International Journal of Otorhinolaryngology and Head and Neck Surgery最新文献

{"title":"Role of flexible fiberoptic nasopharyngolaryngoscopy and indirect laryngoscopy in the diagnosis of laryngopharyngeal pathologies","authors":"Musarrat Feshan, Preetham A. Puthukudy, Alagammai Odayappan","doi":"10.18203/issn.2454-5929.ijohns20240656","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240656","url":null,"abstract":"Background: Visualization of the larynx and pharynx is essential to diagnose and treat pathologies, and to prognosticate. This can be done by using indirect laryngoscopy, rigid and flexible endoscopy, and direct laryngoscopy. The main purpose of the article was to assess the profile of laryngopharyngeal pathologies diagnosed by flexible fiberoptic nasopharyngolaryngoscopy and indirect laryngoscopy in patients with laryngopharyngeal symptoms and to estimate the level of agreement between flexible fiberoptic nasopharyngolaryngoscopy and indirect laryngoscopy for selected laryngopharyngeal conditions like vocal nodule, vocal cord polyp, Reinke’s edema, hypopharyngeal growth, vocal cord palsy, vocal cord growth. An Independent t-test and chi-square test were used to analyze the results. Statistical package for the social sciences (SPSS) version 20 was used for statistical analysis.\u0000Methods: In this descriptive cross-sectional study, 101 patients with laryngopharyngeal symptoms were subjected to both indirect laryngoscopy and flexible fiberoptic nasopharyngolaryngoscopy. The structures visualized, pathologies detected, time taken and discomfort levels were statistically analyzed.  \u0000Results: In our study, we found that laryngopharyngeal symptoms were more common among the 61 to 70 years age group. The majority of them were males. The majority of them were retired employees. The most common presenting complaint was difficulty in swallowing, followed by globus sensation and voice change. All structures were visualized by flexible fiberoptic nasopharyngolaryngoscopy. Whereas, in indirect laryngoscopy, some structures were visualized and some were not. Pyriform fossa apex and post-cricoid region were not visualized for all patients with indirect laryngoscopy. Laryngopharyngeal reflux was the most common pathology detected. There is no significant difference between IDL and FOL in site, subsite, and clinical appearance of the pathology detected. There is a significant difference between IDL and FOL in time taken (FOL has a higher mean) and discomfort levels (IDL has a higher mean).\u0000Conclusions: Though indirect laryngoscopy is cost-effective in terms of investment, the time taken for the procedure is also less, flexible fiberoptic laryngoscopy is considered superior because it can visualize all structures and can detect pathologies early in their stage so that the patient gets treatment early which can alter the prognosis.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"123 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140087951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of nasal endoscopy in evaluation and management of epistaxis","authors":"Hardeep Singh, Preeti Sharma, Sonika Kanotra, Kshitij Gupta, Sunil Kotwal, Divya Gupta","doi":"10.18203/issn.2454-5929.ijohns20240330","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240330","url":null,"abstract":"Background: Epistaxis is the most common ENT emergency. The localization of bleeding site and its control in profuse epistaxis is of major concern for the ENT surgeon. Nasal endoscope has proved to be a boon for the otolaryngologist and is an important tool in diagnosing these bleeding points and their immediate management which reduces the incidence of nasal packing either anterior or posterior. Aim was to study the importance of nasal endoscopy in diagnosing the cause and site of epistaxis and managing them appropriately.\u0000Methods: It was a prospective study conducted in 187 patients of epistaxis visiting ENT emergency at SMGSH, Jammu after getting IEC clearance.  \u0000Results: 139 (73.8%) had anterior and 48 (26.2%) posterior epistaxis. Dry nasal septum and mass lesions were the common local causes followed by deviated nasal septum. Anterior part of septum (little’s area) was the common site of bleeding followed by woodruff’s area. The overall success rate of diagnosing the local cause and site of epistaxis was 99% with nasal endoscopy and only 47% with combined anterior and posterior rhinoscopy. Thus, eliciting the importance of nasal endoscopy over conventional anterior and posterior rhinoscopy.\u0000Conclusions: Nasal endoscopy helps in detecting the site and cause of epistaxis and also aids in its appropriate management. It helps in endoscopic guided direct pressure packing, bipolar electrocautery, endoscopy assisted mass excision and endoscopic guided foreign body removal. However, nasal endoscopy is not a substitute for nasal packing.\u0000 ","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"20 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A looped nasogastric tube impacted in nasal cavity: a case report","authors":"Abhishek D. Khond, Elton C. Mendonca, Bhavini Verma, Ganesh D. Borewad","doi":"10.18203/issn.2454-5929.ijohns20240076","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240076","url":null,"abstract":"Use of nasogastric tubes is a common practice in modern medicine. However, their use entails various complications. At the same time these tubes need regular care and maintenance. Negligence regarding the same can add to the list possible complications. We report a case of an uncared and ignored nasogastric tube in a 22-year-old female which developed a loop and later got impacted in her nasal cavity during tube removal. The patient was referred to the on-call emergency otorhinolaryngology team who attended the patient immediately and assessed this rare complication. Routine tube removal could not be achieved. The tube was then promptly removed by endoscopic guidance under general anaesthesia. The nasal cavity had minimum bleed under endoscopic guidance and removal under vision was achieved. Such cases of nasogastric tube complications underline the importance of tube care as well as the precautions to be taken during their insertion and removal.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"8 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139597597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case report of dual swellings in the head and neck region in a male diagnosed as a right infra-auricular keratin cyst with right supraclavicular lipoma","authors":"V. J., Priyanka Kumar Arora","doi":"10.18203/issn.2454-5929.ijohns20240072","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240072","url":null,"abstract":"Benign neck swellings are commonly seen in adults as congenital swelling or acquired. But this case report documents the first case of two benign swellings on the same side of the neck in a male especially supraclavicular lipoma with no symptoms other than swelling. A 42-year-old male patient presented to our ENT out-patient department with one painless swelling below the right ear and another on the right side of the neck since the age of 23 years with no other specific complaints. The patient was planned for the fine needle aspiration and imaging studies which showed branchial cyst and lipoma respectively. Post-operative specimen showed a keratin cyst of the right infra-auricular area swelling and lipoma of the right Supraclavicular area swelling and the patient was followed up for 2 years with no recurrence. Our case of dual swellings with different etiopathogenesis on the same side in the head and neck region is being reported for the first time in the literature. This case report aids surgeons to plan for the complete excision with minimal complications as the swelling is close to the great vessels.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"32 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139598209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing intraoperative and postoperative complications associated with tonsillectomy in children: institutional study","authors":"Himani Sharma, Kaveri Birla, Srijan Bareja, Rohit Saxena, Pooja Bhati","doi":"10.18203/issn.2454-5929.ijohns20240065","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240065","url":null,"abstract":"Background: Tonsillectomy, a common procedure in children aged 2 to 18, aims to improve their well-being and minimize tonsil-related complications. Comprehensive risk assessment pre and post-surgery is crucial. This study analyzed numerous pediatric tonsillectomy cases to enhance our understanding of its safety and identify associated risk factors.\u0000Methods: A 24-month retrospective cohort study focused on 100 children (aged 2-18) who underwent unilateral or bilateral tonsillectomy at Sharda Hospital's ENT Department. Factors like age, gender, and complications during and up to 7 days post-surgery were analyzed.\u0000Results: Gender and age were assessed for their correlation with complications in tonsillectomy patients. No significant correlation was found between gender and intraoperative or postoperative complications (p-values: 0.679584 and 0.822866). The low phi coefficient (1.501E-22) supports this, aligning with the infrequent occurrence of intraoperative complications. Age also showed no significant association with complications (p=0.77216). Postoperatively, 49.11% experienced no issues within 7 days, while common problems included pain/discomfort (31.25%), nausea/vomiting (9.82%), and secondary hemorrhage (5.36%).\u0000Conclusions: This 24-month study on 100 pediatric tonsillectomy cases revealed no significant correlation between gender/age and complications. Postoperatively, the most prevalent issues included pain/discomfort, nausea/vomiting, and secondary hemorrhage, affecting nearly half of the patients.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139598578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of anti-tubercular therapy on rifampicin sensitive non-HIV patients with tubercular cervical lymphadenopathy in Bangladesh","authors":"M. A. Rifat, M. S. Al Azad, M. A. Haque, M. A. Liton, Nahiduzzaman","doi":"10.18203/issn.2454-5929.ijohns20240052","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240052","url":null,"abstract":"Background: Tuberculosis (TB) remains a significant public health concern, particularly in developing countries like Bangladesh. The study aims to evaluate the outcomes of a six-month anti-tubercular therapy in rifampicin (RIF)-sensitive, non-HIV patients with tubercular cervical lymphadenopathy (TCL), and to challenge the conventional wisdom of extended treatment durations.\u0000Methods: This retrospective observational study was conducted at Dhaka medical college, Dhaka, Bangladesh, from July 2019 to July 2023. A total of 189 patients diagnosed with TCL were included, adhering to specific inclusion and exclusion criteria. Various socio-demographic characteristics, clinical presentations, and treatment outcomes were analyzed.\u0000Results: The majority of the participants were aged 15-30 (71.43%) and were female (68.25%). Fever was the most common clinical presentation, affecting 66.67% of the participants. After six months of therapy, 33.86% showed a complete response, and various clinical presentations were observed, with neck pain being the most common (11.64%). Among the 64 with complete response after 6 months, only 7.81% showed relapse at follow-up.\u0000Conclusions: Our study suggests that a six-month treatment regimen can yield significant responses in TB patients. It challenges the prevailing notion that extended treatment durations are universally necessary. Treatment plans should be individualized, taking into account the clinical conditions of each patient, and should be advised by a clinician or a respected doctor.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"26 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139596143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A clinicopathological study of various aetiologies of headache in otorhinolaryngology","authors":"A. B., Anirudh Shukla, Kavita Sachdeva, Rashi Goyal, J. Dhakar","doi":"10.18203/issn.2454-5929.ijohns20240060","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240060","url":null,"abstract":"Background: Headache is one of the most common complaints with which a patient presents to an outpatient clinic. Because of the wide range of clinical presentations and etiologies, evaluation of headache is often a challenging problem for the clinician. In our study, we are finding out the possible aetiologies of headache in patients attending the otorhinolaryngology department.\u0000Methods: The patients underwent history taking and ENT examination involving hematological, radiological investigations and all data were recorded by in Microsoft excel Sheet and analyzed with the help of SPSS 20 software for windows.\u0000Results: The 128 (35.9%) patients had otomastoiditis, 120 (33.6%) patients had nasal mass, 33 (9.2%) patients had sinusitis, 29 (8.1%) patients had laryngeal cancer, 14 (3.9%) patients had tongue cancer, 2 (0.6%) patients had parapharyngeal mass and 31 (8.7%) patients had normal findings.\u0000Conclusions: Most common pathologies associated with headache in ENT are otitis externa followed by sympatomatic deviated nasal septum.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"28 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139596440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Malignant external otitis: about 50 cases at Fann hospital center","authors":"M. Diouf, Mouhamed Barry, M. Ndiaye, A. Tall, Ciré Ndiaye, Malick Ndiaye, F. Niang, Cheikh Diéne Niang, Faty Fall","doi":"10.18203/issn.2454-5929.ijohns20240051","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240051","url":null,"abstract":"Background: Malignant external otitis (MEO) is an osteitis of the skull base, originating in the external auditory canal. It is most common in elderly and diabetic patients. Early management prevents complications. The objective of the study is to provide an epidemiological, clinical, paraclinical, therapeutic and evolutionary profile.\u0000Methods: From January 2010 to January 2021, we carried out a retrospective study in the ENT department of Fann hospital, selecting the patients hospitalized and suffering from malignant external otitis\u0000Results: Fifty patients were included in this study. The mean age was 65, with a sex ratio (M/F) of 1.5. Forty-six patients were diabetic; 2 patients had leukemia and 2 had no previous history. The average length of hospital stay was 3 months. The reasons for consultation were otalgia, otorrhea and deafness in 96%, 80% and 32% respectively. Examination revealed otorrhea in 58%, peripheral facial paralysis in 54% and a polyp in 80%. Ear swab analysis isolated Pseudomonas aeruginosa in 28%. CT scan showed ear cavity filling in 40 cases and bone lysis in 26. Antibiotic treatment was based on ciprofloxacin or ofloxacin in 44% of cases, and the combination of ceftriaxone-ciprofloxacin or ofloxacin in 44%. The average duration of treatment was 3 months. There were 12% recurrences and 2 cases of death after an average follow-up of 10 months.\u0000Conclusions: MEO is a rare pathology that occurs more frequently in elderly subjects with immunodepressive backgrounds. Antibiotic therapy has proved effective in treating this condition.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"37 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139598291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Second look, in primary site recurrence or second primary for T1 and T2 glottic cancer treated by CO2 laser","authors":"K. Luna-Ortiz, V. Villavicencio-Valencia, Zelik Luna-Peteuil, Diana Villavicencio-Valencia, D. García-Ortega, Philippe Pasche","doi":"10.18203/issn.2454-5929.ijohns20240050","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240050","url":null,"abstract":"Background: Aim was to analyze the impact of second-look surgery in the surveillance of T1 and T2 glottic cancer treated with CO2 laser.\u0000Methods: Retrospective review of 98 patients treated between February 2005 and December 2022.\u0000Results: Among 98 patients with early glottic cancer (T1/T2), 56 (57%) with suspected recurrence underwent a second-look surgery. Of all patients, 38 (38.77%) recurred 6 months after initial resection, 17 of which (45%) had a lesion in a different site from the primary. Of these 38 patients, 22 (58%) underwent laser surgery once, 12 (32%) underwent laser surgery twice, and 4 (10%) underwent laser surgery on three occasions during follow-up. The 5-year disease-free survival, 5-year survival, and larynx preservation rates were, respectively, 54%, 82%, and 90.8%. \u0000Conclusions: Transoral resection is currently the first treatment option for early-stage glottic carcinoma because diagnosis and prompt treatment can be provided on an outpatient basis at the same time.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"25 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139596177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of unilateral lymphoid papillary hyperplasia of tonsil in a nine-year-old girl","authors":"Ekta Narang, Aarshi Gupta, Arti Khatri, Neha Jain, Sonali Tyagi, Dimple Chaudhary","doi":"10.18203/issn.2454-5929.ijohns20240079","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20240079","url":null,"abstract":"We report a rare case of lymphoid papillary hyperplasia of palatine tonsil in a 9-year-old girl. It is a rare benign pathology characterised by papillomatous appearance of palatine tonsil with reactive lymphoid hyperplasia. Early recognition of this lesion is important because in spite of clinical feature being suggestive of malignant tumour, it is a benign tumour-like proliferation, that can easily be cured by tonsillectomy.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"16 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139597322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}