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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  ORIGINAL ARTICLE
Anesthesia for Laser Surgery of the Airway
Indrani Hemantkumar
[Year:2017] [Month:January-April] [Volume:9 ] [Number:1] [Pages:37] [Pages No:1-5] [No of Hits : 1085]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1250 | FREE

ABSTRACT

Anesthesia for laser surgery carries a number of particular challenges and pitfalls. The airway is not only shared with the surgeon but also being operated upon. Personnel working inside the operating room must also be very aware of the benefits and dangers of medical lasers, and safety precautions must be taken to ensure their proper use. The anesthetist must have the knowledge and expertise to anesthetize a patient with a potentially compromised airway. This article deals with the anesthetic management of a patient presenting for laser surgery of the airway.

Keywords: Airway, Anesthesia options for laser surgeries, Fires, Laryngeal cancer, Laser.

How to cite this article: Hemantkumar I. Anesthesia for Laser Surgery of the Airway. Int J Otorhinolaryngol Clin 2017;9(1):1-5.

Source of support: Nil

Conflict of interest: None

 
2.  REVIEW ARTICLE
Anesthesia Considerations in Microlaryngoscopy or Direct Laryngoscopy
Anand S Nirgude, Indrani Hemantkumar
[Year:2017] [Month:January-April] [Volume:9 ] [Number:1] [Pages:37] [Pages No:10-15] [No of Hits : 1062]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1252 | FREE

ABSTRACT

Patients of all ages including pediatric, adult, and geriatric age groups present to anesthesiologists for microlaryngoscopy (ML scopy) or direct laryngoscopy (DL scopy). Proper preoperative evaluation, adequate intraoperative care, monitoring, and postoperative monitoring provide a successful outcome in these patients. These procedures are day care procedures. The aim of anesthesiologists while dealing with such patients is maintaining adequate depth of anesthesia, maintaining adequate ventilation to the patients, and giving enough time to the surgeon to diagnose and evaluate the definitive cause of airway disease. Anesthesiologists should share the airway or maintain the ventilation in such a way as to give the surgeon proper and good visualization of the patient’s airway. The use of short-acting and potent anesthetic agents provides adequate intraoperative depth of anesthesia and speeds up postoperative recovery, i.e., awakening of the patient.

Keywords: Anesthesia, Direct laryngoscopy, Microlaryngoscopy.

How to cite this article: Nirgude AS, Hemantkumar I. Anesthesia Considerations in Microlaryngoscopy or Direct Laryngoscopy. Int J Otorhinolaryngol Clin 2017;9(1):10-15.

Source of support: Nil

Conflict of interest: None

 
3.  CASE REPORT
Management of Laryngeal Airway in Reinke’s Edema: An Anesthetic Overview
Santosh K Swain, Mahesh C Sahu
[Year:2017] [Month:January-April] [Volume:9 ] [Number:1] [Pages:37] [Pages No:35-37] [No of Hits : 863]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1259 | FREE

ABSTRACT

Reinke’s edema (RE) is a benign polypoidal lesion of the vocal folds. The vocal folds show a white and translucent edema, confined into the superficial lamina propria. The lesions usually affect both vocal folds with fusiform appearance and even mobile during phonation. Hoarseness of voice is the most common clinical presentation in RE. Reinke’s edema is often associated with smoking habit, gastroesophageal reflux, and voice abuse. It usually occurs in middle-aged male or postmenopausal women who have a long-term history of smoking. We hereby report a case of a large polypoidal RE who presented with ventilation difficulties during general anesthesia using positive pressure mask ventilation.

Keywords: Anesthesia, Laryngeal airway, Reinke’s edema.

How to cite this article: Swain SK, Sahu MC. Management of Laryngeal Airway in Reinke’s Edema: An Anesthetic Overview. Int J Otorhinolaryngol Clin 2017;9(1):35-37.

Source of support: Nil

Conflict of interest: None

 
4.  ORIGINAL ARTICLE
Diagnostic Accuracy of Radiology and Endoscopy in the Assessment of Adenoid Hypertrophy
Mohammed R Dawood, Ammar H Khammas
[Year:2017] [Month:January-April] [Volume:9 ] [Number:1] [Pages:37] [Pages No:6-9] [No of Hits : 743]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1251 | FREE

ABSTRACT

Aim: To clarify the diagnostic accuracy of the lateral X-ray of nasopharynx, and the flexible nasopharyngoscopy in the assessment of adenoid hypertrophy, with the preoperative rigid nasal endoscopic observation, as it was considered as a reference standard guide.

Materials and methods: This is a prospective observational study that included 80 children who planned to undergo adenoidectomy due to the symptoms found related to adenoid hypertrophy. All the children underwent a relevant clinical history and full ear, nose, and throat (ENT) examination, and the grading of adenoid hypertrophy was done preoperatively with the lateral X-ray of the nasopharynx and the flexible nasopharyngoscopy. These findings were analyzed and compared with the peroperative rigid nasal endoscopic assessment of adenoid hypertrophy, which was considered as a reference guide.

Results: There were 44 boys (55%) and 36 girls (45%), with mean age of 5.176 (±1.873) years, and the highest frequency of adenoid hypertrophy was found in the age group of 4 to 6 years (62.45%); the most common grade of the adenoid size in all the types of the assessment was grade 3. The assessment of adenoid grading by both flexible and peroperative rigid nasal endoscopy versus radiology was statistically significant, with p value of 0.0001, while the adenoid grading between flexible and peroperative rigid nasal endoscopic assessment was almost comparable, as no significant difference was found, with p value of 0.46.

Conclusion: Flexible nasopharyngoscopy was a more reliable diagnostic tool in the assessment of the adenoid size than lateral nasopharyngeal X-ray, as it correlates well with peroperative rigid nasal endoscopic finding.

Keywords: Adenoid hypertrophy, Nasal endoscopy, X-ray nasopharynx.

How to cite this article: Dawood MR, Khammas AH. Diagnostic Accuracy of Radiology and Endoscopy in the Assessment of Adenoid Hypertrophy. Int J Otorhinolaryngol Clin 2017;9(1):6-9.

Source of support: Nil

Conflict of interest: None

 
5.  CASE REPORT
Petechial Hemorrhage of Tympanic Membrane in a Case of Attempted Suicide by Hanging: A Sign of Severity
Vijay Stephen, Shobin S Abraham, Paresh P Naik, Mary Kurien
[Year:2017] [Month:January-April] [Volume:9 ] [Number:1] [Pages:37] [Pages No:16-17] [No of Hits : 666]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1253 | FREE

ABSTRACT

Assessment of a patient who has attempted suicide by hanging is an important emergency room call for an otorhinolaryngologist. As a norm, it is the neck that is assessed first in such a patient. Here, we discuss the otoscopic findings of petechiae of the tympanic membrane in these patients, which will help in finding the severity of the hanging, which in turn will be helpful to provide round-the-clock careful vigilant care for these patients.

Keywords: Partial hanging, Petechiae, Tympanic membrane.

How to cite this article: Stephen V, Abraham SS, Naik PP, Kurien M. Petechial Hemorrhage of Tympanic Membrane in a Case of Attempted Suicide by Hanging: A Sign of Severity. Int J Otorhinolaryngol Clin 2017;9(1):16-17.

Source of support: Nil

Conflict of interest: None

 
6.  CASE REPORT
Unilateral Congenital Choanal Atresia in a 48-Year-Old Patient
Lília Ferraria, Sílvia Alves, Helena Rosa, Mário Santos, Luis Antunes
[Year:2017] [Month:January-April] [Volume:9 ] [Number:1] [Pages:37] [Pages No:28-31] [No of Hits : 541]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1257 | FREE

ABSTRACT

Aim: To report a case of unilateral choanal atresia diagnosed in a 48-year-old, presenting with fatigue as the major symptom. To highlight the importance of a detailed clinical history and physical examination for an accurate diagnosis.

Background: Choanal atresia is an uncommon and often poorly recognized cause of unilateral or bilateral nasal obstruction. It is a congenital condition that occurs in approximately 1 in 5,000 to 8,000 live births.

Case report: This study reports a case of unilateral choanal atresia diagnosed in a 48-year-old presenting with fatigue as the major symptom. The patient presented with a lifelong history of tiredness investigated in cardiology. She was treated by a combined transseptal and transnasal endoscopic surgical technique. Topic use of mitomycin was performed with no use of stents, with clinical regression of the symptoms.

Conclusion: Unilateral choanal atresia usually presents in younger patients but can be undiagnosed until adulthood due to the nonspecific nature of the symptoms. This diagnosis should be, therefore, considered in all ages and bedside diagnostic procedures should, then, be done. Nasal endoscopy and computed tomography (CT) scan are the gold standard for the diagnosis. The use of stents and mitomycin C topically as an adjunct to the surgical repair of choanal atresia is a controversial subject.

Keywords: Choanal atresia, Endoscopic surgical procedure, Mitomycin C.

How to cite this article: Ferraria L, Alves S, Rosa H, Santos M, Antunes L. Unilateral Congenital Choanal Atresia in a 48-Year- Old Patient. Int J Otorhinolaryngol Clin 2017;9(1):28-31.

Source of support: Nil

Conflict of interest: None

 
7.  CASE REPORT
Open Safety Pin in Larynx: A Case Report and Review of Literature
Diptiman Baliarsingh, Arun Rath, Ashutosh Hota, Rajlaxmi Panigrahi
[Year:2017] [Month:January-April] [Volume:9 ] [Number:1] [Pages:37] [Pages No:21-24] [No of Hits : 503]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1255 | FREE

ABSTRACT

A foreign body in the respiratory tract is a serious event, and it needs urgent attention. It is important to know the type of foreign body with careful history taking. Usually, such cases come in pediatric age group due to accidental ingestion or inhalation. We present a case of 12-year-old female who presented with an impacted open safety pin lodged in the larynx. Its sharp end was upward in position and penetrated the subglottis and anterior commissure. A tracheotomy was done for securing airway, and the foreign body was removed with the help of rigid endoscope. The child had an uneventful recovery.

Keywords: Foreign body, Larynx, Safety pin, Tracheotomy.

How to cite this article: Baliarsingh D, Rath A, Hota A, Panigrahi R. Open Safety Pin in Larynx: A Case Report and Review of Literature. Int J Otorhinolaryngol Clin 2017;9(1):21-24.

Source of support: Nil

Conflict of interest: None

 
8.  CASE REPORT
Relapsing Polychondritis: An Otolaryngologist’s Perspective
Kamran A Syed, P Naina, Sheeja S John, Ajoy M Varghese
[Year:2017] [Month:January-April] [Volume:9 ] [Number:1] [Pages:37] [Pages No:18-20] [No of Hits : 501]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1254 | FREE

ABSTRACT

Relapsing polychondritis (RP) is an uncommon autoimmune disease with varying clinical presentations. Relapsing polychondritis frequently involves the ear, nose, and throat cartilages, often causing subtle and episodic symptoms that can pose a diagnostic challenge to the otolaryngologist. A high index of suspicion is needed to identify these subtle signs leading to early diagnosis. Here, we report a case of RP presenting with hoarseness of voice; we reviewed the literature and clinical signs discussed from an otolaryngologist’s perspective. Greater awareness about its episodic and myriad presentation is needed for early diagnosis and management of this uncommon clinical condition.

Keywords: Relapsing polychondritis, Saddle nose, Tracheal stenosis.

How to cite this article: Syed KA, Naina P, John SS, Varghese AM. Relapsing Polychondritis: An Otolaryngologist’s Perspective. Int J Otorhinolaryngol Clin 2017;9(1):18-20.

Source of support: Nil

Conflict of interest: None

 
9.  Original Article
Chronic Tonsillitis: A Recent Histopathological Study
Wail F Nasr, Samir S Sorour, Mohammed K Mobasher, Hesham R Abd El Aziz
[Year:2016] [Month:January-April] [Volume:8 ] [Number:1] [Pages:44] [Pages No:1-5] [No of Hits : 935]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1214 | FREE

ABSTRACT

Objectives: The aim of this study is to assess the incidence of tonsillomycosis in chronic tonsillitis on histopathological basis post-tonsillectomy in children.

Study design: Cohort study.

Level of evidence: Level II.

Setting: Ter tiary University Hospital, Department of Otorhinolaryngology.

Materials and methods: This study included 75 cases of children suffering from chronic tonsillitis (43 females and 32 males). On assessment of the clinical condition of the children with history taking, clinical examination, and preoperative investigation, post-tonsillectomy tonsils are placed in a separate container in 10% formol saline, and then are sent for histopathological examination using hematoxylin and eosin and periodic acid-Schiff (PAC).

Results: The obtained result had 31.3% of tonsils (47/150) with histopathological evidence of fungal invasion of tonsillar tissue with immune reaction and the presence of chronic inflammatory cells. After statistical analysis of the collected crude data, we found that results have come in accordance with previous studies.

Conclusion: Tonsillomycosis is a cause of chronic tonsillitis. Haphazard use of antibiotics and dental caries has a significant predisposing role in tonsillomycosis. Neutropenia can be considered as an indicator for tonsillomycosis. It is considerable in hypertrophic tonsils.

Keywords: Chronic tonsillitis, Neutropenia, Tonsillomycosis.

How to cite this article: Nasr WF, Sorour SS, Mobasher MK, Abd El Aziz HR. Chronic Tonsillitis: A Recent Histopathological Study. Int J Otorhinolaryngol Clin 2016;8(1):1-5.

Source of support: Nil

Conflict of interest: None

 
10.  REVIEW ARTICLE
Coblation vs Microdebrider-assisted Inferior Turbinoplasty
Amit Kumar, Amit Goyal, Rahul K Singh
[Year:2016] [Month:May-August] [Volume:8 ] [Number:2] [Pages:43] [Pages No:51-52] [No of Hits : 637]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1227 | FREE

ABSTRACT

Aim: The aim of this study is to compare the effectiveness of coblation and microdebrider-assisted turbinoplasty in reducing nasal obstruction due to inferior turbinate hypertrophy (ITHA).

Background: A comprehensive search of articles in English language was performed in PubMed using the keywords coblation turbinoplasty, coblation inferior turbinate reduction, microdebrider turbinoplasty, microdebrider assisted inferior turbinate reduction.

Review results: Primary search yielded 41 results with only two fulfilling the inclusion and exclusion criteria. In both studies, patients were assessed objectively as well as subjectively. Improvement in nasal obstruction was similar in both coblation and microdebrider groups up to 6 months of follow-up in both studies. However, in the study by Lee and Lee (2006) at 12 months postoperative follow-up, microdebrider-assisted turbinoplasty patients showed a better improvement in nasal obstruction both objectively on acoustic rhinometry and subjectively as compared with the coblation group (p < 0.05).

Conclusion: Despite getting better results with microdebriderassisted turbinoplasty in one of the study, it can be safely concluded that longer postsurgical follow-up period with bigger sample size is required to adequately comment on the extra benefit offered by either coblation or microdebrider.

Clinical significance: As and when further research is planned on comparing benefits of different powered instruments for turbinate reduction, it will be wise to prolong the follow-up period with increased sample size.

Keywords: Coblation, Descriptive review, Inferior turbinate, Microdebrider, Turbinoplasty.

How to cite this article: Kumar A, Goyal A, Singh RK. Coblation vs Microdebrider-assisted Inferior Turbinoplasty. Int J Otorhinolaryngol Clin 2016;8(2):51-52.

Source of support: Nil

Conflict of interest: None

 
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