An International Journal of Otorhinolaryngology Clinics

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2016 | January-April | Volume 8 | Issue 1

EDITORIAL

Editors’ Speak

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/aijoc-8-1-iv  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Wail Fayez Nasr, Samir S Sorour, Mohammed K Mobasher, Hesham R Abd El Aziz

Chronic Tonsillitis: A Recent Histopathological Study

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:5] [Pages No:1 - 5]

Keywords: Chronic tonsillitis,Neutropenia,Tonsillomycosis

PDF  |  DOI: 10.5005/jp-journals-10003-1214  |  Open Access |  How to cite  | 

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.

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.

RESEARCH ARTICLE

Uday Monga, SS Bist, Bhartendu Bharti, Vinish Agarwal, Kartikya Purohit

Complete Second Branchial Fistula: Diagnostic Imaging and Surgical Aspects

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:5] [Pages No:6 - 10]

Keywords: Complete branchial fistula,Imaging,Surgical aspects

PDF  |  DOI: 10.5005/jp-journals-10003-1215  |  Open Access |  How to cite  | 

Abstract

Introduction

Complete branchial fistulae are rare anomalies of the branchial cleft apparatus. Incomplete fistulae occur more commonly and may be completely asymptomatic. They are often neglected as they do not lead to recurrent infection, while complete branchial fistula have persistent symptom of discharge. The branchial fistula very rarely has two openings. Usually, a thin membrane covering the internal opening is present even if both ends are patent. Demonstration of a complete branchial fistula on imaging studies is also very uncommon. This is a study of five cases of complete second branchial fistulae, which were diagnosed and treated surgically in a tertiary care teaching hospital over a period of 3 years. The case study also make special emphasis on preoperative imaging for the confirmation of diagnosis and for appropriate surgical approach for complete excision of fistulous tract in order to minimize the recurrence as the revision second-look surgery in neck region is usually difficult.

How to cite this article

Bist SS, Purohit K, Agarwal V, Bharti B, Monga U. Complete Second Branchial Fistula: Diagnostic Imaging and Surgical Aspects. Int J Otorhinolaryngol Clin 2016;8(1):6-10.

RESEARCH ARTICLE

K Shoba, B Harikumar, P Jayaganesh, K Srinivasan

Routine Histopathological Analysis of Pediatric and Adult Tonsils

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:2] [Pages No:11 - 12]

Keywords: Adult,Histopathology,Pediatric,Tonsil

PDF  |  DOI: 10.5005/jp-journals-10003-1216  |  Open Access |  How to cite  | 

Abstract

Introduction

Making a protocol is a must to overcome the controversy of doing routine histopathological examination of tonsillectomy specimen.

Materials and methods

Histopathological report of 100 consecutive tonsillectomy specimens that reached the pathology department of Saveetha Medical College was analyzed.

Results

Histological examination of the 154 pediatric tonsils showed reactive lymphoid hyperplasia in all the patients. One specimen had a small cartilaginous choristoma. In the 46 adult tonsils, there were two lymphoma, one extensive osteocartilaginous choristoma, and one epidermoid cyst of tonsil.

Discussion

As the histopathological examination in the pediatric group did not reveal any finding, it can be done only in patients with risk factors. The adult group showed two cases of Hodgkins lymphoma, one epidermoid cyst of tonsil and one osteocartilaginous choristoma tonsil. Hence, we suggest to continue the practice of routine histopathological analysis in adults.

Conclusion

We suggest continuing the practice of routine histopathological examination of all adult tonsillectomy specimens.

How to cite this article

Shoba K, Harikumar B, Jayaganesh P, Srinivasan K. Routine Histopathological Analysis of Pediatric and Adult Tonsils. Int J Otorhinolaryngol Clin 2016;8(1):11-12.

RESEARCH ARTICLE

Nadia Shirazi, SS Bist, Vinish Agarwal, Lovneesh Kumar, Mahima Luthra

A Study of Primary Parapharyngeal Space Tumors in a Tertiary Care Center

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:5] [Pages No:13 - 17]

Keywords: Parapharyngeal space tumor,Pleomorphic adenoma,Transcervical approach

PDF  |  DOI: 10.5005/jp-journals-10003-1217  |  Open Access |  How to cite  | 

Abstract

Objectives

This study was conducted to evaluate the demographic profile, clinicopathological features, and surgical approaches used to treat primary parapharyngeal space tumors.

Materials and methods

This was a retrospective study of the primary parapharyngeal space tumors treated surgically from April 2012 to March 2015 in a tertiary care teaching center. The study population included 16 cases. The inflammatory lesions and secondary metastasis in parapharyngeal space were excluded. The clinicopathological features, surgical management, and outcome of all the cases were analyzed.

Observations

The gender distribution was 56.2% males and 43.7% females. The median age was 38 years with range from 16 to 62 years. The most common presenting symptom was neck swelling in 87.5% cases, and oropharyngeal bulge was the most common examination finding in 100% cases. Magnetic resonance image was done in 87.5% cases and contrast computed tomography (CT) scan in 31.25% cases, while 25% cases underwent both. The tumor was in the pre-styloid compartment in 62.5% cases and post-styloid in 31.25% cases. In 75% cases, cytology was done directly, while in 25% cases, CT–guided cytology was performed. Cytological diagnosis was histologically correlated in 81.2% cases while changed in 18.7% cases. On histology, 87.5% cases were benign and 12.5% were malignant. The most common histological variant was pleomorphic adenoma in 56.25% cases. The most common surgical approach used was transcervical in 75% cases. Mean tumor size was 7 cm. Complications occurred in 12.5% cases.

Conclusion

Imaging modalities in combination with fine needle aspiration cytology are a very good diagnostic tool before planning for intervention. The transcervical approach is an excellent technique to deal with small to moderate-size tumors and even for large well-defined tumors.

How to cite this article

Bist SS, Kumar L, Agarwal V, Shirazi N, Luthra M. A Study of Primary Parapharyngeal Space Tumors in a Tertiary Care Center. Int J Otorhinolaryngol Clin 2016;8(1):13-17.

RESEARCH ARTICLE

Waipoj Chanvimalueng

Comparison of Outpatient Harmonic Scalpel Tonsillectomy and Traditional Tonsillectomy in Sleep Disordered Breathing

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:4] [Pages No:18 - 21]

Keywords: Abnormal breathing during sleep,Sleep disordered breathing,Surgery for removing palatine tonsil,Tonsillectomy

PDF  |  DOI: 10.5005/jp-journals-10003-1218  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chanvimalueng W. Comparison of Outpatient Harmonic Scalpel Tonsillectomy and Traditional Tonsillectomy in Sleep Disordered Breathing. Int J Otorhinolaryngol Clin 2016;8(1):18-21

RESEARCH ARTICLE

KB Prashanth, S Abhilash

A Comparative Study to verify the Efficacy of Preoperative Intravenous Tranexamic Acid in Control of Tonsillectomy Bleeding

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:4] [Pages No:22 - 25]

Keywords: Bleeding,Tonsillectomy,Tranexamic acid

PDF  |  DOI: 10.5005/jp-journals-10003-1219  |  Open Access |  How to cite  | 

Abstract

Objectives

This study was conducted to assess the efficacy of the drug tranexamic acid administered preoperatively in controlling the bleeding during tonsillectomy intraoperatively.

Materials and methods

A total of 50 patients who underwent tonsillectomy were randomized into two groups. Group I (study group): Intravenous tranexamic acid was given with dose of 10 mg/kg. Group II (control group): Tranexamic acid injection was not given. Intraoperative amount of bleeding was assessed in each case.

Results

The study group had significant reduction in bleeding and the p-value was <0.05, which was statistically significant, when compared to control group. There were no side effects of the drug observed.

Conclusion

Single intravenous dose of tranexamic acid at a dose of 10 mg/kg preoperatively is effective in control of tonsillectomy bleeding.

How to cite this article

Santosh UP, Prashanth KB, Abhilash S. A Comparative Study to verify the Efficacy of Preoperative Intravenous Tranexamic Acid in Control of Tonsillectomy Bleeding. Int J Otorhinolaryngol Clin 2016;8(1):22-25.

CASE REPORT

Vishav Yadav, Chirom A Singh, Ashutosh Hota, Madan P Gupta, Bhinyaram Jat

Suprastructure Maxillary Swing for JNA: A Novel Approach to avoid Complication

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:3] [Pages No:26 - 28]

Keywords: Juvenile nasopharyngeal angiofibroma,Maxillary swing,Nasopharyngeal angiofibroma

PDF  |  DOI: 10.5005/jp-journals-10003-1220  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Singh CA, Hota A, Gupta MP, Yadav V, Jat B. Suprastructure Maxillary Swing for JNA: A Novel Approach to avoid Complication. Int J Otorhinolaryngol Clin 2016;8(1):26-28.

CASE REPORT

Nikhil Arora, PS Shahul Hameed

Palatal Schwannoma: A Rare Case Report

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:3] [Pages No:29 - 31]

Keywords: Benign tumour,Neurilemmoma,Oral cavity,Palate neoplasm,Palatal schwannoma

PDF  |  DOI: 10.5005/jp-journals-10003-1221  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Hameed PSS, Arora N, Malhotra V. Palatal Schwannoma: A Rare Case Report. Int J Otorhinolaryngol Clin 2016;8(1):29-31.

CASE REPORT

HS Bhuie, Navneet Mathur, Arjun N Yogee, Raman Choudhary

Myoepithelioma of Soft Palate: A Case Report and Review of Literature

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:3] [Pages No:32 - 34]

Keywords: Myoepithelioma,Salivary gland tumors,Soft palate

PDF  |  DOI: 10.5005/jp-journals-10003-1222  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Yogee AN, Choudhary R, Mathur N, Bhuie HS. Myoepithelioma of Soft Palate: A Case Report and Review of Literature. Int J Otorhinolaryngol Clin 2016;8(1):32-34.

CASE REPORT

Gaurav Ashish, Harshad Parmar, George A Mathew

Schwannoma of Posterior Pharyngeal Wall: An Unusual Tumor in an Unusual Location!

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:3] [Pages No:35 - 37]

Keywords: Head and neck tumors,Neurilemmoma,Posterior pharyngeal wall,Schwannoma

PDF  |  DOI: 10.5005/jp-journals-10003-1223  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Ashish G, Mathew GA, Parmar H. Schwannoma of Posterior Pharyngeal Wall: An Unusual Tumor in an Unusual Location! Int J Otorhinolaryngol Clin 2016;8(1):35-37.

CASE REPORT

Asif Salimov, Ahmet E Suslu, Serdar Ozer, Taner Yilmaz, Hatice IY Bajin

Unusual Location for Langerhans Cell Histiocytosis: Basisphenoid extended to Parapharyngeal Space

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:3] [Pages No:38 - 40]

Keywords: Basisphenoid,Langerhans cell histiocytosis,Parapharyngeal space

PDF  |  DOI: 10.5005/jp-journals-10003-1224  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Salimov A, Suslu AE, Ozer S, Yilmaz T, Bajin HIY. Unusual Location for Langerhans Cell Histiocytosis: Basisphenoid extended to Parapharyngeal Space. Int J Otorhinolaryngol Clin 2016;8(1):38-40.

CASE REPORT

Shikha Goyal, Freny Karjodkar, Kaustubh Sansare, Nimish Prakash, Isha Mishra, Amaresh Dora

Glossal Abscess: An Unusual Presentation

[Year:2016] [Month:January-April] [Volume:8] [Number:1] [Pages:4] [Pages No:41 - 44]

Keywords: Abscess,Glossal,Lingual,Magnetic resonance imaging,Tongue

PDF  |  DOI: 10.5005/jp-journals-10003-1225  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mishra I, Karjodkar F, Sansare K, Prakash N, Dora A, Goyal S. Glossal Abscess: An Unusual Presentation. Int J Otorhinolaryngol Clin 2016;8(1):41-44.

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