Pub Date : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/7
Pookamala. S
AIM To highlight the advantages of median labiomandibulo glossotomy as a surgical approach for excision of tongue base malignancy. MATERIAL & METHODS It is a case review of 5 cases with tongue base malignant tumours treated in a tertiary care centre. There were 3 female and 2 male patients in the age group of 18-50 years. Histopathology included muco-epidermoid carcinoma in 3 cases, squamous cell carcinoma in1 case and clear cell sarcoma in 1 case. Pre-operative assessment included endoscopic examination and MRI. Surgical excision was done via medianlabio-mandibuloglossotomy. Outcome was assessed in terms of oncologic adequacy and the functional impact. RESULTS Disease free resection margin could be achieved in all the 5 cases. Near normal functional recovery could be achieved within 2 weeks. 2 cases required speech therapy for few months. None of the patients developed recurrence during the follow up period. CONLUSION In selected cases of base of tongue malignant tumours, this approach provides complete disease clearance without any significant functional and cosmetic impact. KEYWORDS Labio-mandibuloglossotomy, oropharyngeal carcinoma, base of tongue malignancy, Chemoradiotherapy.
{"title":"OPTIMISING FUNCTIONAL OUTCOME IN SURGICAL\u0000RESECTION OF TONGUE BASE MALIGNANCIES USING\u0000LABIO-MANDIBULO-GLOSSOTOMY","authors":"Pookamala. S","doi":"10.36611/upjohns/volume10/issue1/7","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/7","url":null,"abstract":"AIM\u0000To highlight the advantages of median labiomandibulo\u0000glossotomy as a surgical approach for\u0000excision of tongue base malignancy.\u0000MATERIAL & METHODS\u0000It is a case review of 5 cases with tongue base\u0000malignant tumours treated in a tertiary care centre.\u0000There were 3 female and 2 male patients in the age\u0000group of 18-50 years. Histopathology included\u0000muco-epidermoid carcinoma in 3 cases, squamous\u0000cell carcinoma in1 case and clear cell sarcoma in 1\u0000case. Pre-operative assessment included\u0000endoscopic examination and MRI. Surgical\u0000excision was done via medianlabio-mandibuloglossotomy.\u0000Outcome was assessed in terms of\u0000oncologic adequacy and the functional impact.\u0000RESULTS\u0000Disease free resection margin could be achieved\u0000in all the 5 cases. Near normal functional recovery\u0000could be achieved within 2 weeks. 2 cases\u0000required speech therapy for few months. None of\u0000the patients developed recurrence during the\u0000follow up period.\u0000CONLUSION\u0000In selected cases of base of tongue malignant\u0000tumours, this approach provides complete disease\u0000clearance without any significant functional and cosmetic impact.\u0000KEYWORDS\u0000Labio-mandibuloglossotomy, oropharyngeal\u0000carcinoma, base of tongue malignancy, Chemoradiotherapy.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"25 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121922790","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 : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/9
Eshani Dutta
The orbital apex syndrome is a relatively uncommon entity, characterized by retrobulbar pain, supraorbital nerve hypoesthesia, palpebral ptosis, loss of vision, ophthalmoplegia and fixed mydriasis caused by involvement of the structures within the orbital apex, namely, second (optic), third (oculomotor), fourth (trochlear), fifth (Opthalmic divison of trigeminal) and sixth (abducens) cranial nerves. Presenting a case of 62 year diabetic male with complaints of loss of vision, ptosis. Management of orbital apex syndrome mainly depends upon localization of the lesion, identification of the etiology followed by full course of antifungal therapy. Clinical diagnosis was supplemented with imaging modalities, like contrast enhanced computed tomography (CECT) of the orbits and paranasal sinuses, as well as MRI PNS with orbits, along with lab investigations. In this article, we attempt to explain in detail the symptomatology, clinical and radiological findings and management of the case.
{"title":"ORBITAL APEX SYNDROME","authors":"Eshani Dutta","doi":"10.36611/upjohns/volume10/issue1/9","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/9","url":null,"abstract":"The orbital apex syndrome is a relatively\u0000uncommon entity, characterized by retrobulbar\u0000pain, supraorbital nerve hypoesthesia, palpebral\u0000ptosis, loss of vision, ophthalmoplegia and fixed\u0000mydriasis caused by involvement of the structures\u0000within the orbital apex, namely, second (optic), third\u0000(oculomotor), fourth (trochlear), fifth (Opthalmic\u0000divison of trigeminal) and sixth (abducens) cranial\u0000nerves. Presenting a case of 62 year diabetic male\u0000with complaints of loss of vision, ptosis.\u0000Management of orbital apex syndrome mainly\u0000depends upon localization of the lesion,\u0000identification of the etiology followed by full course\u0000of antifungal therapy. Clinical diagnosis was\u0000supplemented with imaging modalities, like\u0000contrast enhanced computed tomography (CECT)\u0000of the orbits and paranasal sinuses, as well as MRI\u0000PNS with orbits, along with lab investigations. In\u0000this article, we attempt to explain in detail the\u0000symptomatology, clinical and radiological findings\u0000and management of the case.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"-1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129998757","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 : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/6
Prashanth Veerabhadraiah
INTRODUCTION: One of the major components of the commensal microbial flora, which is being frequently used as probiotics in the intestinal tract of humans, is Lactobacilli. It exerts health benefits beyond inherent basic nutrition, and its role in increasing the immunomodulating capacity of the host is widely accepted. In the treatment of allergic diseases, the beneficial effect of probiotics has been demonstrated. OBJECTIVE This study was aimed to observe the effectiveness of probiotics in reducing the symptoms of nasal allergy. METHODS Total 50 patients suffering from Allergic Rhinitis (AR) were administered with probiotics for a period of six weeks post which the VAS and IgE scores of the symptoms (Rhinorrhea, Sneezing, and Nasal obstruction) were statistically analyzed. The pre and post treatment VAS and IgE scores were collected and analyzed. RESULTS It showed that there was a reduction in the scores after the administration of probiotics. CONCLUSIONS This prospective study demonstrated the presence of significant improvement in the VAS and IgE scores among the following nasal symptoms - Rhinorrhea, Sneezing, and Nasal obstruction with the administration of probiotics in the patients suffering with AR. KEYWORDS Allergic rhinitis, probiotics, nasal obstruction, rhinorrhea and sneezing.
{"title":"A STUDY ON THE ROLE OF\u0000PROBIOTICS IN NASAL ALLERGY","authors":"Prashanth Veerabhadraiah","doi":"10.36611/upjohns/volume10/issue1/6","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/6","url":null,"abstract":"INTRODUCTION:\u0000One of the major components of the commensal\u0000microbial flora, which is being frequently used as\u0000probiotics in the intestinal tract of humans, is\u0000Lactobacilli. It exerts health benefits beyond\u0000inherent basic nutrition, and its role in increasing\u0000the immunomodulating capacity of the host is\u0000widely accepted. In the treatment of allergic\u0000diseases, the beneficial effect of probiotics has\u0000been demonstrated.\u0000OBJECTIVE\u0000This study was aimed to observe the effectiveness\u0000of probiotics in reducing the symptoms of nasal\u0000allergy.\u0000METHODS\u0000Total 50 patients suffering from Allergic Rhinitis\u0000(AR) were administered with probiotics for a period\u0000of six weeks post which the VAS and IgE scores of\u0000the symptoms (Rhinorrhea, Sneezing, and Nasal\u0000obstruction) were statistically analyzed. The pre\u0000and post treatment VAS and IgE scores were\u0000collected and analyzed.\u0000RESULTS\u0000It showed that there was a reduction in the scores\u0000after the administration of probiotics.\u0000CONCLUSIONS\u0000This prospective study demonstrated the\u0000presence of significant improvement in the VAS\u0000and IgE scores among the following nasal\u0000symptoms - Rhinorrhea, Sneezing, and Nasal obstruction with the administration of probiotics in\u0000the patients suffering with AR.\u0000KEYWORDS\u0000Allergic rhinitis, probiotics, nasal obstruction,\u0000rhinorrhea and sneezing.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124542289","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 : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/3
R. Nambiar
AIM To study the role of middle ear risk index (MERI) score, nasal pathology and Eustachian tube f u n c t i o n i n p r e d i c t i n g t h e o u t c o m e o f tympanoplasty. METHODOLOGY Patients of age group 5-60 years both male and female with diagnosis of CSOM, planned for tympanoplasty with or without mastoidectomy were taken in the study. Detailed history and examination of all patients fulfilling the inclusion criteria was done. Preop findings were observed and recorded. MERI scoring was obtained. The data collected pre operatively was assessed with surgical outcome based on graft uptake status and PTA. Post op follow up was done at 1.5 and 3 months. This data was evaluated and compared with pre op finding. RESULTS The overall success rate of tympanoplasty in the study was 86% based on graft uptake and 85% according to hearing benefit. The number of patients with graft up[take was higher among those with mild MERI score (87.5%) compared to those with moderate and severe MERI scores (83%). The graft uptake is lesser in patients with gross DNS & Eustachian tube dysfunction. Thus MERI is a helpful tool to ascertain the prognosis of tympanoplasty. CONCLUSION The study concludes that MERI score, DNE and ET function evaluation in patients with chronic otitis media are very useful methods in predicting the outcome of tympanoplasty. KEYWORDS Chronic otitis media, Middle ear risk index, Eustachian tube function, diagnostic nasal endoscopy, tympanoplasty outcome
{"title":"ROLE OF MIDDLE EAR RISK INDEX SCORE,\u0000DIAGNOSTIC NASAL ENDOSCOPY AND EUSTACHIAN TUBE\u0000FUNCTION IN PREDICTING OUTCOME OF TYMPANOPLASTY","authors":"R. Nambiar","doi":"10.36611/upjohns/volume10/issue1/3","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/3","url":null,"abstract":"AIM\u0000To study the role of middle ear risk index (MERI)\u0000score, nasal pathology and Eustachian tube\u0000f u n c t i o n i n p r e d i c t i n g t h e o u t c o m e o f\u0000tympanoplasty.\u0000METHODOLOGY\u0000Patients of age group 5-60 years both male and\u0000female with diagnosis of CSOM, planned for\u0000tympanoplasty with or without mastoidectomy\u0000were taken in the study. Detailed history and\u0000examination of all patients fulfilling the inclusion\u0000criteria was done. Preop findings were observed\u0000and recorded. MERI scoring was obtained. The\u0000data collected pre operatively was assessed with\u0000surgical outcome based on graft uptake status and\u0000PTA. Post op follow up was done at 1.5 and 3\u0000months. This data was evaluated and compared\u0000with pre op finding.\u0000RESULTS\u0000The overall success rate of tympanoplasty in the\u0000study was 86% based on graft uptake and 85%\u0000according to hearing benefit. The number of\u0000patients with graft up[take was higher among\u0000those with mild MERI score (87.5%) compared to\u0000those with moderate and severe MERI scores\u0000(83%). The graft uptake is lesser in patients with\u0000gross DNS & Eustachian tube dysfunction. Thus\u0000MERI is a helpful tool to ascertain the prognosis of\u0000tympanoplasty.\u0000CONCLUSION\u0000The study concludes that MERI score, DNE and ET\u0000function evaluation in patients with chronic otitis\u0000media are very useful methods in predicting the\u0000outcome of tympanoplasty.\u0000KEYWORDS\u0000Chronic otitis media, Middle ear risk index,\u0000Eustachian tube function, diagnostic nasal\u0000endoscopy, tympanoplasty outcome","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128140130","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 : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/4
R. Singh
INTRODUCTION Injection Laryngoplasty in the office setting have shown promising results with significant improvement in both subjective and objective voice outcome measures in patients of Vocal fold paralysis OBJECTIVE The aim of this study was to evaluate the safety, efficacy and outcome of Flexible Endoscopic Injection Type-1 Thyroplasty in patients of Unilateral Adductor Vocal fold paralysis METHOD A Prospective hospital based Interventional study was carried out in the department of ENT of a Tertiary Care Medical College and associated Hospital during a period of 22 months from January 2020 to October 2021. A total of 60 patients were selected according to Inclusion criteria and Exclusion criteria.Each of these patients underwent Injection Laryngoplasty with Gel foam under Local Anesthesia. Auditory perceptual assessment was done using modified GRBAS score, Voice Handicap Index and Maximum phonation time. RESULTS Statistical analysis revealed a significant difference between pre and post-injection voice quality as assessed by “GRBAS” scale and Voice Handicap Index (VHI). Maximum phonation time (MPT) was sufficiently increased following injection andimprovement was consistent throughout the follow-up periods. CONCLUSION Injection Laryngoplasty with gel foam paste is a temporary remedy for compensatory therapy for v o c a l c o r d p a r a l y s i s w i t h o u t a n y m a j o r disadvantages. KEYWORDS Hoarseness, Vocal cord paralysis, Injection Thyroplasty
{"title":"A PROSPECTIVE STUDY TO EVALUATE THE OUTCOME\u0000OF FLEXIBLE ENDOSCOPIC INJECTION THYROPLASTY\u0000IN PATIENTS OF VOCAL FOLD PARALYSIS","authors":"R. Singh","doi":"10.36611/upjohns/volume10/issue1/4","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/4","url":null,"abstract":"INTRODUCTION\u0000Injection Laryngoplasty in the office setting have\u0000shown promising results with significant\u0000improvement in both subjective and objective\u0000voice outcome measures in patients of Vocal fold\u0000paralysis\u0000OBJECTIVE\u0000The aim of this study was to evaluate the safety,\u0000efficacy and outcome of Flexible Endoscopic\u0000Injection Type-1 Thyroplasty in patients of\u0000Unilateral Adductor Vocal fold paralysis\u0000METHOD\u0000A Prospective hospital based Interventional study\u0000was carried out in the department of ENT of a\u0000Tertiary Care Medical College and associated\u0000Hospital during a period of 22 months from\u0000January 2020 to October 2021. A total of 60\u0000patients were selected according to Inclusion\u0000criteria and Exclusion criteria.Each of these\u0000patients underwent Injection Laryngoplasty with\u0000Gel foam under Local Anesthesia. Auditory\u0000perceptual assessment was done using modified\u0000GRBAS score, Voice Handicap Index and\u0000Maximum phonation time.\u0000RESULTS\u0000Statistical analysis revealed a significant difference\u0000between pre and post-injection voice quality as\u0000assessed by “GRBAS” scale and Voice Handicap\u0000Index (VHI). Maximum phonation time (MPT) was\u0000sufficiently increased following injection andimprovement was consistent throughout the\u0000follow-up periods.\u0000CONCLUSION\u0000Injection Laryngoplasty with gel foam paste is a\u0000temporary remedy for compensatory therapy for\u0000v o c a l c o r d p a r a l y s i s w i t h o u t a n y m a j o r\u0000disadvantages.\u0000KEYWORDS\u0000Hoarseness, Vocal cord paralysis, Injection\u0000Thyroplasty","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134047028","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 : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/1
Dechu Muddaiah
INTRODUCTION A perforated tympanic membrane is most commonly repaired using temporalis fascia graft by microscope assisted post auricular approach and underlay technique, we present an alternative technique to repair the perforated tympanic membrane using an alternative easily accessible graft material like tragal perichondrium, by endoscope assisted trans canalicular approach, where the graft is placed medial to the tympanic membrane remnant by pop through technique. OBJECTIVE T h e u s a g e o f r i g i d 4 m m e n d o s c o p e f o r myringoplasty allows better visualization, magnification and reconstruction of perforated tympanic membrane using tragal perichondrium is minimally invasive. The purpose of the study is to put across our experience in 69 patients where endoscopic assisted myringoplasty was done using tragal perichondrium graft. The graft was placed medial to the tympanic membrane remnant by trans tympanic pop through technique and tympanomeatal flap was not raised. METHOD This study was done over a period of 3 years, 69 patients with chronic suppurative otitis media fitting into the inclusion criteria underwent endoscopic transcanal myringoplasty using tragal perichondrium as graft material by underlay pop t h r o u g h t e c h n i q u e . T h e p o s t o p e r a t i v e audiological improvement in closure of air bone gap on pure tone audiometry, success in tragal perichondrium graft uptake, and mean operative time was evaluated. RESULTS The study population was 69 with predominantly females, the post operative pure tone audiometry showed that 39.1% had closure of airbone gap of 10db, 17.4% showed air bone gap closure of 20bd and 43.5 % showed air bone closure of 15db. 85% had success of graft uptake (i.e. complete closure of perforation) at 6 weeks post op .The mean operative time was 80 minutes. CONCLUSION Endoscopic assisted trans-canalicular (pop t h r o u g h t e c h n i q u e ) o f s i m p l e u n d e r l a y myringoplasty using tragal perichondrial graft is simple, minimally invasive with good post operative improvement in hearing and can be d o n e a s a d a y c a r e p r o c e d u r e w i t h o u t complications. KEYWORDS Endoscopic myringoplasty, tragal perichondrium , pop in technique.
耳膜穿孔最常用的修复方法是颞筋膜移植物，通过显微镜辅助耳后入路和基底技术，我们提出了一种替代的技术来修复穿孔的鼓膜，使用一种容易获得的移植物材料，如耳膜硬膜，通过内窥镜辅助的经小管入路，通过弹出技术将移植物放置在鼓膜残体的内侧。目的:探讨鼓膜成形术对鼓膜穿孔的显像、放大及微创重建效果。本研究的目的是总结我们69例患者的经验，在这些患者中，内窥镜辅助下使用胸膜硬膜移植进行了耳膜成形术。经鼓膜穿刺技术将移植物置于鼓膜残余内侧，鼓膜瓣未提起。方法对69例符合纳入标准的慢性化脓性中耳炎患者进行了为期3年的内镜下经扫描鼓膜成形术，其材料为胸膜硬膜为移植物，经底静脉支架植入。研究结果表明:两组患者在纯音听力学上空气骨隙闭合的改善程度、胸膜移植片摄取的成功程度及平均手术时间。结果研究人群69例，女性居多，术后纯音听力学显示，39.1%的患者气骨间隙闭合10db, 17.4%的患者气骨间隙闭合20db, 43.5%的患者气骨闭合15db。术后6周，85%的患者移植成功(即完全闭合穿孔)，平均手术时间为80分钟。CONCLUSIONEndoscopic协助trans-canalicular (popt h r u g h t e c h n我问u e) o f s i m p l e u n d e r l ymyringoplasty使用tragal显示贪污issimple,微创术后听力改善好的,可以床o n e s d y c e p r o c e d u r e w i t h o u tcomplications。内镜下鼓膜成形术;眶硬膜;穿刺技术;
{"title":"ENDOSCOPIC TRANSCANAL TRANSTYMPANIC POP\u0000THROUGH TECHNIQUE OF MYRINGOPLASTY USING\u0000TRAGAL PERICHONDRIUM GRAFT","authors":"Dechu Muddaiah","doi":"10.36611/upjohns/volume10/issue1/1","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/1","url":null,"abstract":"INTRODUCTION\u0000A perforated tympanic membrane is most\u0000commonly repaired using temporalis fascia graft\u0000by microscope assisted post auricular approach\u0000and underlay technique, we present an alternative\u0000technique to repair the perforated tympanic\u0000membrane using an alternative easily accessible\u0000graft material like tragal perichondrium, by\u0000endoscope assisted trans canalicular approach,\u0000where the graft is placed medial to the tympanic\u0000membrane remnant by pop through technique.\u0000OBJECTIVE\u0000T h e u s a g e o f r i g i d 4 m m e n d o s c o p e f o r\u0000myringoplasty allows better visualization,\u0000magnification and reconstruction of perforated\u0000tympanic membrane using tragal perichondrium is\u0000minimally invasive. The purpose of the study is to\u0000put across our experience in 69 patients where\u0000endoscopic assisted myringoplasty was done\u0000using tragal perichondrium graft. The graft was\u0000placed medial to the tympanic membrane remnant\u0000by trans tympanic pop through technique and\u0000tympanomeatal flap was not raised.\u0000METHOD\u0000This study was done over a period of 3 years, 69\u0000patients with chronic suppurative otitis media\u0000fitting into the inclusion criteria underwent\u0000endoscopic transcanal myringoplasty using tragal\u0000perichondrium as graft material by underlay pop\u0000t h r o u g h t e c h n i q u e . T h e p o s t o p e r a t i v e\u0000audiological improvement in closure of air bone\u0000gap on pure tone audiometry, success in tragal\u0000perichondrium graft uptake, and mean operative\u0000time was evaluated.\u0000RESULTS\u0000The study population was 69 with predominantly\u0000females, the post operative pure tone audiometry\u0000showed that 39.1% had closure of airbone gap of\u000010db, 17.4% showed air bone gap closure of 20bd\u0000and 43.5 % showed air bone closure of 15db.\u000085% had success of graft uptake (i.e. complete\u0000closure of perforation) at 6 weeks post op .The\u0000mean operative time was 80 minutes.\u0000CONCLUSION\u0000Endoscopic assisted trans-canalicular (pop\u0000t h r o u g h t e c h n i q u e ) o f s i m p l e u n d e r l a y\u0000myringoplasty using tragal perichondrial graft is\u0000simple, minimally invasive with good post\u0000operative improvement in hearing and can be\u0000d o n e a s a d a y c a r e p r o c e d u r e w i t h o u t\u0000complications.\u0000KEYWORDS\u0000Endoscopic myringoplasty, tragal perichondrium ,\u0000pop in technique.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122149052","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 : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/5
Vertika Tewari
We aimed to study the efficacy of transseptal suturing in patients undergoing septoplasty and to compare the surgical outcome and complications of transseptal suturing with nasal packing. We c o n d u c t e d a p r o s p e c t i v e , c o m p a r a t i v e , randomized study in Deen Dayal Upadhyaya hospital New Delhi from July 2016 to May 2017.A total of 60 patients with symptomatic Deviated nasal septum within age group of 18 to 60 years were included in our study. All these patients underwent septoplasty and were randomly divided into two group of nasal packing and transseptal suturing. Patients were interviewed and assessed for nasal pain, nasal bleeding, epiphora, dryness of mouth, sleep disturbances. Mean Pain score using VAS was 8 in nasal packing group and 2.3 in transseptal suturing group in 48 hours observation period, moreover mean score of 8 on VAS was observed during pack removal in nasal packing group. None of the patient in transseptal suturing group underwent nasal bleeding thus none of them required add on nasal packing.100% patients in medicated gauze nasal packing group presented with epiphora, headache, sleep disturbances, and dryness of mouth in 48 hours observation period, whereas none of the patient in transseptal suturing group presented with such symptom. None of the patient in either group presented with postoperative septal perforation, synechiae foramation, crusting, s t t h septal haematoma during 1 and 4 week diagnostic nasal endoscopy. Even with limited resources of a government district hospital we were able to conclude transseptal suturing as better and efficient method to minimize the sufferings of patients undergoing septoplasty. KEYWORDS Quilting, Transseptal suturing, Septoplasty
{"title":"QUILTING, AS AN ALTERNATIVE TO NASAL PACKING,\u0000OUR EXPERIENCE AT A GOVERNMENT DISTRICT\u0000HOSPITAL IN NORTH INDIA","authors":"Vertika Tewari","doi":"10.36611/upjohns/volume10/issue1/5","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/5","url":null,"abstract":"We aimed to study the efficacy of transseptal\u0000suturing in patients undergoing septoplasty and to\u0000compare the surgical outcome and complications\u0000of transseptal suturing with nasal packing. We\u0000c o n d u c t e d a p r o s p e c t i v e , c o m p a r a t i v e ,\u0000randomized study in Deen Dayal Upadhyaya\u0000hospital New Delhi from July 2016 to May 2017.A\u0000total of 60 patients with symptomatic Deviated\u0000nasal septum within age group of 18 to 60 years\u0000were included in our study. All these patients\u0000underwent septoplasty and were randomly\u0000divided into two group of nasal packing and\u0000transseptal suturing. Patients were interviewed\u0000and assessed for nasal pain, nasal bleeding,\u0000epiphora, dryness of mouth, sleep disturbances.\u0000Mean Pain score using VAS was 8 in nasal packing\u0000group and 2.3 in transseptal suturing group in 48\u0000hours observation period, moreover mean score of\u00008 on VAS was observed during pack removal in\u0000nasal packing group. None of the patient in\u0000transseptal suturing group underwent nasal\u0000bleeding thus none of them required add on nasal\u0000packing.100% patients in medicated gauze nasal\u0000packing group presented with epiphora,\u0000headache, sleep disturbances, and dryness of\u0000mouth in 48 hours observation period, whereas\u0000none of the patient in transseptal suturing group\u0000presented with such symptom. None of the patient\u0000in either group presented with postoperative\u0000septal perforation, synechiae foramation, crusting,\u0000s t t h septal haematoma during 1 and 4 week\u0000diagnostic nasal endoscopy. Even with limited resources of a government district hospital we\u0000were able to conclude transseptal suturing as\u0000better and efficient method to minimize the\u0000sufferings of patients undergoing septoplasty.\u0000KEYWORDS\u0000Quilting, Transseptal suturing, Septoplasty","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124181668","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 : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/8
Govind Bhuskute
Post auricular epidermal inclusion cyst after ear surgery are rare in clinical practice and such condition post cochlear implantation is not yet reported in the literature.We are reporting management of two cases of post auricular epidermal inclusion cyst occurring few years after cochlear implantation with a functional implant insitu. OBJECTIVE To highlight the occurrence of post operative epidermal inclusion cyst in patients with cochlear implantation. MATERIAL AND METHODS Two cases with post aural cystic lesion post cochlear implantation surgery reported between 2017 to 2019 at a referral centre are highlighted. They were aged 8 and 13 years old and had cochlear implant surgery done 5 and 8 years prior to onset of swelling. Both cases were managed surgically. RESULTS Post cochlear implant swelling at surgical site is always a matter of concern. Both patients underwent FNAC and CT which were suggestive of epidermal inclusion cyst. Total excision was done with no evidence of recurrence. CONCLUSION Post auricular EIC are very rare after cochlear implant and should be kept in differential diagnosis of post auricular swelling years after surgery and can be differentiated from seroma by location and FNAC. EIC can be safely excised after cochlear implant surgery without compromising the implant. KEYWORDS Cochlear Implant, post uricular cyst, epidermal i n c l u s i o n c y s t , v e r i a , C o c h l e a r i m p l a n t complication.
耳部手术后出现耳表皮包涵体囊肿在临床上较为少见，人工耳蜗植入后出现耳表皮包涵体囊肿尚未见文献报道。我们报告两例耳蜗植入术后数年发生的耳表皮包涵体囊肿的处理。目的探讨人工耳蜗植入术后表皮包涵体囊肿的发生情况。材料与方法回顾性分析2017 - 2019年在某转诊中心报告的2例耳蜗植入术后囊性病变病例。他们的年龄分别为8岁和13岁，分别在出现耳蜗肿胀的5年和8年前接受了人工耳蜗植入手术。两例均行手术治疗。结果人工耳蜗术后手术部位肿胀一直是值得关注的问题。两例患者均行FNAC和CT检查，提示为表皮包涵性囊肿。全部切除后无复发迹象。结论人工耳蜗术后耳后EIC非常罕见，应作为耳蜗术后肿胀的鉴别诊断指标，可通过定位和fnac与血清肿鉴别。在人工耳蜗手术后，EIC可以安全地切除，而不会损害人工耳蜗。KEYWORDSCochlear植入、post uricular囊肿epidermali n c l u s i o n c y s t v e r i c o c h l e r m p l n tcomplication。
{"title":"SURGICAL MANAGEMENT OF\u0000POSTAURICULAR EPIDERMAL INCLUSION CYST\u0000AFTER COCHLEAR IMPLANT SURGERY","authors":"Govind Bhuskute","doi":"10.36611/upjohns/volume10/issue1/8","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/8","url":null,"abstract":"Post auricular epidermal inclusion cyst after ear\u0000surgery are rare in clinical practice and such\u0000condition post cochlear implantation is not yet\u0000reported in the literature.We are reporting\u0000management of two cases of post auricular\u0000epidermal inclusion cyst occurring few years after\u0000cochlear implantation with a functional implant insitu.\u0000OBJECTIVE\u0000To highlight the occurrence of post operative\u0000epidermal inclusion cyst in patients with cochlear\u0000implantation.\u0000MATERIAL AND METHODS\u0000Two cases with post aural cystic lesion post\u0000cochlear implantation surgery reported between\u00002017 to 2019 at a referral centre are highlighted.\u0000They were aged 8 and 13 years old and had\u0000cochlear implant surgery done 5 and 8 years prior\u0000to onset of swelling. Both cases were managed\u0000surgically.\u0000RESULTS\u0000Post cochlear implant swelling at surgical site is\u0000always a matter of concern. Both patients\u0000underwent FNAC and CT which were suggestive of\u0000epidermal inclusion cyst. Total excision was done\u0000with no evidence of recurrence.\u0000CONCLUSION\u0000Post auricular EIC are very rare after cochlear implant and should be kept in differential diagnosis\u0000of post auricular swelling years after surgery and\u0000can be differentiated from seroma by location and\u0000FNAC. EIC can be safely excised after cochlear\u0000implant surgery without compromising the implant.\u0000KEYWORDS\u0000Cochlear Implant, post uricular cyst, epidermal\u0000i n c l u s i o n c y s t , v e r i a , C o c h l e a r i m p l a n t\u0000complication.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134054676","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 : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/2
A. Naseem
INTRODUCTION Chronic suppurative otitis media (CSOM) is one of the common Otological conditions in India for w h i c h p a t i e n t s s e e k a d v i c e f r o m a n Otorhinolaryngologists. Poverty, illiteracy, overcrowding and poor hygiene are all factors which play an important role in the causation of the disease. Various surgical modalities of treatment have been tried since ages to eliminate this disease from the middle ear cleft. The use of the surgical microscope brought revolutionary advances into the field of Otological surgery because its new technology expanded the ability of surgeons to see in limited confines of the temporal bone. Initially endoscopes were used only for diagnostic and photographic purposes but now endoscopes are being used more and more for surgical purposes. The current study attempts to study the advantages and disadvantages of endoscopic myringoplasty in comparison to the conventional microscope assisted myringoplasty. OBJECTIVES To e v a l u a t e t h e e ffi c a c y o f E n d o s c o p i c myringoplasty with Microscopic Myringoplasty with reference to hearing and graft uptake MATERIALS AND METHODS Fifty cases of clinically diagnosed chronic suppurative otitis media with dry central perforation were taken into account of which 25 cases were undergone endoscopic myringoplasty a n d 2 5 c a s e s u n d e r g o n e c o n v e n t i o n a l myringoplasty. All patients were followed up till 6 months after surgery. RESULTS There was a strong statistical significant difference between the two groups (p=<0.001) for duration of surgery, hospitalization and hearing gain and graft uptake. In endoscopic and conventional groups of myringoplasty, the mean hearing loss improved to 16.88 dB and 19.76 dB respectively. CONCLUSION The surgical outcome of endoscope assisted myringoplasty was comparable in terms of tympanic membrane status after surgery, but in terms of duration of surgery, hospitalization and post-operative air bone gap patients in the endoscope group had better results. KEYWORDS Chronic suppurative otitis media, Endoscopic Myringoplasty, Microscopic Myringoplasty.
慢性化脓性中耳炎(CSOM)是印度常见的耳科疾病之一，在印度，慢性化脓性中耳炎是一种常见的耳科疾病，在印度，慢性化脓性中耳炎是一种常见的耳科疾病。贫穷、文盲、过度拥挤和卫生条件差都是导致这种疾病的重要因素。多年来，人们尝试了各种手术治疗方式来消除中耳裂的这种疾病。外科显微镜的使用为耳科外科领域带来了革命性的进步，因为它的新技术扩大了外科医生在有限的颞骨范围内观察的能力。最初内窥镜仅用于诊断和摄影目的，但现在内窥镜越来越多地用于外科目的。本研究试图研究内镜下的鼓膜成形术与常规显微镜辅助下的鼓膜成形术的优缺点。OBJECTIVESTo e v t l u e t h e e ffi c c y o f e n c d o s o p我与微观cmyringoplasty Myringoplastywith参考听力和贪污uptakeMATERIALS METHODSFifty临床诊断病例chronicsuppurative中耳炎用干centralperforation考虑在内的25例接受内镜myringoplastya n d 2 5 c s e s u n d e r g o n e c o n v e n t i o n lmyringoplasty。所有患者均随访至术后6个月。结果两组患者手术时间、住院时间、听力增益和接穗量比较，差异均有统计学意义(p=<0.001)。内窥镜组和常规鼓膜成形术组的平均听力损失分别改善到16.88 dB和19.76 dB。结论内窥镜辅助鼓膜成形术两组在术后鼓膜状态方面疗效相当，但在手术时间、住院时间及术后气骨间隙患者方面，内窥镜组效果更好。【关键词】慢性化脓性中耳炎;内镜下耳膜成形术;镜下耳膜成形术;
{"title":"A COMPARATIVE STUDY OF ENDOSCOPIC\u0000MYRINGOPLASTY V/S MICROSCOPIC MYRINGOPLASTY","authors":"A. Naseem","doi":"10.36611/upjohns/volume10/issue1/2","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/2","url":null,"abstract":"INTRODUCTION\u0000Chronic suppurative otitis media (CSOM) is one of\u0000the common Otological conditions in India for\u0000w h i c h p a t i e n t s s e e k a d v i c e f r o m a n\u0000Otorhinolaryngologists. Poverty, illiteracy,\u0000overcrowding and poor hygiene are all factors\u0000which play an important role in the causation of the\u0000disease.\u0000Various surgical modalities of treatment have been\u0000tried since ages to eliminate this disease from the\u0000middle ear cleft. The use of the surgical\u0000microscope brought revolutionary advances into\u0000the field of Otological surgery because its new\u0000technology expanded the ability of surgeons to\u0000see in limited confines of the temporal bone.\u0000Initially endoscopes were used only for diagnostic\u0000and photographic purposes but now endoscopes\u0000are being used more and more for surgical\u0000purposes.\u0000The current study attempts to study the\u0000advantages and disadvantages of endoscopic\u0000myringoplasty in comparison to the conventional\u0000microscope assisted myringoplasty.\u0000OBJECTIVES\u0000To e v a l u a t e t h e e ffi c a c y o f E n d o s c o p i c\u0000myringoplasty with Microscopic Myringoplasty\u0000with reference to hearing and graft uptake\u0000MATERIALS AND METHODS\u0000Fifty cases of clinically diagnosed chronic\u0000suppurative otitis media with dry central\u0000perforation were taken into account of which 25\u0000cases were undergone endoscopic myringoplasty\u0000a n d 2 5 c a s e s u n d e r g o n e c o n v e n t i o n a l\u0000myringoplasty. All patients were followed up till 6\u0000months after surgery.\u0000RESULTS\u0000There was a strong statistical significant difference\u0000between the two groups (p=<0.001) for duration of\u0000surgery, hospitalization and hearing gain and graft\u0000uptake. In endoscopic and conventional groups of\u0000myringoplasty, the mean hearing loss improved to\u000016.88 dB and 19.76 dB respectively.\u0000CONCLUSION\u0000The surgical outcome of endoscope assisted\u0000myringoplasty was comparable in terms of\u0000tympanic membrane status after surgery, but in\u0000terms of duration of surgery, hospitalization and\u0000post-operative air bone gap patients in the\u0000endoscope group had better results.\u0000KEYWORDS\u0000Chronic suppurative otitis media, Endoscopic\u0000Myringoplasty, Microscopic Myringoplasty.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116492630","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 : 2022-06-30DOI: 10.36611/upjohns/volume10/issue1/10
R. Yadav
INTRODUCTION Morbidity and mortality of penetrating neck trauma reported as 5-10% and 3-6% respectively. Massive haemorrhage has been main cause of death .Selective management is a shift from traditional mandatory exploration which is based on physical examination and selective diagnostic studies. We hereby present a case of penetrating zone II neck injury by an iron rod in a11 year old boy due to accidental fall in under construction building. AIM AND OBJECTIVE To highlight the rarity of the case and emphasize on the complex nature of injury. METHODOLOGY 11 year old male child was referred to our medical college hospital with history of fall over iron rod in an under construction building. He was vitally stable on examination and around 45 cms iron rod was seen penetrating through anterior tongue and floor of mouth extending through the left submandibular gland externally. There was no bleeding or hematoma . Patient was subjected to Surgery and rod was removed under GA .There was no post operative complications .On follow up upto 6 months patient was doing fine . CONCLUSION Penetrating neck injury is rare and anatomical knowledge of neck is of utmost importance so as to prevent undue complications and aggressive management .Conventional packing of sinus tract is no longer recommended .Good clinical diagnosis can rule out any sign of vascular injury and in that case angiography and CT could be avoided without any major risk.
{"title":"A RARE CASE OF INTRAORAL PENETRATING INJURY\u0000(IRON ROD) IN A 11 YEAR OLD CHILD.","authors":"R. Yadav","doi":"10.36611/upjohns/volume10/issue1/10","DOIUrl":"https://doi.org/10.36611/upjohns/volume10/issue1/10","url":null,"abstract":"INTRODUCTION\u0000Morbidity and mortality of penetrating neck trauma\u0000reported as 5-10% and 3-6% respectively. Massive\u0000haemorrhage has been main cause of death\u0000.Selective management is a shift from traditional\u0000mandatory exploration which is based on physical\u0000examination and selective diagnostic studies. We\u0000hereby present a case of penetrating zone II neck\u0000injury by an iron rod in a11 year old boy due to\u0000accidental fall in under construction building.\u0000AIM AND OBJECTIVE\u0000To highlight the rarity of the case and emphasize on\u0000the complex nature of injury.\u0000METHODOLOGY\u000011 year old male child was referred to our medical\u0000college hospital with history of fall over iron rod in\u0000an under construction building. He was vitally\u0000stable on examination and around 45 cms iron rod\u0000was seen penetrating through anterior tongue and\u0000floor of mouth extending through the left\u0000submandibular gland externally. There was no\u0000bleeding or hematoma . Patient was subjected to\u0000Surgery and rod was removed under GA .There\u0000was no post operative complications .On follow up\u0000upto 6 months patient was doing fine .\u0000CONCLUSION\u0000Penetrating neck injury is rare and anatomical\u0000knowledge of neck is of utmost importance so as to\u0000prevent undue complications and aggressive\u0000management .Conventional packing of sinus tract\u0000is no longer recommended .Good clinical\u0000diagnosis can rule out any sign of vascular injury and in that case angiography and CT could be\u0000avoided without any major risk.","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132315240","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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