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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 : 649]
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.  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 : 642]
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

 
3.  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 : 595]
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

 
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 : 518]
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.  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 : 671]
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

 
6.  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 : 533]
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

 
7.  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 : 1212]
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

 
8.  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 : 1149]
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

 
9.  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 : 868]
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

 
10.  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 : 835]
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

 
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