Journal of Otolaryngology-ENT Research
EISSN : 2379-6359
Current Publisher: MedCrave Group, LLC (10.15406)
Total articles ≅ 404
Latest articles in this journal
Journal of Otolaryngology-ENT Research, Volume 12, pp 145-149; doi:10.15406/joentr.2020.12.00473
Purpose: The purpose of this retrospective study is to describe our experiencewith the new technique of Awake office based flexible endoscopic diode laser assisted posterior cordotomy for bilateral vocal fold paralysis. The technique was primarily designed as an alternative to traditional micro suspension CO2 posterior cordotomy for patients of bilateral vocal fold paralysis when associated with co morbidity leading to either difficulty for suspension laryngoscopy or high risk for general anesthesia. Material and methods: The study was carried out on 20 patients of Bilateral Vocal Fold Paralysis associated with co morbidity with limitations for Micro suspension cordotomy. 12 patients were females and 8 patients were males in the age group of 25 and 75 years, attending Sri Sathya Sai E.N.T Hospital and Research Center for Voice Disorders, India from January 2012 to January 2017. All the patients were operated by posterior cordotomy done in office based setup under local anesthesia using Fiberoptic fiberoptic flexible laryngoscope and diode fiberlaser. Results: Results proved the efficacy of the procedure based on the pre and postoperative Pulmonary Function Tests and Voice Handicap Index scores which were statistically significant. Conclusion: The new technique was proved as safe and perfect alternative to traditional micro suspension cordotomy in patients of bilateral vocal fold paralysis associated with comorbities leading to either difficulty for suspension laryngoscopy or high risk for general anesthesia. The study also described it’s advantages such as conservation of voice by avoiding the over correction of glottic space by monitoring the voice intraoperatively and feasibility for revision cordotomy in the Office basis.
Journal of Otolaryngology-ENT Research, Volume 12; doi:10.15406/joentr.2020.12.00454
Journal of Otolaryngology-ENT Research, Volume 12, pp 20-30; doi:10.15406/joentr.2020.12.00451
Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common peripheral vestibular problems, characterized by intense positionally provoked vertigo with a brief duration. However, studies of BPPV with demographic analyses are scant. To our knowledge, this is the largest retrospective analysis of BPPV patients seen in a 5-year period (2015-2019). The aim of this study is to document the demographic data of BPPV patients and describe the distribution of age, gender, the most common form and affected ears, associated comorbidities, type of treatment used, treatment efficacy, recurrence rates, prevalence of falls and postural instability. Predisposition for right posterior canal BPPV is almost unequivocally consistent in the literature. Hypertension is significantly associated with the occurrence of BPPV. The lower incidence of horizontal canal in this study may be explained by higher rates of spontaneous resolution and the exclusion of iatrogenic horizontal BPPV due to migration, while the lack of anterior canal BPPV was due to exclusion of atypical variants. There is also a high prevalence of falls and postural instability in BPPV patients, which requires further study. The demographic analyses are consistent with the literature, however treatment efficacy based on type of maneuver used, the influence of BPPV and its treatment on postural stability have not been sufficiently addressed. In this study, there is a high prevalence of self-reported falls (47.7%) and more than half of the patients (54%) with abnormal postural stability. Future prospective studies are necessary to validate such findings.
Journal of Otolaryngology-ENT Research, Volume 12, pp 114-117; doi:10.15406/joentr.2020.12.00467
There are some studies which confirmed that dysfunction in Central Nervous System(CNS) may cause a malfunction in the Peripheral Auditory system (Cochlea_ Auditory Nerve, Auditory Neuropathy), but the question is could Brain Disorder without any lesion in the Cochlea and/or Auditory nerve cause Sensorineural Hearing Loss? It means that the Audiogram shows that the patient suffers from sensorineural hearing loss but the site of the lesion is neither Sensory nor Neural while Brain may be involved in charge of this. And if the answer is yes then could we hear with our Brain and without Cochlea and /or Auditory nerve? We deal with this subject in this paper by: Otosclerosis and Meniere’s disease and The Brain Involvement. Hearing Loss following dysfunction in the Central Auditory and/or central non auditory system. Auditory Brainstem Implant in Patients who suffer from Neurofibromatosis Type two compare to Non Tumor cases, Mondini Syndrome, Michel aplasia. Possible role of Utricle and Saccule in Auditory (Hearing) System We propose a new Hypothesis that the External Ear Canal is not the only input of Auditory Signals, Sounds could transfer by our eyes and skin to the Cerebral Cortex and approach to the Cochlea (Backward Auditory input pathway of Sounds).
Journal of Otolaryngology-ENT Research, Volume 11; doi:10.15406/joentr.2019.11.00409
Journal of Otolaryngology-ENT Research, Volume 11; doi:10.15406/joentr.2019.11.00408
Journal of Otolaryngology-ENT Research, Volume 11; doi:10.15406/joentr.2019.11.00405
Journal of Otolaryngology-ENT Research, Volume 11; doi:10.15406/joentr.2019.11.00406
Journal of Otolaryngology-ENT Research, Volume 11; doi:10.15406/joentr.2019.11.00404
Journal of Otolaryngology-ENT Research, Volume 11; doi:10.15406/joentr.2019.11.00402