Pub Date : 2021-11-15DOI: 10.18231/j.ijoas.2021.016
Usha Poonia, J. Singh, M. Kumari, Sukriti Bansal
Adenoid cystic carcinoma(ACC) is a common salivary gland tumour which constitutes about 10% of all salivary gland malignancies and 1% of all head & neck malignancies. It is a slow growing tumour with propensity for perineural invasion., It occurs most commonly in minor salivary glands, most commonly in oral cavity. It is the third most common malignancy of paranasal sinuses with most common site being maxillary sinus followed by nasal cavity, nasopharynx and ethmoid sinus. It is most commonly seen in 4 and 5 decade with female predominance. ACC arising from nasal septum is very rare with only 10 cases published in literature. In this paper we present a case of nasal septal adenoid cystic carcinoma with review of the literature.
{"title":"Adenoid cystic carcinoma of nasal septum: A review of literature","authors":"Usha Poonia, J. Singh, M. Kumari, Sukriti Bansal","doi":"10.18231/j.ijoas.2021.016","DOIUrl":"https://doi.org/10.18231/j.ijoas.2021.016","url":null,"abstract":"Adenoid cystic carcinoma(ACC) is a common salivary gland tumour which constitutes about 10% of all salivary gland malignancies and 1% of all head & neck malignancies. It is a slow growing tumour with propensity for perineural invasion., It occurs most commonly in minor salivary glands, most commonly in oral cavity. It is the third most common malignancy of paranasal sinuses with most common site being maxillary sinus followed by nasal cavity, nasopharynx and ethmoid sinus. It is most commonly seen in 4 and 5 decade with female predominance. ACC arising from nasal septum is very rare with only 10 cases published in literature. In this paper we present a case of nasal septal adenoid cystic carcinoma with review of the literature.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131706316","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 : 2021-11-15DOI: 10.18231/j.ijoas.2021.017
Zafar Saleem, Shivesh Kumar, A. Rana
Oral Sub Mucous Fibrosis (OSMF) is a disease , which predominately occurs in Indians and South East Asians. It is characterised by mucosal rigidity of varying intensity due to fibroelastic changes of the juxta-epithelial layer, resulting in a progressive inability to open mouth. The main concern in the condition is the management of trismus and burning sensation of oral mucosa. this study was conducted to compare various medical treatment protocol of OSMF, so as to arrive at definitive and effective protocol for the management of OSMF. 105 patients of OSMF attending the ENT OPD and satisfying the criteria for inclusion were enrolled for the study. The subjects were randomly divided into age sex matched into three study groups( Dexa with hyaluronidase , Oral vasodilator, Muscle relaxant) in which the relief in symptoms was noted. Lycopene was given in all patients. Group A, patients were given intralesional injection Dexamethasone with Hyaluronidase biweekly for five weeks and marked improvement was seen in cases of pain with spicy food 13 cases (76.47%), followed by decreased in mouth opening 9 cases (56.25%). In Group B, oral vasodilator Tablet Pentoxifylline 400 mg TDS was given and showed improvement in difficulty in protruding tongue in 9 cases (60%), pain with spicy food 8 cases (50%), decreased mouth opening 6 cases (37.5%), oral ulceration 3 cases (42.85%). In Group C with muscle relaxant Tablet Myosone 50 mg BD showed improvement pain with spicy food 8 cases (42.10%), decreased mouth opening 8 cases (42.10), difficulty in swallowing 3 cases (37.5%). As there is still paramount of controversy regarding the ethology of OSMF there is no definite treatment protocol. Patients which received intralesional dexamethasone and hyaluronidase along with oral lycopene showed better clinical and symptomatic improvement in comparison to others groups, which at present appears to the best option for OSMF.
{"title":"Comparative evaluation of efficacy of muscle relaxant, vasodilator and combined intralesional steroid with hyalaronidase use in oral submucous fibrosis","authors":"Zafar Saleem, Shivesh Kumar, A. Rana","doi":"10.18231/j.ijoas.2021.017","DOIUrl":"https://doi.org/10.18231/j.ijoas.2021.017","url":null,"abstract":"Oral Sub Mucous Fibrosis (OSMF) is a disease , which predominately occurs in Indians and South East Asians. It is characterised by mucosal rigidity of varying intensity due to fibroelastic changes of the juxta-epithelial layer, resulting in a progressive inability to open mouth. The main concern in the condition is the management of trismus and burning sensation of oral mucosa. this study was conducted to compare various medical treatment protocol of OSMF, so as to arrive at definitive and effective protocol for the management of OSMF. 105 patients of OSMF attending the ENT OPD and satisfying the criteria for inclusion were enrolled for the study. The subjects were randomly divided into age sex matched into three study groups( Dexa with hyaluronidase , Oral vasodilator, Muscle relaxant) in which the relief in symptoms was noted. Lycopene was given in all patients. Group A, patients were given intralesional injection Dexamethasone with Hyaluronidase biweekly for five weeks and marked improvement was seen in cases of pain with spicy food 13 cases (76.47%), followed by decreased in mouth opening 9 cases (56.25%). In Group B, oral vasodilator Tablet Pentoxifylline 400 mg TDS was given and showed improvement in difficulty in protruding tongue in 9 cases (60%), pain with spicy food 8 cases (50%), decreased mouth opening 6 cases (37.5%), oral ulceration 3 cases (42.85%). In Group C with muscle relaxant Tablet Myosone 50 mg BD showed improvement pain with spicy food 8 cases (42.10%), decreased mouth opening 8 cases (42.10), difficulty in swallowing 3 cases (37.5%). As there is still paramount of controversy regarding the ethology of OSMF there is no definite treatment protocol. Patients which received intralesional dexamethasone and hyaluronidase along with oral lycopene showed better clinical and symptomatic improvement in comparison to others groups, which at present appears to the best option for OSMF.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116945336","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 : 2021-08-15DOI: 10.18231/j.ijoas.2021.010
Zafar Saleem, A. Rana, Shivesh Kumar
The 2019 novel corona virus has created havoc across the world for whole of last year and still doing so with its continuing second and third waves. It is hypothesized that SARS CoV 2 virus can spread by sneezing, coughing, and even talking to close contact (less than 2 meters) in as little time as few minutes. This exercise was done in patients who attended the Otorhinolaryngological outpatient department from July 2020 to December 20 in a tertiary care center in Lucknow. A total of 1556 patients were included in this study. Keeping this is mind, after careful discussion we propose a OPD consultation protocol which would not only be useful during this pandemic but even after the peaks have passed and COVID-19 transmission comes down to low levels. This protocol if followed properly would prevent transmission of many such possible infections in future as well.
{"title":"Safe otorhinolaryngological outpatient practices in COVID-19 in Indian scenarios","authors":"Zafar Saleem, A. Rana, Shivesh Kumar","doi":"10.18231/j.ijoas.2021.010","DOIUrl":"https://doi.org/10.18231/j.ijoas.2021.010","url":null,"abstract":"The 2019 novel corona virus has created havoc across the world for whole of last year and still doing so with its continuing second and third waves. It is hypothesized that SARS CoV 2 virus can spread by sneezing, coughing, and even talking to close contact (less than 2 meters) in as little time as few minutes. This exercise was done in patients who attended the Otorhinolaryngological outpatient department from July 2020 to December 20 in a tertiary care center in Lucknow. A total of 1556 patients were included in this study. Keeping this is mind, after careful discussion we propose a OPD consultation protocol which would not only be useful during this pandemic but even after the peaks have passed and COVID-19 transmission comes down to low levels. This protocol if followed properly would prevent transmission of many such possible infections in future as well.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125310870","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 : 2021-08-15DOI: 10.18231/j.ijoas.2021.014
Sphoorthi Basavannaiah
Epidermoid and dermoid cysts occur anywhere from the skin covering the body. Clinicians and Surgeons often have an indicative impasse as there are plenty of cystic lesions in the Head and Neck region. Clinically, these cysts are asymptomatic that appear as uniform, round, doughy masses with a tiny surface opening. If by chance cyst gets infected the lining ruptures that spills out cheesy keratin debris into surrounding soft tissue giving rise to local tenderness and swelling.
{"title":"Droopy swelling behind the ear lobe mimicking cyst or cancer","authors":"Sphoorthi Basavannaiah","doi":"10.18231/j.ijoas.2021.014","DOIUrl":"https://doi.org/10.18231/j.ijoas.2021.014","url":null,"abstract":"Epidermoid and dermoid cysts occur anywhere from the skin covering the body. Clinicians and Surgeons often have an indicative impasse as there are plenty of cystic lesions in the Head and Neck region. Clinically, these cysts are asymptomatic that appear as uniform, round, doughy masses with a tiny surface opening. If by chance cyst gets infected the lining ruptures that spills out cheesy keratin debris into surrounding soft tissue giving rise to local tenderness and swelling.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126837486","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 : 2021-08-15DOI: 10.18231/j.ijoas.2021.013
Arun Banik, Aninda Duti A Banik
Accessibility can be refer as the "ability to access" and benefit from some system or entity. The concept access facilities focuses on enabling barrier free environment for persons with disabilities, or enabling access through the use of assistive technology brings overall development in accessibility and benefits to everyone. All human beings are physically disabled for some time in their lives. But those who remain healthy and without disability all their lives are very few. Thus, public buildings should be accessible and barrier-free to both able body and disabled population as well. Persons with disability find it difficult to gain access into and operate freely without assistance in many public buildings in India. This publication is an attempt to provide information an inventory of facilities required for disabled people in public places.It is an observational study covered the identification and ascertaining the functional state of access facilities available including schools etc. A total of 10 such public buildings samples were observed. The results show that major facilities required by disabled people are lacking in many public places. Some of the access facilities identified in few public buildings are in poor state of operation. However, absence of such key facilities restricts the activities of normal population as well as physical disability people. Hence, they cannot work freely in such environment and become productive as tax-paying members of the nation. Due to shortfall or perhaps total neglect in provision of such access facilities, the movement, competence and talents are being restricted for the disabled population. Hence, equal opportunity and non-discrimination brings good equation for every citizen in this developing country constitute a barrier free environment for the development of their abilities. At last, the society at large is deprived of the abilities and talents in people with disabilities.
{"title":"Need of access facilities for persons with hearing disabilities","authors":"Arun Banik, Aninda Duti A Banik","doi":"10.18231/j.ijoas.2021.013","DOIUrl":"https://doi.org/10.18231/j.ijoas.2021.013","url":null,"abstract":"Accessibility can be refer as the \"ability to access\" and benefit from some system or entity. The concept access facilities focuses on enabling barrier free environment for persons with disabilities, or enabling access through the use of assistive technology brings overall development in accessibility and benefits to everyone. All human beings are physically disabled for some time in their lives. But those who remain healthy and without disability all their lives are very few. Thus, public buildings should be accessible and barrier-free to both able body and disabled population as well. Persons with disability find it difficult to gain access into and operate freely without assistance in many public buildings in India. This publication is an attempt to provide information an inventory of facilities required for disabled people in public places.It is an observational study covered the identification and ascertaining the functional state of access facilities available including schools etc. A total of 10 such public buildings samples were observed. The results show that major facilities required by disabled people are lacking in many public places. Some of the access facilities identified in few public buildings are in poor state of operation. However, absence of such key facilities restricts the activities of normal population as well as physical disability people. Hence, they cannot work freely in such environment and become productive as tax-paying members of the nation. Due to shortfall or perhaps total neglect in provision of such access facilities, the movement, competence and talents are being restricted for the disabled population. Hence, equal opportunity and non-discrimination brings good equation for every citizen in this developing country constitute a barrier free environment for the development of their abilities. At last, the society at large is deprived of the abilities and talents in people with disabilities.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134621849","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 : 2021-08-15DOI: 10.18231/j.ijoas.2021.015
Anshul Singh, Manish Gupta, C. Kaur, Akanksha Gupta
Metastasis of head neck squamous cell carcinoma to regional deep cervical nodes is a common and usually are bony hard, solid. But sometimes they may present as a cystic mass which makes it a diagnostic challenge, in absence of evident primary, for the treating doctor. Previously they have been labeled as cancers of branchial cleft cysts which have undergone malignant degeneration. With the advancement in understanding of tumor pathophysiology most researchers now have concluded that these are tumors from tissue of waldeyer’s ring which have the potential of producing cystic cervical metastasis. : A 57-year-old male presented to our department with a right side slow growing neck swelling for 2 years. The rest of ear, nose, throat examination was normal. The fine needle aspiration cytology revealed clear fluid. The diagnosis of branchial cleft cyst was made and patient counselled for surgery for benign lesion. After a period of one month the patient presented with change in voice, difficulty in swallowing and another swelling on left side of the neck. FNAC from the left side swelling revealed metastatic squamous cell carcinoma and PET-CT revealed a tongue base growth. Patient underwent an excision of growth from tongue base and neck dissection on both sides. Even for cystic neck swelling in an adult over 40 years of age, the possibility of malignancy should be kept, until proven otherwise.
{"title":"Cystic cervical metastasis: A diagnostic dilemma","authors":"Anshul Singh, Manish Gupta, C. Kaur, Akanksha Gupta","doi":"10.18231/j.ijoas.2021.015","DOIUrl":"https://doi.org/10.18231/j.ijoas.2021.015","url":null,"abstract":"Metastasis of head neck squamous cell carcinoma to regional deep cervical nodes is a common and usually are bony hard, solid. But sometimes they may present as a cystic mass which makes it a diagnostic challenge, in absence of evident primary, for the treating doctor. Previously they have been labeled as cancers of branchial cleft cysts which have undergone malignant degeneration. With the advancement in understanding of tumor pathophysiology most researchers now have concluded that these are tumors from tissue of waldeyer’s ring which have the potential of producing cystic cervical metastasis. : A 57-year-old male presented to our department with a right side slow growing neck swelling for 2 years. The rest of ear, nose, throat examination was normal. The fine needle aspiration cytology revealed clear fluid. The diagnosis of branchial cleft cyst was made and patient counselled for surgery for benign lesion. After a period of one month the patient presented with change in voice, difficulty in swallowing and another swelling on left side of the neck. FNAC from the left side swelling revealed metastatic squamous cell carcinoma and PET-CT revealed a tongue base growth. Patient underwent an excision of growth from tongue base and neck dissection on both sides. Even for cystic neck swelling in an adult over 40 years of age, the possibility of malignancy should be kept, until proven otherwise.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"66 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131312443","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 : 2021-08-15DOI: 10.18231/j.ijoas.2021.011
M. Gupta, Ravi K Gupta
In Medical Science, Hoarseness is the term used to describe a change in normal quality of voice of a patient which is rough or harsh, lower in pitch and more or less discordant Depends on duration of illness, hoarseness can be divided into acute or chronic condition. The acute onset is more common and mainly caused by inflammation (acute laryngitis) chronic sinusitis acid reflux disease, excessive alcohol use, smoking and over use or misuse of voice whereas other cause may be, laryngeal trauma or thyroid surgery and systemic disease The aim of our study is to analyse clinical profile, assess different etiological factors and to find out common precipitating factors leading to hoarseness of voice.A total of 34500 patients visited OPD of Otolaryngology department from June 2017 to May2019. Out of these,253 cases presented with complaint of change in voice (Hoarseness). The incidence of hoarseness among total OPD patient was 0.73%. Among 253 cases ,165 (65.21%) were male and 88 (34.78%) were female. Male predominance was observed with Male: female ratio of 1.87:1 in this study. Majority of patients (22.13%) were reported in 51-60 years age group followed by 31-40 years age group (21.73%). Largest group of patients were housewives (19.76%), then farmer (19.36%%) and labour (18.57%). Rest was teacher (13.43%), singer (5.92%) politician (5.13%), policeman (1.97%) and sportsman (0.79%).Many predisposing factors were noted like tobacco chewing, smoking, alcohol drinking. Tobacco chewing (38.33%), smoking (33.99%) and alcohol consumption (15.81%) were most common predisposing factors in descending order. Functional disorder was reported in (5.13%) cases and vocal abuse in 2.37% cases. In present study most of the patients were referred for speech therapy and psychotherapy along with vocal conservation and maintenance of vocal hygiene.
{"title":"The study of cases of hoarseness of voice of north India region","authors":"M. Gupta, Ravi K Gupta","doi":"10.18231/j.ijoas.2021.011","DOIUrl":"https://doi.org/10.18231/j.ijoas.2021.011","url":null,"abstract":"In Medical Science, Hoarseness is the term used to describe a change in normal quality of voice of a patient which is rough or harsh, lower in pitch and more or less discordant Depends on duration of illness, hoarseness can be divided into acute or chronic condition. The acute onset is more common and mainly caused by inflammation (acute laryngitis) chronic sinusitis acid reflux disease, excessive alcohol use, smoking and over use or misuse of voice whereas other cause may be, laryngeal trauma or thyroid surgery and systemic disease The aim of our study is to analyse clinical profile, assess different etiological factors and to find out common precipitating factors leading to hoarseness of voice.A total of 34500 patients visited OPD of Otolaryngology department from June 2017 to May2019. Out of these,253 cases presented with complaint of change in voice (Hoarseness). The incidence of hoarseness among total OPD patient was 0.73%. Among 253 cases ,165 (65.21%) were male and 88 (34.78%) were female. Male predominance was observed with Male: female ratio of 1.87:1 in this study. Majority of patients (22.13%) were reported in 51-60 years age group followed by 31-40 years age group (21.73%). Largest group of patients were housewives (19.76%), then farmer (19.36%%) and labour (18.57%). Rest was teacher (13.43%), singer (5.92%) politician (5.13%), policeman (1.97%) and sportsman (0.79%).Many predisposing factors were noted like tobacco chewing, smoking, alcohol drinking. Tobacco chewing (38.33%), smoking (33.99%) and alcohol consumption (15.81%) were most common predisposing factors in descending order. Functional disorder was reported in (5.13%) cases and vocal abuse in 2.37% cases. In present study most of the patients were referred for speech therapy and psychotherapy along with vocal conservation and maintenance of vocal hygiene.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126600949","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 : 2021-08-15DOI: 10.18231/j.ijoas.2021.012
Arun Banik, Aninda Duti A Banik
The present study title “A study of the status of access facilities available for children with disabilities studying in BMC school”, a descriptive survey designed was made with the aim to study the status of access facility available for the children with disabilities viz. hearing impairment, mental retardation, physically handicapped (Locomotors Disability), visually handicapped in BMC recognized schools. Further to give recommendation in order to promote the access needs for children with disabilities in school. Looking into the prospective of the study it also aim to create an awareness on the issue of barrier free environment for children with disabilities. As a part of tool of the study, self-made questionnaire was developed and validated by a group of professionals. 10 BMC recognized schools were selected in and around Mumbai and the questionnaire was administered by the researcher and taken information from the school principal.Mean average and percentage was calculated from the obtained data. On an average, overall 14.38% schools or centers with disabilities were having access facilities for students with disabilities. With respect to schools or centers related to Locomotors Disabilities, Hearing Disabilities, Mental Retardation, and Visually Handicapped study findings were 14.4%, 14.3%, 13.7% and 15.1% respectively, having access facilities for the children with disabilities in BMC schools. Where the data was subjected to statistical analysis and it was found that there was no significant difference (p>0.05) in terms of access facilities between the schools or centers for disabilities. Results indicated that there were very insufficient as well as inadequate access facilities across all children with disabilities in the BMC recognized schools. The results has shown an impact in the education of the disabled students as they need full accessible educational support to undertake their successful study. Hence, Government and all other educational authorities are suggested to take up this issue in a positive manner to improve the quality of education as there is a much needed access facilities in all the schools.
{"title":"A study of the status of access facilities available for children with disabilities studying in BMC school at Mumbai","authors":"Arun Banik, Aninda Duti A Banik","doi":"10.18231/j.ijoas.2021.012","DOIUrl":"https://doi.org/10.18231/j.ijoas.2021.012","url":null,"abstract":"The present study title “A study of the status of access facilities available for children with disabilities studying in BMC school”, a descriptive survey designed was made with the aim to study the status of access facility available for the children with disabilities viz. hearing impairment, mental retardation, physically handicapped (Locomotors Disability), visually handicapped in BMC recognized schools. Further to give recommendation in order to promote the access needs for children with disabilities in school. Looking into the prospective of the study it also aim to create an awareness on the issue of barrier free environment for children with disabilities. As a part of tool of the study, self-made questionnaire was developed and validated by a group of professionals. 10 BMC recognized schools were selected in and around Mumbai and the questionnaire was administered by the researcher and taken information from the school principal.Mean average and percentage was calculated from the obtained data. On an average, overall 14.38% schools or centers with disabilities were having access facilities for students with disabilities. With respect to schools or centers related to Locomotors Disabilities, Hearing Disabilities, Mental Retardation, and Visually Handicapped study findings were 14.4%, 14.3%, 13.7% and 15.1% respectively, having access facilities for the children with disabilities in BMC schools. Where the data was subjected to statistical analysis and it was found that there was no significant difference (p>0.05) in terms of access facilities between the schools or centers for disabilities. Results indicated that there were very insufficient as well as inadequate access facilities across all children with disabilities in the BMC recognized schools. The results has shown an impact in the education of the disabled students as they need full accessible educational support to undertake their successful study. Hence, Government and all other educational authorities are suggested to take up this issue in a positive manner to improve the quality of education as there is a much needed access facilities in all the schools.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122302436","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 : 2021-08-15DOI: 10.18231/j.ijoas.2021.009
S. Varshney
Retrosternal goiter (RSG) is a term that has been used to describe a goiter that extends beyond the thoracic inlet. Retrosternal goitre is defined as a goitre with a portion of its mass ≥ 50% located in the mediastinum. Surgical removal is the treatment of choice and, in most cases, the goitre can be removed via a cervical approach. Aim of this retrospective study was to analyse personal experience in the surgical management of retrosternal goitres, defining, in particular, the features requiring sternotomy. Retrospective study, teaching hospital-based. Retrospective analysis of 687 thyroidectomies performed between 2008 and 2019. The 47 (6.84 %) patients with RSG were analyzed further, with regard to demographics, presentation, indications, and outcome of surgical treatment. There were 47 patients (6.84 %) with RSG, [ 34 females (72.34%), 13 males (27.66%)] (mean age: 52 years, range: 34-76)], out of 687 thyroidectomies, in a 14 -year period. The most common presentation was neck swelling (68%), followed by respiratory symptoms (46.8%) and the surgical procedure predominantly used was total thyroidectomy. The RSGs were removed by collar incision in 43 (91.5 %) of the cases, only 4 cases (8.5 %) required sternotomy, (residual thyroid in mediastinum after cervical approach in one case and due to very large thyroid reaching the main bronchial bifurcation in the other three). The final histological diagnosis revealed malignancy in 8.5 % of the thyroid specimens. There was no mortality and minor complications occurred in nine patients (19.1%). The presence of an RSG is an indication for surgery owing to the lack of effective medical treatment, the higher incidence of symptoms related to compression, low surgical morbidity, and the risk of malignancy. Surgical removal of a retrosternal goitre is a challenging procedure; it can be performed safely, in most cases, via a cervical approach, with a complication rate slightly higher than the average rate for cervical goitre thyroidectomy, especially concerning hypoparathyroidism and post-operative bleeding. The most significant criteria for selecting patients requiring sternotomy are computed tomography features, in particular the presence of an ectopic goitre, the extent of the goitre to or below the tracheae carina. If retrosternal goitre thyroidectomy is performed by a skilled surgical team, familiar with its unique pitfalls, the assistance of a thoracic surgeon may be required only in a few selected cases
{"title":"Retrosternal goitre and its management","authors":"S. Varshney","doi":"10.18231/j.ijoas.2021.009","DOIUrl":"https://doi.org/10.18231/j.ijoas.2021.009","url":null,"abstract":" Retrosternal goiter (RSG) is a term that has been used to describe a goiter that extends beyond the thoracic inlet. Retrosternal goitre is defined as a goitre with a portion of its mass ≥ 50% located in the mediastinum. Surgical removal is the treatment of choice and, in most cases, the goitre can be removed via a cervical approach. Aim of this retrospective study was to analyse personal experience in the surgical management of retrosternal goitres, defining, in particular, the features requiring sternotomy. Retrospective study, teaching hospital-based. Retrospective analysis of 687 thyroidectomies performed between 2008 and 2019. The 47 (6.84 %) patients with RSG were analyzed further, with regard to demographics, presentation, indications, and outcome of surgical treatment. There were 47 patients (6.84 %) with RSG, [ 34 females (72.34%), 13 males (27.66%)] (mean age: 52 years, range: 34-76)], out of 687 thyroidectomies, in a 14 -year period. The most common presentation was neck swelling (68%), followed by respiratory symptoms (46.8%) and the surgical procedure predominantly used was total thyroidectomy. The RSGs were removed by collar incision in 43 (91.5 %) of the cases, only 4 cases (8.5 %) required sternotomy, (residual thyroid in mediastinum after cervical approach in one case and due to very large thyroid reaching the main bronchial bifurcation in the other three). The final histological diagnosis revealed malignancy in 8.5 % of the thyroid specimens. There was no mortality and minor complications occurred in nine patients (19.1%). The presence of an RSG is an indication for surgery owing to the lack of effective medical treatment, the higher incidence of symptoms related to compression, low surgical morbidity, and the risk of malignancy. Surgical removal of a retrosternal goitre is a challenging procedure; it can be performed safely, in most cases, via a cervical approach, with a complication rate slightly higher than the average rate for cervical goitre thyroidectomy, especially concerning hypoparathyroidism and post-operative bleeding. The most significant criteria for selecting patients requiring sternotomy are computed tomography features, in particular the presence of an ectopic goitre, the extent of the goitre to or below the tracheae carina. If retrosternal goitre thyroidectomy is performed by a skilled surgical team, familiar with its unique pitfalls, the assistance of a thoracic surgeon may be required only in a few selected cases","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121675539","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 : 2021-01-15DOI: 10.18231/J.IJOAS.2020.026
Krima Kavathia, Meeta Bathla, H. Doshi, H. Patel, Priyanka Bhagat
Dizziness and disequilibrium are common complaints in both general adult and the geriatric population. Dizziness is often used to describe the sensations of vertigo, lightheadedness, imbalance, presyncope, disorientation, and/or gait instability. The cause may be otologic, neurologic, cardiovascular, psychiatric, orthopedic or ophthalmologic. Benign paroxysmal positional vertigo(BPPV) is, by far, the most common cause of episodic vertigo. This study was done in a tertiary care center of Ahmedabad, Gujarat, in patients above age of 20 and with BPPV. The purpose of the study was to compare the efficacy of Epley’s maneuver with medical therapy versus medical therapy alone in patients of BPPV.A total of 50 patients were divided into two groups: 25 to the group A which received Epley’s maneuver with drug therapy and 25 to the group B which received only drug therapy. In our study, Epley’s maneuver with medical therapy was found to be more effective than medicine given alone.This study shows that the Epley maneuver with medical therapy provides effective and long-term control of symptoms in patients with BPPV. It benefits over medical therapy alone in terms of avoiding the delay in vestibular compensation and recurrence.
{"title":"Comparison between efficacy of Epley’s maneuver with medical therapy versus medical therapy alone in treating BPPV patients","authors":"Krima Kavathia, Meeta Bathla, H. Doshi, H. Patel, Priyanka Bhagat","doi":"10.18231/J.IJOAS.2020.026","DOIUrl":"https://doi.org/10.18231/J.IJOAS.2020.026","url":null,"abstract":"Dizziness and disequilibrium are common complaints in both general adult and the geriatric population. Dizziness is often used to describe the sensations of vertigo, lightheadedness, imbalance, presyncope, disorientation, and/or gait instability. The cause may be otologic, neurologic, cardiovascular, psychiatric, orthopedic or ophthalmologic. Benign paroxysmal positional vertigo(BPPV) is, by far, the most common cause of episodic vertigo. This study was done in a tertiary care center of Ahmedabad, Gujarat, in patients above age of 20 and with BPPV. The purpose of the study was to compare the efficacy of Epley’s maneuver with medical therapy versus medical therapy alone in patients of BPPV.A total of 50 patients were divided into two groups: 25 to the group A which received Epley’s maneuver with drug therapy and 25 to the group B which received only drug therapy. In our study, Epley’s maneuver with medical therapy was found to be more effective than medicine given alone.This study shows that the Epley maneuver with medical therapy provides effective and long-term control of symptoms in patients with BPPV. It benefits over medical therapy alone in terms of avoiding the delay in vestibular compensation and recurrence.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127781443","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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