An International Journal of Otorhinolaryngology Clinics

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2017 | January-April | Volume 9 | Issue 1

ORIGINAL ARTICLE

Bachi T Hathiram, Vicky S Khattar

Editors' Speak

[Year:2017] [Month:January-April] [Volume:9] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/aijoc-9-1-iv  |  Open Access |  How to cite  | 

ORIGINAL ARTICLE

Anesthesia for Laser Surgery of the Airway

[Year:2017] [Month:January-April] [Volume:9] [Number:1] [Pages:5] [Pages No:1 - 5]

Keywords: Airway,Anesthesia options for laser surgeries,Fires,Laryngeal cancer,Laser

PDF  |  DOI: 10.5005/jp-journals-10003-1250  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Hemantkumar I. Anesthesia for Laser Surgery of the Airway. Int J Otorhinolaryngol Clin 2017;9(1):1-5.

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] [Volume:9] [Number:1] [Pages:4] [Pages No:6 - 9]

Keywords: Adenoid hypertrophy,Nasal endoscopy,X-ray nasopharynx

PDF  |  DOI: 10.5005/jp-journals-10003-1251  |  Open Access |  How to cite  | 

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.

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.

REVIEW ARTICLE

Anand Nirgude

Anesthetic Considerations in Microlaryngoscopy and Direct Laryngoscopy

[Year:2017] [Month:January-April] [Volume:9] [Number:1] [Pages:5] [Pages No:10 - 14]

Keywords: Anesthesia,Direct laryngoscopy,Microlaryngoscopy

PDF  |  DOI: 10.5005/jp-journals-10003-1252  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Nirgude A, Hemantkumar I. Anesthetic Considerations in Microlaryngoscopy and Direct Laryngoscopy. Int J Otorhinolaryngol Clin 2017;9(1):10-14.

CASE REPORT

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

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

[Year:2017] [Month:January-April] [Volume:9] [Number:1] [Pages:2] [Pages No:15 - 16]

Keywords: Partial hanging,Petechiae,Tympanic membrane

PDF  |  DOI: 10.5005/jp-journals-10003-1253  |  Open Access |  How to cite  | 

Abstract

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):15-16.

CASE REPORT

P Naina, Sheeja S John, Kamran A Syed

Relapsing Polychondritis: An Otolaryngologist's Perspective

[Year:2017] [Month:January-April] [Volume:9] [Number:1] [Pages:4] [Pages No:17 - 20]

Keywords: Relapsing polychondritis,Saddle nose,Tracheal stenosis

PDF  |  DOI: 10.5005/jp-journals-10003-1254  |  Open Access |  How to cite  | 

Abstract

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):17-20.

CASE REPORT

Ashutosh Hota, Diptiman Baliarsingh

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

[Year:2017] [Month:January-April] [Volume:9] [Number:1] [Pages:4] [Pages No:21 - 24]

Keywords: Foreign body,Larynx,Safety pin,Tracheotomy

PDF  |  DOI: 10.5005/jp-journals-10003-1255  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

Alex Geller, Jacob Shvero, Uri Alkan

Patient with Huge Upper Esophageal Hemangioma

[Year:2017] [Month:January-April] [Volume:9] [Number:1] [Pages:3] [Pages No:25 - 27]

Keywords: Combined approach,Cough,Esophagus,Hemangioma

PDF  |  DOI: 10.5005/jp-journals-10003-1256  |  Open Access |  How to cite  | 

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.

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.

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] [Volume:9] [Number:1] [Pages:4] [Pages No:28 - 31]

Keywords: Choanal atresia,Endoscopic surgical procedure,Mitomycin C

PDF  |  DOI: 10.5005/jp-journals-10003-1257  |  Open Access |  How to cite  | 

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.

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.

CASE REPORT

Nita Khurana, Varun Rai

Laryngeal Neuroendocrine Tumor: Atypical Presentation

[Year:2017] [Month:January-April] [Volume:9] [Number:1] [Pages:3] [Pages No:32 - 34]

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

PDF  |  DOI: 10.5005/jp-journals-10003-1258  |  Open Access |  How to cite  | 

Abstract

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.

CASE REPORT

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

[Year:2017] [Month:January-April] [Volume:9] [Number:1] [Pages:3] [Pages No:35 - 37]

Keywords: Anesthesia,Laryngeal airway,Reinke's edema

PDF  |  DOI: 10.5005/jp-journals-10003-1259  |  Open Access |  How to cite  | 

Abstract

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.

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