International Journal of Otorhinolaryngology and Head and Neck Surgery

Journal Information
ISSN / EISSN : 2454-5929 / 2454-5937
Published by: Medip Academy (10.18203)
Total articles ≅ 2,014
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SHERPA/ROMEO
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Latest articles in this journal

Santosh Kumar Swain
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 695-701; https://doi.org/10.18203/issn.2454-5929.ijohns20221891

Abstract:
Vertigo is defined as a false sensation of movements where a patient gets a rotating perception of the environment or oneself. Vertigo and dizziness are commonly experienced during the pregnancy period and are among the most common complaint by pregnant women to the primary care physicians. Vertigo during pregnancy affects the quality of life of women and also has an impact on the fetus. Pregnancy is an important nine-month physiological period of female life. During pregnancy, the body of the female undergoes several physiological changes that affect all systems and organs, including sensory ones. There are significant changes during pregnancy including otological and neurotological manifestations. Vertigo/dizziness is a common complaint during pregnancy to the clinicians. Benign paroxysmal positional vertigo (BPPV), Meniere’s disease (MD), vestibular neuritis and vestibular migraine are common vestibular disorders result in vertigo during pregnancy. Vertigo during pregnancy directly affects the pregnant mother both mentally and physically. A multidisciplinary approach by otolaryngologists, neurologists, and gynaecologist and obstetricians is required for proper evaluation and management of vertigo in pregnant women. Currently, there are no guidelines for the management of vertigo in pregnancy. Little has been reported about vertigo during pregnancy. We performed a narrative review of vertigo in pregnant women.
Surendra K. Kanaujia, Avdhesh Kumar, Nishant S. Saxena, Swati Chauhan
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 637-641; https://doi.org/10.18203/issn.2454-5929.ijohns20221879

Abstract:
Background: Correlation of extrapulmonary tubercular cervical lymphadenopathy (ETCL) with pulmonary tuberculosis (TB). Methods: The prospective observational study was conducted on 100 patients of pulmonary TB to find out its correlation with ETCL. Patients who fulfilling inclusion criteria were selected for study. Patients on the basis of presence of cervical lymph node divided into two groups group A and group B.Results: Among 100 patients, 9 (9%) patients who took part in study had ETCL.ETCL more prevalent in young rural female with lower socioeconomic group of pulmonary patients. Patients with ETCL, 6(66.66%) cases with discrete ETCL, matted ETCL were noted in 3 (33.33%) cases. None of them presented with fixed nodes or sinus.Conclusions: Our study concluded, there is high correlation between cervical lymphadenopathy and pulmonary TB.
Mustafa K. Ezzy, Pushkaraj A. Kulkarni, Shivali K. Patekar, Kshitij D. Shah, Renuka A. Bradoo
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 685-688; https://doi.org/10.18203/issn.2454-5929.ijohns20221888

Abstract:
"Mucormycosis" term is used for a group of fungal diseases caused by the order mucorales. It typically presents as sino-nasal-orbital involvement and rarely involves skin. Management of such cases is quite challenging. Reported here is a case of a young girl, who presented with right eye swelling and reduced vision and got detected with type 1 diabetes mellitus on admission with rare occurrence of cutaneous lesions while on treatment. Direct nasal endoscopy with biopsy was undertaken. KOH and histopathology report was suggestive of mucormycosis, for which the patient was administered intravenous amphotericin B and surgical debridement was carried out. With the accurate application of a multidisciplinary approach with timely investigations, imaging studies, antifungals and debridement, successful outcome in mucormycosis is well within our reach.
Wijaya Juwarna, Delfitri Munir
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 677-680; https://doi.org/10.18203/issn.2454-5929.ijohns20221886

Abstract:
The incidence of fungal rhinosinusitis (FRS) has been increasing over the past decade. FRS is categorized into invasive and non-invasive based on the histopathological evidence of tissue invasion by fungi. According to Hardik Shah, among FRS, 48% were non-invasive, and 52% were invasive. Fungal ball is the most frequent cause of non-invasive FRS, and the most commonly involved sinus is the maxillary sinus, and most cases are unilateral. Nowadays, Endoscopic sinus surgery (ESS) has become the gold standard in treatment of non-invasive FRS, due to its low morbidity and the easy access to the affected paranasal sinus. However, removal of maxillary sinus fungal ball (MSFB) may be long and difficult. Therefore, it is important to keep a sufficient field of view in order to remove the fungal debris completely. Good handling of endoscopic is needed, and furthermore, although the risk of complication of ESS for FRS is low, it is important to understand the potential complications.
Amol A. Patil, Hruchali Patangrao, Kalpana G.
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 689-691; https://doi.org/10.18203/issn.2454-5929.ijohns20221889

Abstract:
Lipoblastoma is a rare exclusively benign encapsulated tumor arising from embryonic white fat. Tumor occurs primarily in infancy and early childhood. It often presents as painless swelling in extremities and trunk, and rarely develops in head and neck and other sites. We report case of a 15 months old boy with a gradually enlarging, painless swelling over the left side of the dorsum of nose. Computed tomography scan revealed a subdermal soft tissue mass. Treatment remains complete surgical excision. Diagnosis is determined by histopathologic findings. Histologically, lipoblastoma reveals immature adipose cells in varying stages of maturity arranged into lobules separated by septa. No recurrence of tumor has been noted over 6 months of follow-up of this patient.
Architha Menon Premachandran, Balakrishnan Ramaswamy, K. Devaraja, Kailesh Pujary, Dipak Ranjan Nayak
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 642-646; https://doi.org/10.18203/issn.2454-5929.ijohns20221880

Abstract:
Background: Thyroid gland invasion in advanced laryngeal/hypopharyngeal malignancy is not uncommon. The preservation of the contralateral lobe of thyroid and associated parathyroid glands with its blood supply, in suitable patients, can be beneficial in reducing the incidence of both hypothyroidism and hypoparathyroidism. The aim of the study was to assess the functionality of the contralateral preserved hemi-thyroid gland with its parathyroid glands, during total laryngectomy with or without partial/total pharyngectomy (TL/TLP), with or without post-operative radiation therapy. Methods: A retrospective study of patients with advanced laryngeal or hypopharyngeal malignancy who underwent TL/TLP with contralateral hemi-thyroid and parathyroid gland preservation, between January 2012 and May 2019 were included in this study. Pre-operative thyroid/parathyroid function was assessed by estimation of blood levels of T3, T4, TSH and calcium. The same were evaluated at 1week and 6 weeks following surgery and 4 weeks following radiotherapy. Results: 72.7% patients developed hypothyroidism and only 22.7% developed hypocalcemia following surgery alone at the end of 6 weeks post-surgery. 60% developed hypothyroidism and 10% had hypocalcemia in the group of patients who underwent surgery followed by radiotherapy. Conclusions: Preservation of contralateral hemi-thyroid with parathyroid glands, significantly reduces the incidence of hypoparathyroidism in patients undergoing TL/TLP. Though incidence of hypothyroidism in such cases is still high, reduced dose of thyroid hormone supplementation was achieved. Post-operative radiotherapy did not significantly alter the thyroid and parathyroid function in such cases.
Jyotika Waghray
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 681-684; https://doi.org/10.18203/issn.2454-5929.ijohns20221887

Abstract:
Kikuchi-Fujimoto disease (KFD), or histiocytic necrotizing lymphadenitis, is a benign and self-limited disease that mainly affects young women. Patients present with localized lymphadenopathy, fever, and leukopenia in up to half of the cases. KFD can occur in association with systemic lupus erythematosus. We present the case of a patient with KFD and systemic lupus erythematosus. A 38 years old female presented with right sided cervical lymphadenopathy, fever and a rash on the face, with a loss of apetite and generalized body weakness. After a series of investigations to rule out other conditions like tuberculosis, a diagnosis of kikuchi disease was made based on the biopsy report. There was a strong suspiscion of SLE as well pertaining to the facial rash. An ANA profile was done which strongly indicated SLE as well. The patient was started on steroids and other systematic treatment and recovered gradually. With its shared clinical features, Kikuchi-Fujimoto disease can be mistaken for other forms of lymphadenitis. A combined use of medical imaging and laboratory tests is the effective way to avoid misdiagnosis.
Anoop K. Rajan, Aditi Ravindra, Ishan Sardesai
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 652-656; https://doi.org/10.18203/issn.2454-5929.ijohns20221882

Abstract:
Background: Otitis media with effusion is one of the most common presenting features in children coming to the otorhinolaryngology outpatient with a variety of medical and surgical treatment modalities being offered. This study aims to evaluate post-adenoidectomy hearing outcomes in cases of otitis media with effusion in an attempt to provide long term benefits. Methods: It is a prospective study of 50 pre-adolescent cases in a tertiary care hospital. Pure tone audiometry and tympanometry was performed pre-operatively as well as at regular follow up intervals after adenoidectomy (along with tonsillectomy when indicated). The mean improvement in hearing outcomes was evaluated. Results: The mean hearing improvement when compared to baseline pre-op air-bone gap values were 8.4±6.35, 8.6±6.39, 8.1±6.99 at 15th day, 1 month and 2 months post op respectively. There was also a significant shift of tympanometry curves from types B and C pre-op to types A and B 6 months post-op. Conclusions: Adenoidectomy, along with tonsillectomy when indicated, in children with hypertrophied adenoids as well as otitis media with effusion offers very good, long-standing hearing improvement and should always be considered in such patients so as to improve eustachian tube function and eradicate possible source of infection.  
Ishan Sardesai, D. R. Nayak, Aditi Ravindra, Shama Shetty
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 657-660; https://doi.org/10.18203/issn.2454-5929.ijohns20221883

Abstract:
Background: Septal deviation is a very common clinical entity which often affects nasal aesthetics and functionality requiring surgical correction. With the advent of rigid endoscopy, newer techniques of endoscopic surgery have come into place that are replacing conventional methods. The aim of the study was to compare the two septoturbinoplasty procedures (endoscopic and conventional) using both objective and subjective data and thereby determine the advantages an endoscope provides during nasal septal surgery. Methods: It is a prospective comparative study of 56 patients out of which 28 patients underwent endoscopic septoturbinoplasty and the remaining 28 underwent conventional septoturbinoplasty. Outcomes measured were improvement of nasal symptoms following the surgery based on subjective questionnaire data collected, operation time and post-operative complications. Results: The mean NOSE questionnaire scores pre-operatively were 67.32±12.4 for the conventional group and 64.64±14.9 for the endoscopic group. The post-operative scores were 6.43±7.2 for the conventional group and 4.64±6.8 for the endoscopic group. Similarly, the operative time as well as the rate of post-operative complications were lesser in the endoscopic technique compared to the conventional technique. Conclusions: Both conventional and endoscopic techniques are effective in correcting the septal deviation as proved by significant subjective improvement in patient symptom scores post-surgery. The use of an endoscope, on the other hand, results in a shorter operation time and a lower complication rate after surgery.
Maqbool Mattathil Abdul, Deekshith Rajmohan, Hemaraja Nayaka S.
International Journal of Otorhinolaryngology and Head and Neck Surgery, Volume 8, pp 667-671; https://doi.org/10.18203/issn.2454-5929.ijohns20221885

Abstract:
Background: Traffic police are in constant risk for developing noise induced hearing loss. Studies have reported prevalent permanent threshold shift resulting to varying degrees of hearing loss. The present study was carried out with an aim of investing the prevalent Hyperacusis and Tinnitus among traffic police personnel of Mangalore, Karnataka. To profile Audiological investigations and document the prevalent Hyperacusis and Tinnitus signs and symptoms among traffic police. Methods: A total of 52 participants took part in the study in the age range of 24 to 45 years, with a mean value of 35.83±0.965 years. The study had 45 male ad 7 female participants. The Audiological evaluations were carried out. The pure tone audiometry was carried out using AC 40, two channel, diagnostic audiometer. Tympanometry was carried out using Middle ear Analyzer from Clarinet Inventis. To document the clinical signs and symptoms of Hyperacusis and Tinnitus, Modified Khalfa Hyperacusis questionnaire and Inventory of Hyperacusis Symptom (IHS) was used. Results: In our study, mean pure tone average (PTA) on right side was 13.10±0.710 dB and on left side was 13.25±0.874 dB. Pure tone average on right side ranged from 5 to 30dB and left side 4 to 30dB. It was also observed that four of the participants had mild level of Hyperacusis and one had moderate Hyperacusis and another participant with severe level Hyperacusis. Conclusions: There is a necessity to regularly monitor hearing skills and impact of noise on hearing health of traffic police personnel.
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