnieesh Patial, R. Shah
Keratosis obturans is a condition of the external auditory canal, characterised by the stratified accumulation of keratin plugs within the external auditory canal. The progressive accumulation of keratin debris can lead to the gentle erosion and widening of the canal eventually. Whereas, Cholesteatoma also known as active squamosal chronic suppurative otitis media (CSOM) is a benign keratinizing epithelialized cystic structure found in the middle ear and mastoid. It can cause destruction of the local structures – ossicular chain and otic capsule, thereby leading to complications such as hearing loss, vestibular dysfunction, facial paralysis and intracranial disease or infection. Both these entities may present with severe otalgia and conductive hearing loss with radiological evidence of bony erosions. The similarity in clinical presentation can cause confusion between these two conditions. We present a case of keratosis obturans that was misdiagnosed as active squamosal CSOM. The case was diagnosed and managed by microscope guided examination and exploration under general anaesthesia.
{"title":"Keratosis obturans masquerading as cholesteatoma- A case report","authors":"Snekha P Dominic, Agnieesh Patial, R. Shah","doi":"10.18231/j.ijoas.2022.005","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.005","url":null,"abstract":"Keratosis obturans is a condition of the external auditory canal, characterised by the stratified accumulation of keratin plugs within the external auditory canal. The progressive accumulation of keratin debris can lead to the gentle erosion and widening of the canal eventually. Whereas, Cholesteatoma also known as active squamosal chronic suppurative otitis media (CSOM) is a benign keratinizing epithelialized cystic structure found in the middle ear and mastoid. It can cause destruction of the local structures – ossicular chain and otic capsule, thereby leading to complications such as hearing loss, vestibular dysfunction, facial paralysis and intracranial disease or infection. Both these entities may present with severe otalgia and conductive hearing loss with radiological evidence of bony erosions. The similarity in clinical presentation can cause confusion between these two conditions. We present a case of keratosis obturans that was misdiagnosed as active squamosal CSOM. The case was diagnosed and managed by microscope guided examination and exploration under general anaesthesia.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121969618","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 : 2022-04-15DOI: 10.18231/j.ijoas.2022.006
Sphoorthi Basavannaiah
Cleft lip and cleft palate are birth defects that occur when a baby’s lip or mouth does not form properly during pregnancy. Together, these birth defects are commonly called “Oro-facial clefts”. Cleft palate alone can often have problems with feed, speech & hearing and problems with teeth development. The causes of these clefts among most infants are unknown. Cleft lip and cleft palate in a child are thought to be caused by a combination of genes and other factors during their gestational development.
{"title":"Devil’s bite in an adult woman: Unheeded & overlooked","authors":"Sphoorthi Basavannaiah","doi":"10.18231/j.ijoas.2022.006","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.006","url":null,"abstract":"Cleft lip and cleft palate are birth defects that occur when a baby’s lip or mouth does not form properly during pregnancy. Together, these birth defects are commonly called “Oro-facial clefts”. Cleft palate alone can often have problems with feed, speech & hearing and problems with teeth development. The causes of these clefts among most infants are unknown. Cleft lip and cleft palate in a child are thought to be caused by a combination of genes and other factors during their gestational development.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125620613","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 : 2022-04-15DOI: 10.18231/j.ijoas.2022.001
A. Dasgupta
Cochlear Habilitator is an animated hypothetical cochlear pattern right and left with illumination from frequencies 125 Hz to 13000 Hz awareness and saving contours. This programmed has complete battery of training and testing on pure tones from 125 Hz to 10,000 Hz and environmental sounds numbering 79. The present study aimed to see the efficacy of cochlear habilitator in cochlear implant children. A total 10 cochlear implant children under which 4-female and, 6-male participants with in the age range of 3-7 years participated in this study with normal IQ and no history of any health problems. The cochlear habilitator (software) was installed in a laptop connected with two loudspeakers, which are configured with the cochlear habilitator (software) with azimuth angle of 180 degree. The 10 cochlear implant participants were selected based on the subject selection criteria, from the speech and hearing clinic and auditory training was provided for 28 days/sessions. The data was analyzed using SPSS software (version 17.0). T test values shows there is a significant difference in all tasks individually and on overall performance. The mean scores of Post therapy test is higher than the pre-therapy test. Hence cochlear habilitator computer based online software is a useful tool for cochlear implant children’s management in auditory training.
{"title":"Auditory training through cochlear habilitator (software) in children with cochlear implantation– A pre-post therapy comparison","authors":"A. Dasgupta","doi":"10.18231/j.ijoas.2022.001","DOIUrl":"https://doi.org/10.18231/j.ijoas.2022.001","url":null,"abstract":"Cochlear Habilitator is an animated hypothetical cochlear pattern right and left with illumination from frequencies 125 Hz to 13000 Hz awareness and saving contours. This programmed has complete battery of training and testing on pure tones from 125 Hz to 10,000 Hz and environmental sounds numbering 79. The present study aimed to see the efficacy of cochlear habilitator in cochlear implant children. A total 10 cochlear implant children under which 4-female and, 6-male participants with in the age range of 3-7 years participated in this study with normal IQ and no history of any health problems. The cochlear habilitator (software) was installed in a laptop connected with two loudspeakers, which are configured with the cochlear habilitator (software) with azimuth angle of 180 degree. The 10 cochlear implant participants were selected based on the subject selection criteria, from the speech and hearing clinic and auditory training was provided for 28 days/sessions. The data was analyzed using SPSS software (version 17.0). T test values shows there is a significant difference in all tasks individually and on overall performance. The mean scores of Post therapy test is higher than the pre-therapy test. Hence cochlear habilitator computer based online software is a useful tool for cochlear implant children’s management in auditory training.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133363804","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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