Pub Date : 1900-01-01DOI: 10.52314/kjent.2022.v1i1.7
Revathy Sajai, Arjun G Menon, Sumam P Vazhapilly, Nevil Varghese
Unilateral maxillary sinusitis with a dental origin is a commonly seen condition both in the otorhinolaryngology and dental outpatient settings. Failure to recognize Odontogenic Maxillary Sinusitis (OMS) can cause intractable sinusitis leading to grave complications.
{"title":"“THE BROKEN TOOTH” - Case Series on Unilateral Maxillary Sinusitis","authors":"Revathy Sajai, Arjun G Menon, Sumam P Vazhapilly, Nevil Varghese","doi":"10.52314/kjent.2022.v1i1.7","DOIUrl":"https://doi.org/10.52314/kjent.2022.v1i1.7","url":null,"abstract":"Unilateral maxillary sinusitis with a dental origin is a commonly seen condition both in the otorhinolaryngology and dental outpatient settings. Failure to recognize Odontogenic Maxillary Sinusitis (OMS) can cause intractable sinusitis leading to grave complications.","PeriodicalId":331372,"journal":{"name":"KERALA JOURNAL OF ENT AND HEAD & NECK SURGERY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114955734","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 : 1900-01-01DOI: 10.52314/kjent.2022.v1i1.4
Kavitha Gauthaman, Manoj Mp
Aim: To report the frequency of surgical complications following 414 consecutive cochlear implant surgeries (402 children; 12 adults), of whom 323 underwent standard incision and 91 minimal access incision and to analyze the feasibility of using the minimal access ap-proach in all CI candidates. A careful assessment was performed to analyze whether the latter approach is more advantageous than the former in different quality parameters. Methods: Retrospective analysis of patients who underwent cochlear implant surgery from February 2012 to February 2019 by the same surgeon at a single center. Patients: 414 consecutively implanted patients (male: 51.33% female: 49.33%, Right: 68.66% Left: 26.66%, Bilateral: 4.66%).323 underwent a standard incision (Lazy S) and 91 underwent a minimal access incision. The average age of the standard incision group was 4.3years (range 9months-73years); that of the minimal access group 8.6 years (Range 9months-64years). The average incision size in the standard incision group was 7.61 cm and that of the minimum access group was 4.53cm. Results: Of the 414 patients who underwent surgery there were 30 surgery related complications (12 major, 18 minor), 11 device related complications. Major complications (5.3%) included wound infection (3); device extrusion (1); electrode displacement (2); temporary CSF leak (5) (in patients with cochleovestibular dysplasia’s); magnet displacement (1). The minor complications included transient fa-cial paresis (3); vertigo (2); seroma (9); hematoma (1); tinnitus (3). There were 11 device failures, one secondary to trauma the overall complication rate (9.6%) was low in our center when compared against available literature The mean operative time was 76 minutes for standard incision and 79.5minutes for the minimal access approach. A counter sink well for the receiver stimulator array was created and tie down of the device was done in all patients irrespective of the incision, except when a thin implant was used. Clinical Significance: Cochlear implantation is a low-risk procedure when performed by an experienced surgeon following standard protocol. Detailed preoperative workup, study of access and tailoring of the approach to suit each patient is a necessity to prevent com-plications. The minimal access incision causes less morbidity, is cosmetically more acceptable to patients and offers sufficient access to perform a cochlear implantation without compromising on vital steps.
{"title":"Clinical Analysis of Techniques and Complications in 414 Consecutive Cochlear Implantations","authors":"Kavitha Gauthaman, Manoj Mp","doi":"10.52314/kjent.2022.v1i1.4","DOIUrl":"https://doi.org/10.52314/kjent.2022.v1i1.4","url":null,"abstract":"Aim: To report the frequency of surgical complications following 414 consecutive cochlear implant surgeries (402 children; 12 adults), of whom 323 underwent standard incision and 91 minimal access incision and to analyze the feasibility of using the minimal access ap-proach in all CI candidates. A careful assessment was performed to analyze whether the latter approach is more advantageous than the former in different quality parameters. Methods: Retrospective analysis of patients who underwent cochlear implant surgery from February 2012 to February 2019 by the same surgeon at a single center. Patients: 414 consecutively implanted patients (male: 51.33% female: 49.33%, Right: 68.66% Left: 26.66%, Bilateral: 4.66%).323 underwent a standard incision (Lazy S) and 91 underwent a minimal access incision. The average age of the standard incision group was 4.3years (range 9months-73years); that of the minimal access group 8.6 years (Range 9months-64years). The average incision size in the standard incision group was 7.61 cm and that of the minimum access group was 4.53cm. Results: Of the 414 patients who underwent surgery there were 30 surgery related complications (12 major, 18 minor), 11 device related complications. Major complications (5.3%) included wound infection (3); device extrusion (1); electrode displacement (2); temporary CSF leak (5) (in patients with cochleovestibular dysplasia’s); magnet displacement (1). The minor complications included transient fa-cial paresis (3); vertigo (2); seroma (9); hematoma (1); tinnitus (3). There were 11 device failures, one secondary to trauma the overall complication rate (9.6%) was low in our center when compared against available literature The mean operative time was 76 minutes for standard incision and 79.5minutes for the minimal access approach. A counter sink well for the receiver stimulator array was created and tie down of the device was done in all patients irrespective of the incision, except when a thin implant was used. Clinical Significance: Cochlear implantation is a low-risk procedure when performed by an experienced surgeon following standard protocol. Detailed preoperative workup, study of access and tailoring of the approach to suit each patient is a necessity to prevent com-plications. The minimal access incision causes less morbidity, is cosmetically more acceptable to patients and offers sufficient access to perform a cochlear implantation without compromising on vital steps.","PeriodicalId":331372,"journal":{"name":"KERALA JOURNAL OF ENT AND HEAD & NECK SURGERY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131086359","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 : 1900-01-01DOI: 10.52314/kjent.2022.v1i1.11
Vidya Aravind, Jayalekshmi A, Shaira K P
Blunt cerebrovascular injury(BCVI) can cause devastating morbidity and mortality. The problem with BCVI is that most physicians and health workers are not aware of this condition. It can present with periods of a varying time frame of about 12 to 36 hours or as late as 1 week after trauma. This may result in the complacent attitude of health workers that all is well given the initial normal finding in CT. This article aims at highlighting the importance of early diagnosis and treatment, to prevent and halt the progression of the injury into stroke and its resultant morbid consequences. This case report is that of a young male patient who came to the casualty with a history of assault and neck injury. He was hemodynamically stable and was managed with suturing of the wound. Initial imaging did not reveal any vessel injury, but he developed a stroke 36 hours later. A brief commentary on causes, presentation, early diagnosis, and management is described.
{"title":"Blunt Cerebrovascular Injury with Delayed Ischemic Stroke - A Case Report with Discussion on Diagnosis and Management","authors":"Vidya Aravind, Jayalekshmi A, Shaira K P","doi":"10.52314/kjent.2022.v1i1.11","DOIUrl":"https://doi.org/10.52314/kjent.2022.v1i1.11","url":null,"abstract":"Blunt cerebrovascular injury(BCVI) can cause devastating morbidity and mortality. The problem with BCVI is that most physicians and health workers are not aware of this condition. It can present with periods of a varying time frame of about 12 to 36 hours or as late as 1 week after trauma. This may result in the complacent attitude of health workers that all is well given the initial normal finding in CT. This article aims at highlighting the importance of early diagnosis and treatment, to prevent and halt the progression of the injury into stroke and its resultant morbid consequences. This case report is that of a young male patient who came to the casualty with a history of assault and neck injury. He was hemodynamically stable and was managed with suturing of the wound. Initial imaging did not reveal any vessel injury, but he developed a stroke 36 hours later. A brief commentary on causes, presentation, early diagnosis, and management is described.","PeriodicalId":331372,"journal":{"name":"KERALA JOURNAL OF ENT AND HEAD & NECK SURGERY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117300238","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 : 1900-01-01DOI: 10.52314/kjent.2022.v1i1.3
P. Samuel
{"title":"Hearing Devices and Ear Care in Children and Young Adults","authors":"P. Samuel","doi":"10.52314/kjent.2022.v1i1.3","DOIUrl":"https://doi.org/10.52314/kjent.2022.v1i1.3","url":null,"abstract":"","PeriodicalId":331372,"journal":{"name":"KERALA JOURNAL OF ENT AND HEAD & NECK SURGERY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122271291","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 : 1900-01-01DOI: 10.52314/kjent.2022.v1i1.12
Suchit Roy B R
{"title":"Competency Based Medical Education (CBME) – The ENT Perspective","authors":"Suchit Roy B R","doi":"10.52314/kjent.2022.v1i1.12","DOIUrl":"https://doi.org/10.52314/kjent.2022.v1i1.12","url":null,"abstract":"","PeriodicalId":331372,"journal":{"name":"KERALA JOURNAL OF ENT AND HEAD & NECK SURGERY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113943975","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 : 1900-01-01DOI: 10.52314/kjent.2022.v1i1.5
Manoj Mp
Perforations of the tympanic membrane are among the most everyday presentations to an otolaryngologist. Whilst many heal without treatment, there are some which need surgical closure. There have been so many ways to do this, and overall can be bewildering to a young Otologist. The article summarizes the most pertinent do’s and don’t’s to achieve a good result and how to maintain that over the years. The article is the result of many years work of by the author, a busy practising otologist for the last three decades.
{"title":"A Beginners Guide to Approaching a Patient with a Perforated Tympanic Membrane","authors":"Manoj Mp","doi":"10.52314/kjent.2022.v1i1.5","DOIUrl":"https://doi.org/10.52314/kjent.2022.v1i1.5","url":null,"abstract":"Perforations of the tympanic membrane are among the most everyday presentations to an otolaryngologist. Whilst many heal without treatment, there are some which need surgical closure. There have been so many ways to do this, and overall can be bewildering to a young Otologist. The article summarizes the most pertinent do’s and don’t’s to achieve a good result and how to maintain that over the years. The article is the result of many years work of by the author, a busy practising otologist for the last three decades.","PeriodicalId":331372,"journal":{"name":"KERALA JOURNAL OF ENT AND HEAD & NECK SURGERY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129085061","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 : 1900-01-01DOI: 10.52314/kjent.2022.v1i1.10
Arun Kumar PT, Lakshmi A
Introduction: Posterior cranial fossa nerve compressions in a rare combination are discussed here. Case Reports: 51 year old male with intractable vertigo, vomiting and left ear ache, had left spontaneous nystagmus. Another 25 year old female had recurrent ear ache and vertigo.Both MRI Brain showed compression of VII/VIII nerve complex in the cistern. They were given Ox carbamazepine with supportive therapy tapered with no recurrence in past 1 year. Discussion: The combination of the 7th and 8th cranial neuralgias presents with common symptomatology. The investigation of choice is HR T2 weighted MRI brain (CISS/FIESTA SPACE sequence), treated medically. Surgically, decompression or nerve sectioning are done. Conclusion: Though rare due to different positions of the nerve entry/exit zones of these nerves, this combination of posterior cranial fossa nerve compression syndromes can coexist. Diagnosis can help in the proper management of such patients and even open the hori-zon for surgical options in recalcitrant cases.
{"title":"Nervus Intermedius Neuralgia With Vestibular Paroxysmia -A Rare Combination of Nerve Compression Syndromes","authors":"Arun Kumar PT, Lakshmi A","doi":"10.52314/kjent.2022.v1i1.10","DOIUrl":"https://doi.org/10.52314/kjent.2022.v1i1.10","url":null,"abstract":"Introduction: Posterior cranial fossa nerve compressions in a rare combination are discussed here. Case Reports: 51 year old male with intractable vertigo, vomiting and left ear ache, had left spontaneous nystagmus. Another 25 year old female had recurrent ear ache and vertigo.Both MRI Brain showed compression of VII/VIII nerve complex in the cistern. They were given Ox carbamazepine with supportive therapy tapered with no recurrence in past 1 year. Discussion: The combination of the 7th and 8th cranial neuralgias presents with common symptomatology. The investigation of choice is HR T2 weighted MRI brain (CISS/FIESTA SPACE sequence), treated medically. Surgically, decompression or nerve sectioning are done. Conclusion: Though rare due to different positions of the nerve entry/exit zones of these nerves, this combination of posterior cranial fossa nerve compression syndromes can coexist. Diagnosis can help in the proper management of such patients and even open the hori-zon for surgical options in recalcitrant cases.","PeriodicalId":331372,"journal":{"name":"KERALA JOURNAL OF ENT AND HEAD & NECK SURGERY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123452129","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 : 1900-01-01DOI: 10.52314/kjent.2022.v1i1.6
S. Sreenath, Saju K G, Elizabeth T George
Mucormycosis is a rare fungal infection. The rapid increase in the number of cases of mucormycosis during the second wave of covid lead to a new entity called Covid Associated Mucormycosis (CAM). In this case series we discuss 7 cases of CAM who presented to our hospital during the second wave of Covid. We describe their clinical features, investigations, treatment, complications and follow up. Male: Female ratio was 4:3. Mean age of presentation was 57.85. The average time of presentation of symptoms of mucormycosis after covid was 2 weeks. All of them were diabetic. Three of them had cerebral involvement. All of them underwent surgical debridement fol-lowed by antifungal therapy. The mortality rate in our study is 42.86 percentage which is compared with other studies in literature. This is the first study of its kind from a government hospital in Kerala
{"title":"Case Series on Covid Associated Mucormycosis","authors":"S. Sreenath, Saju K G, Elizabeth T George","doi":"10.52314/kjent.2022.v1i1.6","DOIUrl":"https://doi.org/10.52314/kjent.2022.v1i1.6","url":null,"abstract":"Mucormycosis is a rare fungal infection. The rapid increase in the number of cases of mucormycosis during the second wave of covid lead to a new entity called Covid Associated Mucormycosis (CAM). In this case series we discuss 7 cases of CAM who presented to our hospital during the second wave of Covid. We describe their clinical features, investigations, treatment, complications and follow up. Male: Female ratio was 4:3. Mean age of presentation was 57.85. The average time of presentation of symptoms of mucormycosis after covid was 2 weeks. All of them were diabetic. Three of them had cerebral involvement. All of them underwent surgical debridement fol-lowed by antifungal therapy. The mortality rate in our study is 42.86 percentage which is compared with other studies in literature. This is the first study of its kind from a government hospital in Kerala","PeriodicalId":331372,"journal":{"name":"KERALA JOURNAL OF ENT AND HEAD & NECK SURGERY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114566211","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 : 1900-01-01DOI: 10.52314/kjent.2022.v1i1.9
V. Sasindran, Migha K P
Unilateral maxillary sinusitis with a dental origin is a commonly seen condition both in the otorhinolaryngology and dental outpatient settings. Failure to recognize Odontogenic Maxillary Sinusitis (OMS) can cause intractable sinusitis leading to grave complications.
{"title":"Mucocele Beyond Frontal Sinus: A Case Report","authors":"V. Sasindran, Migha K P","doi":"10.52314/kjent.2022.v1i1.9","DOIUrl":"https://doi.org/10.52314/kjent.2022.v1i1.9","url":null,"abstract":"Unilateral maxillary sinusitis with a dental origin is a commonly seen condition both in the otorhinolaryngology and dental outpatient settings. Failure to recognize Odontogenic Maxillary Sinusitis (OMS) can cause intractable sinusitis leading to grave complications.","PeriodicalId":331372,"journal":{"name":"KERALA JOURNAL OF ENT AND HEAD & NECK SURGERY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134516868","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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