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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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1.  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 : 509]
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

 
2.  INVITED ARTICLE
Anesthetic Considerations in Functional Endoscopic Sinus Surgery
Pravin Virappa Ubale
[Year:2015] [Month:January-April] [Volume:7 ] [Number:1] [Pages:39] [Pages No:22-27] [No of Hits : 963]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1182 | FREE

ABSTRACT

Functional endoscopic sinus surgery is among the most challenging of ENT procedures for a variety of reasons including the need for immobility, hemostasis, and, especially, gentle emergence from anesthesia. Anesthesiologists have contributed significantly, using different anesthetic techniques to control intraoperative hemorrhage, thus significantly improving visualization of the surgical field.

Keywords: Airway, Anesthesia, Functional endoscopic sinus surgery, Hemostasis, Induced hypotension.

How to cite this article: Ubale PV. Anesthetic Considerations in Functional Endoscopic Sinus Surgery. Int J Otorhinolaryngol Clin 2015;7(1):22-27.

Source of support: Nil

Conflict of interest: None

 
3.  ORIGINAL ARTICLE
Anesthesia for Middle Ear Surgeries and Cochlear Implant
Harprit Kaur Madan, Suchita Kosare
[Year:2015] [Month:January-April] [Volume:7 ] [Number:1] [Pages:39] [Pages No:1-9] [No of Hits : 895]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10003-1179 | FREE

ABSTRACT

The attending anesthesiologist face several challenges in safe conduction of anesthesia for middle ear and cochlear implantation surgeries. Preoperative challenges includes counseling elderly patients with impaired hearing and counseling the parents of children with congenital ear anomalies, thorough evaluation of these patient with several comorbidities. Intraoperative challenges are to provide bloodless field, head positioning, effect of nitrous oxide on middle ear, facial nerve monitoring and avoid electrical disturbances due to electrocautery during stimulation of the cochlear implant electrode assembly. Postoperative challenges includes smooth and calm recovery, prevention and treatment of postoperative nausea and vomiting (PONV) and excellent analgesia. A close understanding and cooperation between the anesthesiologist and surgeon is the key for a positive outcome.

Keywords: Cochlear implant, Mastoidectomy, Middle ear, Tympanoplast.

How to cite this article: Madan HK, Kosare S. Anesthesia for Middle Ear Surgeries and Cochlear Implant. Int J Otorhinolaryngol Clin 2015;7(1):1-9.

Source of support: Nil

Conflict of interest: None

 
4.  CASE REPORT
Scrofula Mimicking Cutaneous Malignancy: A Rare Case Report
Uma Garg, Ritika Batra, Neha Salaria, MK Garg
[Year:2015] [Month:Number] [Volume:7 ] [Number:1] [Pages:28] [Pages No:13-15] [No of Hits : 830]
Full Text PDF | Abstract | FREE

ABSTRACT

Since a long time scrofuloderma (SCF) was thought to be a common disease of childhood and was attributable to Myco_ bacterium tuberculosis. In 1951, a new entity nontuberculous scrofuloderma was described and it is caused by atypical mycobacteria namely Mycobacterium scrofulaceum. The clinical picture closely mimics tuberculous scrofuloderma but diagnosis should be established through culture isolation and identification, because drug susceptibility may be different in these cases.
In this article, we report a case of a 22-year-old pregnant female patient who presented to us with scrofulaceous lesion on the right side of neck.

Keywords: Tuberculosis, Primary scrofuloderma, Scrofula, Nontuberculous mycobacteria.

Source of support: Nil

Conflict of interest: None

 
5.  ORIGINAL ARTICLE
Antistreptolysin O Positivity in Chronic Tonsillitis: Rare or Common?
UP Santosh, KB Prashanth, Nitha Mary George
[Year:2015] [Month:Number] [Volume:7 ] [Number:1] [Pages:28] [Pages No:1-2] [No of Hits : 795]
Full Text PDF | Abstract | FREE

ABSTRACT

Objective: To determine the frequency of antistreptolysin O (ASLO) positivity in cases of proven chronic tonsillitis.

Materials and methods: The present study was conducted in a tertiary care center from January to October 2013. A total of 150 patients who presented with features suggestive of chronic tonsillitis and willing for surgery were included in the study. On admission, following a detailed history taking and clinical examination, preoperative investigations along with ASLO titers were done. Following medical and anesthetic fitness, the patients underwent tonsillectomy with or without adenoidectomy and the tonsillar specimens were sent for histopathological examination.

Results: A total of five out of the 150 patients showed ASLO titer positivity (>200 IU/ml) and all were histopathologically proven cases of chronic tonsillitis.

Conclusion: Early detection and treatment of Streptococcal tonsillar involvement could be a preventive measure against the future predilection of other predisposed organs to more severe and debilitating streptococcal infections.

Keywords: Chronic tonsillitis, Rheumatic factor, Antistreptolysin O antibodies, Rheumatic fever, Streptococcal infection, Tonsillectomy.

Source of support: Nil

Conflict of interest: None

 
6.  CASE REPORT
Langerhans Cell Histiocytosis Presenting as a Unifocal Eosinophilic Granuloma in the Body of the Mandible: A Rare Report
Pratik Dipak Shah, Srijon Mukherji
[Year:2015] [Month:Number] [Volume:7 ] [Number:1] [Pages:28] [Pages No:16-18] [No of Hits : 764]
Full Text PDF | Abstract | FREE

ABSTRACT

Introduction: Langerhans cell histiocytosis (LCH) is a relatively rare and unique benign disease characterized by an abnormal proliferation of immature dendritic cells which usually affects children and young adults. Jaws are involved in less than 10% of children with the disease.

Objective: To add on to the literature one more case of this rare and unique disease which accounts for less than 1% of all bone tumors and also to discuss its oral manifestation and management.

Design: Case report

Setting: Private maxillofacial surgery institute, Kolkata, West Bengal.

Patient: A 2 years and 8 months old male child with solitary swelling over the lower left jaw since one and half months. Lesion was fixed to underlying bone and there was an expansion of buccal cortical plate at the body of mandible.

Results: Enucleation of the lesion performed after assessing history, clinical and radiological dertails and also considering patient’s age. Postoperative biopsy result came as LCH presenting as a unifocal eosinophil granuloma. Appropriate surgical intervention resulted in a dramatic improvement in patient’s clinical condition. At present, patient is disease-free and asymptomatic.

Conclusion: Surgical enucleation or curettage is a preferred treatment option for maxillary and mandibular lesion. Potential for the unifocal disease to become multifocal should not be underestimated as the disease can be unpredictable. We recommend long-term follow-up due to uncertainty of the disease.

Keywords: Langerhans cell histiocytosis, Eosinophilic granuloma, Benign.

Source of support: Nil

Conflict of interest: None

 
7.  CASE REPORT
Preauricular Sinus as Recurrent Postaural Abscess: A Rare Presentation
Sharanabasappa Rudragouda Malipatil
[Year:2015] [Month:Number] [Volume:7 ] [Number:1] [Pages:28] [Pages No:26-28] [No of Hits : 749]
Full Text PDF | Abstract | FREE

ABSTRACT

Preauricular sinus (PAS) is not uncommon congenital anomaly. It is usually asymptomatic and does not require any treatment. Patient presenting with discharge, recurrent infections and preauricular abscess will require management with antibiotics and surgical extirpation of the sinus tract. Here, it is a rare case report of PAS presenting as a recurrent postaural abscess.

Keywords: Preauricular, Sinus, Postaural, Abscess.

Source of support: Nil

Conflict of interest: None

 
8.  ORIGINAL ARTICLE
Novel Approach to Rhinosporidiosis
Rajeshwary Aroor, Madhukar Muniswamy Gowda, Vadisha Srinivas Bhat, Satheesh Kumar Bhandary
[Year:2015] [Month:Number] [Volume:7 ] [Number:1] [Pages:28] [Pages No:3-5] [No of Hits : 735]
Full Text PDF | Abstract | FREE

ABSTRACT

Rhinosporidiosis is a chronic enigmatic disease affecting mainly the upper aero digestive tract and is notorious for frequent recurrences as high as 70%. Higher incidences of recurrence are mainly due to nonendoscopic excision with resultant residual disease leading to seedling of the disease.

Objectives: The aim of this study is to highlight the factors responsible for recurrence and to follow the clinical course to ensure against recurrence of rhinosporidiosis. External surgery in rhinosporidiosis should be avoided for the fear of implantation. With the advent of endoscopes and Lasers allow the surgeon to complete excision of the lesion with cauterization of the base.

Materials and methods: A retrospective study of thirty two cases of rhinosporidiosis presented to us over a period of 10 years from 2002 to 2012. Out of which 14 cases presented to us for the first time and 18 cases were recurrent cases. The commonest age group of presentation was between 20 and 30 years in patients presenting for the first time and in recurrent cases the commonest age of presentation was between 50 and 60 years of age. Majority of patients were males with male to female ratio of 9:1. All patients underwent endoscopic excision, electro cautery was used in 30 patients and Laser was used in 2 patients.

Results: Fourteen cases did not have any recurrence and in the 18 cases of recurrent cases three of them again had a recurrence where electro cautery was used to cauterize the base.

Conclusion: Endoscopic excision of rhinosporidiosis has a better result over nonendoscopic approaches with lesser recurrence rate. Our results show that use of endoscopes in patients who presented for the first time have a better results as the mucosa of recurrence patients have already been insulted due to previous surgeries.

Keywords: Rhinosporidiosis, Endoscopic excision, Electrocautery.

Source of support: Nil

Conflict of interest: None

 
9.  ORIGINAL ARTICLE
Clinicopathological Correlation Between Peripheral Blood Eosinophilia and Inferior Turbinate Tissue Eosinophils
UP Santosh, KB Sunil Kumar, Aniketh Shyamsunder Pandurangi
[Year:2015] [Month:Number] [Volume:7 ] [Number:1] [Pages:28] [Pages No:6-8] [No of Hits : 656]
Full Text PDF | Abstract | FREE

ABSTRACT

Background and objectives: Allergic rhinitis affects up to 20% of the general population and is one of the most common reasons for presentations to the outpatient department. We hereby present a case series which attempts to have a correlation between tissue eosinophilia (inferior turbinate) and increased eosinophil count in blood (> 440 cells/mm3).

Materials and methods: Thirty-six patients presented to the Outpatient Department of Bapuji Hospital and Chigateri General Hospital (Teaching Hospitals attached to JJM Medical College), Davangere, with nasal obstruction and symptoms suggestive of allergic rhinitis with turbinate hypertrophy who were posted for elective bilateral partial inferior turbinectomy with/without submucous resection/septoplasty. These patients had increased absolute eosinophil count in blood. Formalin fixed inferior turbinectomy specimens were routinely processed for histopathology. Eosinophils in the mucosa and submucosal region were counted by method of Shioda and Mishima.

Results: Ten patients out of 36 showing increased eosinophil count in blood show ‘significant eosinophilia’ in turbinates (27.7%).

Conclusion: Peripheral eosinophilia does not always correlate with tissue eosinophilia which opens up a possibility of using nasal mucosa biopsy for confirmation of presence of eosinophils. Further studies are needed to explore the demonstration of ‘activated’ tissue eosinophils in the diagnosis of allergic rhinitis.

Keywords: Allergic rhinitis, Tissue eosinophilia, Inferior turbinate.

Source of support: Nil

Conflict of interest: None

 
10.  REVIEW ARTICLE
Management Dilemma in a Challenging Case of Inflammatory Pseudotumor of an Orbitomaxillary Mass: A Review of Literature
Pratik Dipak Shah, Srijon Mukherji
[Year:2015] [Month:Number] [Volume:7 ] [Number:1] [Pages:28] [Pages No:9-12] [No of Hits : 598]
Full Text PDF | Abstract | FREE

ABSTRACT

Objective: To present management dilemma in a challenging case of a benign orbitomaxillary pseudotumor and its importance of inclusion in the differential diagnosis of orbital disorders.

Design: Case Report

Setting: Private multispecialty hospital in Kolkata, West Bengal.

Patient: A 36-year-old female patient with 1 year history of orbitomaxillary mass, deviation and protrusion of left eyeball, diplopia and left sided headache.

Results: Resection of entire orbitomaxillary mass performed after assessing history, clinical and radiologic presentation of the case. Biopsy report came as mixed inflammatory lesion. Appropriate surgical intervention resulted in a dramatic improvement in patient’s clinical condition. At present, patient is disease-free and asymptomatic.

Conclusion: Complete surgical resection is the treatment of choice for inflammatory orbitomaxillary pseudotumors followed by corticosteroids in case of incomplete resection. Radiation therapy is indicated only in case when corticosteroids or surgical intervention is unsuccessful or contraindicated.

Keywords: Diplopia, Inflammatory pseudotumor, Orbitomaxillary mass, Corticosteroids.

Source of support: Nil

Conflict of interest: None

 
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