An International Journal of Otorhinolaryngology Clinics

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2015 | May-August | Volume 7 | Issue 2

EDITORIAL

Editors’ Speak

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/aijoc-7-2-iv  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Jagat Singh, SPS Yadav, Ankit Gulati, Surender Singh, Anamika Bishnoi

To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:4] [Pages No:41 - 44]

Keywords: Nasal packing,Pulse oximetry,Septoplasty,SpO2

PDF  |  DOI: 10.5005/jp-journals-10003-1185  |  Open Access |  How to cite  | 

Abstract

Objective

To study the effect of nasal packing on blood oxygen saturation.

Materials and methods

Study was conducted on 30 patients of deviated nasal septum, who underwent septoplasty under local anesthesia followed by anterior nasal packing. The pulse oximetry was carried out three times on each patient to record the blood oxygen saturation (SpO2) by using digital pulse oximeter. The first reading of SpO2 was taken before nasal packing, second after 24 hours of nasal packing and third 3 weeks after surgery. Statistical analysis was done by Chi-square test and paired t-test.

Results

A total of 33.3% patients were below 20 years of age, whereas 60% were between 20 and 30 years of age and 6.7% were above 30 years. Males were 80%. It was observed that preoperative mean SpO2 was 98.3 ± 0.794%, after 24 hours of nasal packing was 97.17 ± 1.744% and 3 weeks after surgery was 98.87 ± 0.629%. On statistical analysis, the difference in SpO2 was highly significant (p < 0.001).

Conclusion

The application of nasal packs can be risky in old patients, more so having cardiopulmonary disease. The use of packs with airflow is recommended in these patients who should ideally be monitored with pulse oximetry.

How to cite this article

Singh S, Singh J, Kakkar V, Yadav SPS, Bishnoi A, Kathuria B, Gulati A, Sharma C. To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation. Int J Otorhinolaryngol Clin 2015;7(2):41-44.

RESEARCH ARTICLE

Kartik Doshi, Ashish Varghese, Dinesh K Badyal

Evaluation of Omeprazole in the Treatment of Laryngopharyngeal Reflux Disease: A Single Center, Prospective and Randomized Study

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:6] [Pages No:45 - 50]

Keywords: Laryngitis,Laryngopharyngeal reflux,Omeprazole,Proton-pump inhibitors

PDF  |  DOI: 10.5005/jp-journals-10003-1186  |  Open Access |  How to cite  | 

Abstract

Aims

To assess efficacy and safety of omeprazole in laryngitis due to laryngopharyngeal reflux disease (LPRD).

Materials and methods

It was a prospective, randomized, open label study conducted in 90 patients with laryngitis due to LPRD. Group A (n = 45) received omeprazole and advice about life style modification, group B (n = 45) received only advice about life style modification. Reflux symptom index (RSI), reflux finding score (RFS), quality of life (QoL) and voice handicap index (VHI) were evaluated at 0, 4 and 8 weeks.

Results

P ercentage r eduction i n R SI a nd R FS w as s ignificantly higher in group A after 8 weeks (37 vs 29%, 18 vs 13% respectively). Excess throat mucus, clearing of throat and erythema of posterior larynx improved considerably in group A compared to group B.

Conclusion

Omeprazole could be a significant addition to life style modification in LPRD patients particularly for signs and symptoms, such as excess throat mucus, clearing of throat and erythema of posterior larynx.

How to cite this article

Doshi K, Varghese A, Badyal DK. Evaluation of Omeprazole in the Treatment of Laryngopharyngeal Reflux Disease: A Single Center, Prospective and Randomized Study. Int J Otorhinolaryngol Clin 2015;7(2):45-50.

RESEARCH ARTICLE

The Impact of Tracheotomy on the Eventual Outcome of Surgery for Benign Laryngotracheal Stenosis in a Tertiary Health Care Setup

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:6] [Pages No:51 - 56]

Keywords: Airway,Benign,Laryngotracheal stenosis,Tracheotomy

PDF  |  DOI: 10.5005/jp-journals-10003-1187  |  Open Access |  How to cite  | 

Abstract

Introduction

Acquired benign laryngotracheal stenosis is often preventable. A majority of such patients have a history of some airway intervention, ranging from a planned endotracheal intubation for the purpose of anesthesia, to an emergency tracheotomy in the setting of stridor. The primary aim of the first treating clinician is to secure the airway, and often these patients already have a tracheotomy at the time of initial presentation.

Materials and methods

We analyzed 80 patients that have been managed for varying grades and locations of acquired benign laryngotracheal stenosis presenting to a tertiary healthcare centre, and analyzed the impact of tracheotomy on the eventual outcome.

Summary and conclusion

Tracheotomies performed in patients suffering from stenosis in the airway pose technical challenges. If planned even in the most urgent situations, they can play a vital role in determining the eventual outcome of the definitive treatment. The site, technique and care of the tracheotomy are key factors in determining the eventual outcome.

How to cite this article

Hathiram BT, Khattar VS. The Impact of Tracheotomy on the Eventual Outcome of Surgery for Benign Laryngotracheal Stenosis in a Tertiary Health Care Setup. Int J Otorhinolaryngol Clin 2015;7(2):51-56.

CASE REPORT

Nikhil Arora, Kirti Jain, Ramanuj Bansal

Nail Gun Injury: An Unusual Presentation as Tracheal Foreign Body

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:3] [Pages No:57 - 59]

Keywords: Foreign body,Nail gun,Trachea

PDF  |  DOI: 10.5005/jp-journals-10003-1188  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Arora N, Jain K, Malhotra V, Bansal R. Nail Gun Injury: An Unusual Presentation as Tracheal Foreign Body. Int J Otorhinolaryngol Clin 2015;7(2):57-59.

CASE REPORT

Eswaran Venkata Raman, Vellore Thiruvengadam Anand, Ainippully Mohanan Anitha Kumari, Dhana Devi Thaoroijam, Chacko Jose

Management of Smoke Inhalational Laryngotracheal Injury: A Modest Experience

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:4] [Pages No:60 - 63]

Keywords: Inhalational injury,Endotracheal intubation,Stridor,Laryngotracheal stenosis

PDF  |  DOI: 10.5005/jp-journals-10003-1189  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Raman EV, Anand VT, Kumari AMA, Thaoroijam DD, Jose C. Management of Smoke Inhalational Laryngotracheal Injury: A Modest Experience. Int J Otorhinolaryngol Clin 2015;7(2):60-63.

CASE REPORT

Gaurav Ashish

Venous Ectasia: A Potential Mimicker for Laryngocele Radiology Covers the Road

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:4] [Pages No:64 - 67]

Keywords: Color flow Doppler ultrasound,Computed tomography,Ectasia,Internal jugular vein,Laryngocele

PDF  |  DOI: 10.5005/jp-journals-10003-1190  |  Open Access |  How to cite  | 

Abstract

Introduction

Venous ectasia is rare causes of neck mass. Among neck veins, ectasia of the internal jugular vein (IJV) are extremely uncommon. However, this is to be kept in mind when considering differentials for laryngocele.

Objectives

To recognize the similarities between laryngocele and ectasias of the IJV and the differences in their presentation and management.

Study design

Observational.

Setting

Tertiary care hospital, India.

Conclusion

Presenting a 7-year-old boy with a left-sided soft, non-tender neck mass that fluctuated in size with coughing and straining for the past 1 year, presentation classical of laryngocele. Computed tomography (CT) demonstrated marked asymmetrical dilatation of the left IJV in the neck. Color-flow Doppler ultrasonography revealed a solitary cystic lesion with evidence of high venous blood flow in the IJV area. The relevance of radiological evaluation in neck swelling is being highlighted.

How to cite this article

Ashish G, Kurien M. Venous Ectasia: A Potential Mimicker for Laryngocele Radiology Covers the Road. Int J Otorhinolaryngol Clin 2015;7(2):64-67.

CASE REPORT

Gaurav Ashish, Rajan S Sundereshan, Ajay Philip

Transoral Laser Excision of Schwannoma in Base of Tongue: A Case Report with Review of Literature

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:4] [Pages No:68 - 71]

Keywords: Antoni A and B,Schwann cells,Schwannoma,Tongue,Verrucay bodies

PDF  |  DOI: 10.5005/jp-journals-10003-1191  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Ashish G, Sundereshan RS, Philip A. Transoral Laser Excision of Schwannoma in Base of Tongue: A Case Report with Review of Literature. Int J Otorhinolaryngol Clin 2015;7(2):68-71.

CASE REPORT

Rajesh Mundhe, Sagar Tarte, Prerana Patil, Majeda Malik, Salawa Bano, Roshan Chinoy

Chondrosarcoma of Larynx: A Case Report with Review of Literature

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:3] [Pages No:72 - 74]

Keywords: Cartilage,Chondrosarcoma,Cricoid,Larynx

PDF  |  DOI: 10.5005/jp-journals-10003-1192  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mundhe R, Tarte S, Patil P, Malik M, Bano S, Chinoy R. Chondrosarcoma of Larynx: A Case Report with Review of Literature. Int J Otorhinolaryngol Clin 2015;7(2): 72-74.

CASE REPORT

Miria Mathews, Roshna Rose Paul, George Ani Mathew, Rita Ruby Albert

A Case of Hidden Foreign Body: How We did It?

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:3] [Pages No:75 - 77]

Keywords: Chicken bone,Fluoroscopy,Foreign body

PDF  |  DOI: 10.5005/jp-journals-10003-1193  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mathews M, Paul RR, Mathew GA, Albert RR. A Case of Hidden Foreign Body: How We did It? Int J Otorhinolaryngol Clin 2015;7(2):75-77.

CASE REPORT

Vivek Sasindran, Vijay Stephen, Lakshana Deve

Subcutaneous Emphysema Secondary to Tonsillectomy

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:3] [Pages No:78 - 80]

Keywords: Adult tonsillectomy,Post-tonsillectomy,Subcutaneous emphysema

PDF  |  DOI: 10.5005/jp-journals-10003-1194  |  Open Access |  How to cite  | 

Abstract

Background

Tonsillectomy is one of the most common surgical procedures performed worldwide. However, it can potentially be associated with several complications. One of the very rare complications post-tonsillectomy in adults is subcutaneous emphysema, as in our case here. Although, most reported cases are resolved spontaneously, it may lead to fatal complications, like tension pneumothorax.

Case report

Tonsillectomy was performed on an adult patient with history of frequent tonsillitis. The patient developed facial subcutaneous emphysema 48 hours after the surgery (evident by clinical and radiological examination) that resolved within 2 days without further complications.

Conclusion

Tonsil should be removed along with tonsilar capsule. If tonsillectomy causes deeper than usual mucosal tear up to the level of the muscles, then air might pass into the subcutaneous tissue through the tonsillar fossa and superior constrictor muscle into fascial layers of neck. Emphysema can then spread to parapharyngeal, retropharyngeal spaces and mediastinum with its related morbidity. Though a rare complication, all otorhinolaryngologists must be aware of this complication and its management.

How to cite this article

Abraham SS, Stephen V, Deve L, Kurien M. Subcutaneous Emphysema Secondary to Tonsillectomy. Int J Otorhinolaryngol Clin 2015;7(2):78-80.

CASE REPORT

Rabindra Kumar Khatua

Fish in Hypopharynx: A Rare Case Report

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:2] [Pages No:81 - 82]

Keywords: Direct laryngoscopy,Dysphasic,Dyspneic,Hypopharynx,Koi fish

PDF  |  DOI: 10.5005/jp-journals-10003-1195  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Khatua RK. Fish in Hypopharynx: A Rare Case Report. Int J Otorhinolaryngol Clin 2015;7(2):81-82.

CASE REPORT

Ishwar Singh

Tuberculous Pleural Effusion Presenting with Prevertebral and Cervical Emphysema: An Unusual Presentation

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:2] [Pages No:83 - 84]

Keywords: Emphysema,Pleural effusion,Tuberculosis

PDF  |  DOI: 10.5005/jp-journals-10003-1196  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chauhan A, Rajan S, Singh I. Tuberculous Pleural Effusion Presenting with Prevertebral and Cervical Emphysema: An Unusual Presentation. Int J Otorhinolaryngol Clin 2015;7(2):83-84.

CASE REPORT

Vasilios Chalkiadakis, George Roukis, Michael Androulakis

Retropharyngeal Abscess related to Hematogenous Dissemination

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:3] [Pages No:85 - 87]

Keywords: Retropharyngeal abscess,Renal nephropathy,Thoracotomy,Vascular transplant

PDF  |  DOI: 10.5005/jp-journals-10003-1197  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chalkiadakis V, Roukis G, Karatzias G, Androulakis M. Retropharyngeal Abscess related to Hematogenous Dissemination. Int J Otorhinolaryngol Clin 2015;7(2):85-87

CASE REPORT

Shubha P Bhat, Shrinath D Kamath Patla, Natasha Hilda Rent, Kishore Chandra Shetty

Lymphangiomatous Polyp of the Tonsil: An Unusual Cause of Snoring

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:3] [Pages No:88 - 90]

Keywords: Hamartoma,Polyp,Tonsil,Tonsillectomy

PDF  |  DOI: 10.5005/jp-journals-10003-1198  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Bhat SP, P Kamath SD, Rent NH, Shetty KC. Lymphangiomatous Polyp of the Tonsil: An Unusual Cause of Snoring. Int J Otorhinolaryngol Clin 2015;7(2):88-90.

CASE REPORT

Deepanava Jyoti Das, Abhijeet Bhatia, Ripan Debbarma, Kalyan Sarma

Congenital Supraglottic Cyst with Stridor Immediately after Birth

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:2] [Pages No:91 - 92]

Keywords: Congenital supraglottic cyst,Immediately after birth,Stridor

PDF  |  DOI: 10.5005/jp-journals-10003-1199  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Das DJ, Bhatia A, Debbarma R, Sarma K. Congenital Supraglottic Cyst with Stridor Immediately after Birth. Int J Otorhinolaryngol Clin 2015;7(2):91-92.

CASE REPORT

CB Pratibha, Deepthi Satish, Suraj Gopal

An Interesting Case of Spontaneous Pneumomediastinum with Subcutaneous Emphysema following Oral Provocative Manoeuvre

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:4] [Pages No:93 - 96]

Keywords: Emphysema,Laryngeal edema,Spontaneous pneumomediastinum

PDF  |  DOI: 10.5005/jp-journals-10003-1200  |  Open Access |  How to cite  | 

Abstract

Aim

To discuss a case of spontaneous pneumomediastinum with pneumothorax with subcutaneous emphysema presenting with stridor due to laryngeal edema with relevant review of literature.

Background

Spontaneous pneumomediastinum is a rare condition that has been described in healthy individuals following Valsalva manoeuvre, excessive and prolonged cough or emesis. Laryngeal involvement in these cases has not been reported so far.

Case description

We present an interesting case of spontaneous pneumomediastinum with pneumothorax with pneumopericardium and cervicofacial emphysema with suspected ingestion of foreign body. In view of stridor due to laryngeal edema tracheostomy was done. No obvious cause for the air leak was found on further investigations. The foreign body sensation could have led to oral provocative manoeuvres by the patient causing increased intra-alveolar pressures and air leak.

Conclusion

Spontaneous pneumomediastinum with cervicofacial emphysema with pneumopericardium with laryngeal involvement is very rare. Tracheostomy is essential in case of airway compromise. A thorough evaluation for the underlying condition is essential to prevent further air leak.

Clinical significance

In a case of spontaneous pneumomediastinum with airway compromise due to involvement of the larynx, tracheostomy is essential to secure the airway and could also help in resolution of emphysema.

How to cite this article

Pratibha CB, Satish D, Gopal S, Balasubramanya AM. An Interesting Case of Spontaneous Pneumomediastinum with Subcutaneous Emphysema following Oral Provocative Manoeuvre. Int J Otorhinolaryngol Clin 2015;7(2):93-96.

CASE REPORT

Ajoy Mathew Varghese, Kamran Asif Syed, R Sivaranjini, Sramana Mukhopadhyay

Lipoid Proteinosis—A Pediatric Otolaryngologist's Perspective: A Case Report and Review of Literature

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:3] [Pages No:97 - 99]

Keywords: Autosomal recessive,Lipoid proteinosis,Pediatric hoarseness

PDF  |  DOI: 10.5005/jp-journals-10003-1201  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Trupthi MC, Syed KA, Sivaranjini R, Mukhopadhyay S, Varghese AM. Lipoid Proteinosis—A Pediatric Otolaryngologist's Perspective: A Case Report and Review of Literature. Int J Otorhinolaryngol Clin 2015;7(2):97-99.

RESEARCH ARTICLE

Naveen Kumar

Adult Retropharyngeal Abscess: A Retrospective Case Series

[Year:2015] [Month:May-August] [Volume:7] [Number:2] [Pages:4] [Pages No:100 - 103]

Keywords: Airway obstruction,X-ray/CT scan,Neck and surgical drainage,Retropharyngeal abscess

PDF  |  DOI: 10.5005/jp-journals-10003-1202  |  Open Access |  How to cite  | 

Abstract

Introduction

Retropharyngeal abscess (RPA), is a deep tissue neck infection. It is a serious and occasionally life-threatening infection due to the anatomic location and the potential for obstruction of the upper airway. The retropharyngeal space is found posterior to the esophageal wall and anterior to the prevertebral fascia. Lymph nodes found in this space drain the nasopharynx, paranasal sinuses and middle ear. Often infections of these areas will lead to infection in the retropharyngeal space. Atrophy of these lymph nodes at or before puberty has been found as an explanation of the predominance of RPAs in young children. In fact, some believe that they atrophy after 4 years of age. Once almost exclusively a disease of children, is observed with increasing frequency in adults. Retropharyngeal abscess poses a diagnostic challenge for the ENT surgeon because of its infrequent occurrence and variable presentation.

Materials and methods

Ten cases of adult retropharyngeal abscess were reviewed. The diagnostic criteria were radiological evidence of widening of pre-vertebral soft tissue shadow and presence of pus in the swelling.

Results

Sore throat, fever, muffled speech, painful swallow and stiffness of the neck were common presenting symptoms. Lateral X-ray of the neck was diagnostic. Commonest organism isolated was Streptococcus pyogenes. Airway obstruction was the commonest complication.

Discussion

Most of the patients had history of trauma prior to the development of RPA. Computed tomography (CT) scan of neck and thorax has an important role in planning the management in addition to lateral X-ray of the neck. Transoral surgical drainage in association with antibiotics is the treatment of choice in abscesses confined to the retropharyngeal space.

Conclusion

Tuberculosis is no longer the commonest cause of adult retropharyngeal abscess. Sore throat or dysphagia, disproportionate to clinical findings in the throat should arouse suspicion of RPA. Early intervention with antibiotics reduces the chances of the development of complications.

How to cite this article

Kumar N. Adult Retropharyngeal Abscess: A Retrospective Case Series. Int J Otorhinolaryngol Clin 2015;7(2):100-103.

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