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REVIEW ARTICLE
Anand S Nirgude, Indrani Hemantkumar

Anesthesia Considerations in Microlaryngoscopy or Direct Laryngoscopy

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:10-15][No of Hits : 3972]


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


 
ORIGINAL ARTICLE
Indrani Hemantkumar

Anesthesia for Laser Surgery of the Airway

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:1-5][No of Hits : 3101]


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


 
CASE REPORT
Santosh K Swain, Mahesh C Sahu

Management of Laryngeal Airway in Reinke’s Edema: An Anesthetic Overview

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:35-37][No of Hits : 1405]


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


 
ORIGINAL ARTICLE
Mohammed R Dawood, Ammar H Khammas

Diagnostic Accuracy of Radiology and Endoscopy in the Assessment of Adenoid Hypertrophy

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:6-9][No of Hits : 1197]


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


 
CASE REPORT
Vijay Stephen, Shobin S Abraham, Paresh P Naik, Mary Kurien

Petechial Hemorrhage of Tympanic Membrane in a Case of Attempted Suicide by Hanging: A Sign of Severity

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:16-17][No of Hits : 1115]


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


 
CASE REPORT
Kamran A Syed, P Naina, Sheeja S John, Ajoy M Varghese

Relapsing Polychondritis: An Otolaryngologist’s Perspective

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:18-20][No of Hits : 846]


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


 
CASE REPORT
Lília Ferraria, Sílvia Alves, Helena Rosa, Mário Santos, Luis Antunes

Unilateral Congenital Choanal Atresia in a 48-Year-Old Patient

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:28-31][No of Hits : 774]


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


 
CASE REPORT
Diptiman Baliarsingh, Arun Rath, Ashutosh Hota, Rajlaxmi Panigrahi

Open Safety Pin in Larynx: A Case Report and Review of Literature

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:21-24][No of Hits : 761]


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


 
CASE REPORT
Varun Rai, Vikas Malhotra, Naresh Kumar, Nita Khurana

Laryngeal Neuroendocrine Tumor: Atypical Presentation.

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:32-34][No of Hits : 687]


ABSTRACT

Neuroendocrine tumors of the larynx are the most common nonepidermoid tumors of the larynx and comprise less than 1% of the laryngeal tumors. Most of the symptoms and presentation mimic a usual laryngeal malignancy making the diagnosis difficult.

Keywords: Calcitonin, Laryngeal, Neuroendocrine tumor, Periodic acid–schiff.

How to cite this article: Rai V, Malhotra V, Kumar N, Khurana N. Laryngeal Neuroendocrine Tumor: Atypical Presentation. Int Int J Otorhinolaryngol Clin 2017;9(1):32-34.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Uri Alkan, Alex Geller, Jacob Shvero

Patient with Huge Upper Esophageal Hemangioma

[Year:2017] [Month:January-April] [Volumn:9 ] [Number:1] [Pages:37] [Pages No:25-27][No of Hits : 573]


ABSTRACT

Background: Cervical esophageal hemangioma is a rare benign tumor. Symptoms may include hematemesis, dyspnea, cough, dysphagia, and chest pain.

Objectives: To describe a case of a large esophageal hemangioma in order to raise awareness of the condition and highlight the use of a cooperative endoscopic treatment approach by a gastroenterologist and otolaryngologist with excellent results. The literature on large esophageal hemangioma is reviewed.

Materials and methods: An otherwise healthy male presented with a huge hemangioma of the upper esophagus. Imaging showed the mass hanging on a narrow stalk attached to the posterior wall of the cricopharyngeus muscle, filling the lumen of the cervical and mediastinal esophagus. Resection was accomplished with a combination of flexible gastroscopy and microscope-assisted rigid direct laryngoscopy.

Results: Pathologic evaluation showed a polypoid mass covered with squamous epithelium, with multiple engorged blood vessels. Some of the vessels were wide, surrounded by a thin wall, and others were narrow with a thick wall. The histology was compatible with arteriovenous hemangioma. There was no evidence of malignancy. At the 7-month postoperative follow-up, the patient appeared well, with no dyspnea or dysphagia. Our literature search yielded only two published cases of a huge hemangioma of the upper esophagus, which were treated by open resection. Ours is the first report of the use of endoscopic excision.

Conclusion: Large esophageal hemangioma should be part of the differential diagnosis of dyspnea, dysphagia, persistent cough, or chest pain. A combined approach by a gastroenterologist and otolaryngologist, working cooperatively, can facilitate the correct diagnosis and provide optimum treatment.

Keywords: Combined approach, Cough, Esophagus, Hemangioma.

How to cite this article: Alkan U, Geller A, Shvero J. Patient with Huge Upper Esophageal Hemangioma. Int J Otorhinolaryngol Clin 2017;9(1):25-27.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Dhaneshwor N Singh, Kanwar Sen, Arun K Sharma, Meenakshi Bharadwaj

Sinonasal Teratocarcinosarcoma: Is Minimally Invasive Resection followed by Adjuvant Histology-directed Chemoradiation a Better Alternative to Radical Excision?

[Year:2017] [Month:May-August] [Volumn:9 ] [Number:2] [Pages:41] [Pages No:76-78][No of Hits : 534]


ABSTRACT

Sinonasal teratocarcinosarcoma (SNTCS) is a rare, highly malignant tumor arising from the primitive embryonic sinonasal tissue or immature pluripotent cells occurring almost exclusively in the sinonasal tract. It is an aggressive tumor with high propensity for locoregional recurrence and mortality. Local recurrence of SNTCS after excision has been reported as high as 45% with a mean recurrence time of 21.3 months. Even though distant metastasis is rare, local recurrence frequently leads to treatment failure and subsequent death. In view of its aggressive behavior, radical excision with or without chemoradiation is advocated as the optimum treatment. Here, we share our experience of SNTCS in a 23-year-old male managed with endoscope-assisted craniofacial resection followed by histocytology-directed chemotherapy with external beam radiation. He remains disease-free in last 3 years of follow-up.

Keywords: Nasal mass, Olfactory neuroblastoma, Sinonasal teratocarcinosarcoma, Teratoid carcinosarcoma.

How to cite this article: Singh DN, Sen K, Sharma AK, Bharadwaj M. Sinonasal Teratocarcinosarcoma: Is Minimally Invasive Resection followed by Adjuvant Histology-directed Chemoradiation a Better Alternative to Radical Excision? Int J Otorhinolaryngol Clin 2017;9(2):76-78.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Shruti Tandon, Vijay Giridher, Akash Juneja

Symptomatic Septal Deviation: Its Nasal Endoscopy and Computed Tomography-aided Correlation with Chronic Rhinosinusitis

[Year:2017] [Month:May-August] [Volumn:9 ] [Number:2] [Pages:41] [Pages No:47-51][No of Hits : 527]


ABSTRACT

Aim: To evaluate the nasal septal deviation by measuring the angle of deviation and study its relation with sinus diseases and lateral nasal wall anomalies, by diagnostic endoscopy (DNE) and computed tomography (CT), in patients with chronic rhinosinusitis (CRS).

Materials and methods: A prospective study was carried out on 90 patients with nasal complaints and deviated septum, attending the Department of Otorhinolaryngology, from January 2015 to August 2016. Patients diagnosed to have CRS clinically were subjected to DNE and CT scans. The maximum angle of septal deviation was calculated in coronal cuts. The side and sites of rhinosinusitis and lateral wall anatomical variants were identified.

Results: The prevalence of CRS was 73%, with males more affected than females (1.8:1). Left-sided and C-shaped deviated nasal septum (DNS) was most common. About 52% patients suffering from CRS had septal angle of deviation between 7° and 12°, 46% had more than 12°. Maxillary sinus was the most commonly involved sinus. Concha bullosa (32%) was the most common variant noted. Occurrence of medialized uncinate process was found to be increasing on the ipsilateral side of deviated septum with increasing angle of deviation.

Conclusion: In patients with chronic sinusitis, most of the angles were deviated between 7° and 12°. The mean deviation was 12.92°. Majority of patients with chronic rhinosinusitis had a concurrent variation along with DNS. No correlation was found between the side of DNS and side of maxillary sinusitis. No corelation was noted between the anatomical variants of lateral nasal wall with increasing angle of deviation.

Clinical significance: Our study emphasizes the multifactorial etiology behind CRS with plausible role of genetic factors, environmental influence, allergic factors, hormonal influence, etc., in its causation.

Keywords: Angle of septal deviation, Deviated nasal septum, Lateral wall variant, Prevalence of chronic rhinosinusitis, Prospective study, Rhinosinusitis.

How to cite this article: Tandon S, Giridher V, Juneja A. Symptomatic Septal Deviation: Its Nasal Endoscopy and Computed Tomography-aided Correlation with Chronic Rhinosinusitis. Int J Otorhinolaryngol Clin 2017;9(2):47-51.

Source of support: Nil

Conflict of interest: Nil


 
CASE REPORT
Boon C Gan, Ramiza R Ramli

Sinochoanal Polyp of Sphenoidal Origin: Diagnostic and Surgical Approach in Two Cases of Large Sphenochoanal Polyp

[Year:2017] [Month:May-August] [Volumn:9 ] [Number:2] [Pages:41] [Pages No:68-71][No of Hits : 518]


ABSTRACT

The diagnosis of sinochoanal polyp (SP) with the origin of either maxillary or ethmoidal sinuses may not be uncommon for any otorhinolaryngologist. We report two rare cases of large sphenochoanal polyp (SCP) that underwent complete excision using endoscopic transnasal approach, debulking with microdebrider, and subsequent evacuation of polyp through the oral cavity under image-guided surgery (IGS) protocol. Due to the rarity of SCP, this condition may sometimes be mistaken for antrochoanal polyp (ACP) and lead to unwarranted exploration of other sinuses and incomplete removal of SCP from the sphenoid sinus. In this report, we also discuss on the diagnostic confusion with ACP, the surgical approach, as well as the usage of endoscopic and imaging techniques in managing SCP.

Keywords: Antrochoanal polyp, Image-guided surgery, Nasal polyp, Natural orifice endoscopic surgery, Sinochoanal polyp, Sphenoid sinus.

How to cite this article: Gan BC, Ramli RR. Sinochoanal Polyp of Sphenoidal Origin: Diagnostic and Surgical Approach in Two Cases of Large Sphenochoanal Polyp. Int J Otorhinolaryngol Clin 2017;9(2):68-71.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Punnoose Philip, Deepika Pratap, Aroor Rajeshwary, Vadisha Bhat

Subjective Assessment of Outcomes of Septoplasty

[Year:2017] [Month:May-August] [Volumn:9 ] [Number:2] [Pages:41] [Pages No:42-46][No of Hits : 502]


ABSTRACT

Septal deviation is the leading cause of chronic nasal obstruction. The procedure of choice for treating these patients is septoplasty. We aimed at assessing the disease-specific qualityof- life outcomes of septoplasty by means of a questionnaire.
Ours was a retrospective study where 100 patients who underwent septoplasty between 2014 and 2015 in the Department of Otorhinolaryngology were analyzed. A modification of the nasal obstruction symptom evaluation (NOSE) scale was used to compare the pre- and postoperative symptoms.
We found that nasal obstruction was seen in all patients. A significant improvement was seen in all symptoms of the modified NOSE scale. An improvement in the general condition of the patients was seen postsurgery.
The modification in the NOSE scale addresses a wider range of symptomology and is a good tool for subjective assessment of septoplasty.

Keywords: Nasal obstruction, Nasal obstruction symptom evaluation scale, Septoplasty.

How to cite this article: Philip P, Pratap D, Rajeshwary A, Bhat V. Subjective Assessment of Outcomes of Septoplasty. Int J Otorhinolaryngol Clin 2017;9(2):42-46.

Source of support: Nil

Conflict of interest: Nil


 
Original Article
Wail F Nasr, Samir S Sorour, Mohammed K Mobasher, Hesham R Abd El Aziz

Chronic Tonsillitis: A Recent Histopathological Study

[Year:2016] [Month:January-April] [Volumn:8 ] [Number:1] [Pages:44] [Pages No:1-5][No of Hits : 1679]


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


 
ORIGINAL ARTICLE
Sudhir M Naik, BL Yatish Kumar, S Ravishankara, T Shashikumar, RM Deekshith

Modified Sistrunk Procedure: A Novel Method of Hyoid Resection using Skin Punches in Subhyoid Thyroglossal Cysts

[Year:2016] [Month:September-December] [Volumn:8 ] [Number:3] [Pages:38] [Pages No:97-100][No of Hits : 1181]


ABSTRACT

Background/objectives: Managing thyroglossal duct cyst requires surgical excision of the cyst with its tract through the tongue base. Incomplete removal results in cyst recurrence, the common complications of incompletely performed Sistrunk procedure. The Modified Sistrunk procedure using skin punches increases the easiness of surgery and chances of complete removal of the tract.

Materials and methods: Resection of the middle body of the hyoid was done by coring out the nonossified bone with 4.5 mm skin punches under 3.5× loupes and the tract above till the base.

Results: A total of 14 primary cases were operated by this slight modification, and no recurrences were seen on 1 year of follow-up.

Conclusion: Sistrunk operation is the treatment of choice for primary thyroglossal cysts. Modified Sistrunk operation using skin punches results in easy and precise coring of the hyoid bone with the tract attached to it. Secondary cysts should be treated with removal of core of tongue base muscle and foramen cecum mucosa along with hyoid and scarred cyst excision.

Keywords: Hyoid bone, Sistrunk’s operation, Skin punches, Thyroglossal cyst.

How to cite this article: Naik SM, Kumar BLY, Ravishankara S, Shashikumar T, Deekshith RM. Modified Sistrunk Procedure: A Novel Method of Hyoid Resection using Skin Punches in Subhyoid Thyroglossal Cysts. Int J Otorhinolaryngol Clin 2016;8(3):97-100.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Amit Kumar, Amit Goyal, Rahul K Singh

Coblation vs Microdebrider-assisted Inferior Turbinoplasty

[Year:2016] [Month:May-August] [Volumn:8 ] [Number:2] [Pages:43] [Pages No:51-52][No of Hits : 928]


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


 
CASE REPORT
Salman Amiruddin, Mohd Sayuti Razali, Kamaruzaman B Esa

Plunging Ranula mimicking Extensive Submandibular Gland Abscess: A Diagnostic Challenge

[Year:2016] [Month:September-December] [Volumn:8 ] [Number:3] [Pages:38] [Pages No:119-121][No of Hits : 756]


ABSTRACT

Ranula is a salivary gland cyst that typically presents as localized superficial swelling over the floor of the mouth. Complex or plunging ranulas develop when the mucus extravasation extends through or around the mylohyoid muscle, deeper into the neck, and present with neck lump along with or without swelling over the floor of mouth. It is not a straightforward diagnosis in case of superimposed infection as it will resemble a submandibular gland abscess clinically and radiologically. We report here a case of large plunging ranula, which initially diagnosed radiologically as submandibular gland abscess with extension to parapharyngeal space.

Keywords: Oral swelling, Ranula, Salivary gland.

How to cite this article: Amiruddin S, Razali MS, Esa KB. Plunging Ranula mimicking Extensive Submandibular Gland Abscess: A Diagnostic Challenge. Int J Otorhinolaryngol Clin 2016;8(3):119-121.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Rajeev Gupta, Ravindra Minhas

Ethmoidal Mucocele: Simple Modern Management of Ophthalmic Manifestation

[Year:2016] [Month:May-August] [Volumn:8 ] [Number:2] [Pages:43] [Pages No:75-77][No of Hits : 673]


ABSTRACT

A mucocele of paranasal sinus is an accumulation of mucoid secretion and desquamated epithelium within the sinus with distention of its walls. It is considered as a cyst-like expansile and destructive lesion. If the cyst invades the adjacent orbit and continues to expand within the orbital cavity, the mass may present the behavior of many benign growths primarily in the orbit.

Frontoethmoidal area is more susceptible to mucocele formation due to complexity of its drainage as compared to other sinuses. Frontoethmoidal mucocele usually presents with outward and downward displacement of orbital globe and is associated with palpable mass in the superionasal and medial canthal region.

In this case report, a 55-year-old woman presented with complaint of painless swelling, protrusion, and deviation of the right eye since 1 year. High resolution computed tomogram (HRCT) showed a well-defined lesion in the anterior ethmoidal region with marked thinning of lamina papyracea. Endoscopic marsupialization with frontoethmoidectomy was performed.

Keywords: Frontoethmoidal mucocele, Frontoethmoidectomy, Marsupilization.

How to cite this article: Gupta R, Minhas R. Ethmoidal Mucocele: Simple Modern Management of Ophthalmic Manifestation. Int J Otorhinolaryngol Clin 2016;8(2):75-77.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Namit K Singh, Prakash S Nagpure, Manish K Yadav, Shushil Chavan, Shraddha Manpe, Ravi Ganeshkar

Effectiveness of Oral Antihistamines and Intranasal Steroid Spray in relieving Ocular Symptoms in Allergic Rhinitis using Total Ocular Symptom Score

[Year:2016] [Month:May-August] [Volumn:8 ] [Number:2] [Pages:43] [Pages No:45-50][No of Hits : 661]


ABSTRACT

Ocular symptoms in allergic rhinitis are often overlooked, but they have a significant impact on the quality of life of an individual.

Materials and methods: A randomized controlled trial was conducted from August 2012 to July 2013; a total of 153 cases were considered and divided into two groups. Group A received levocetirizine, and group B received mometasone furoate nasal spray.

Aims and objectives: The aims and objectives of this study were to determine the total ocular symptom score (TOSS) according to the severity of allergic rhinitis, determine the TOSS before medication, and determine the effectiveness of antihistamines (levocetirizine) and intranasal corticosteroid spray (mometasone furoate).

Results: The results indicate average TOSS to be in intermittent mild (51.32), intermittent moderate to severe (55.86), persistent mild (44.50), and persistent moderate to severe (52.02). Chi-square test to compare the relief between groups A and B did not show any statistical significance after 1st (p = 0.8951) and 4th weeks (p = 0.9758) of follow-up.

Keywords: Allergic rhinitis, Levocetirizine, Mometasone furoate, Ocular symptoms, Total ocular symptom score.

How to cite this article: Singh NK, Nagpure PS, Yadav MK, Chavan S, Manpe S, Ganeshkar R. Effectiveness of Oral Antihistamines and Intranasal Steroid Spray in relieving Ocular Symptoms in Allergic Rhinitis using Total Ocular Symptom Score. Int J Otorhinolaryngol Clin 2016;8(2):45-50.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Hitendra P Singh, Sunil Kumar, Shahab A Usmani, Satya P Agarwal

Giant Frontal Sinus Osteoma with Orbital Extension: Case Report and Review of Literature

[Year:2016] [Month:May-August] [Volumn:8 ] [Number:2] [Pages:43] [Pages No:78-81][No of Hits : 607]


ABSTRACT

Aim: The authors hereby present a case of giant frontal osteoma, i.e., not so rare but in the present case, the size and orbital involvement of this tumor make it a unique case.

Introduction: Paranasal sinus osteoma most commonly presents in frontal sinuses. Their growth is slow, and patients usually seek physician’s advice only for cosmetic reasons.

Case description: A 20-year-old male presented to us with the complaint of swelling over forehead and medial side of left eye for last 1 year. After investigations, he was diagnosed with frontal osteoma, which was excised en bloc using bicoronal approach. There was a dural tear and cerebrospinal fluid (CSF) leak intraoperatively, which was managed using pericranial flap. He remained free of disease in 2 years of follow-up.

Conclusion: Frontal sinus osteomas are slow-growing bony tumors, which are amenable to complete cure provided adequate preoperative planning and meticulous surgical technique are used.

Clinical significance: This case highlights the need for outreach of tertiary care to remote areas where medical facilities are scarce. Patients usually visit the apex hospitals only when the disease has grown significantly. The authors also would like to reiterate that computed tomography (CT) scan is the best modality for the diagnosis of paranasal osteoma. Small dural tears, if encountered during removal of large osteomas, can be repaired using pericranial flap.

Keywords: Bicoronal approach, Frontal osteoma, Orbital extension, Paranasal osteoma.

How to cite this article: Singh HP, Kumar S, Usmani SA, Agarwal SP. Giant Frontal Sinus Osteoma with Orbital Extension: Case Report and Review of Literature. Int J Otorhinolaryngol Clin 2016;8(2):78-81.

Source of support: Nil

Conflict of interest: None