Mahesh S. G., Rukma Bhandary, Deepalakshmi Tanthry, Vishwas K. Pai, Sapna M.
{"title":"Cavernous hemangioma of buccal mucosa: an unusual presentation: case report and review of literature","authors":"Mahesh S. G., Rukma Bhandary, Deepalakshmi Tanthry, Vishwas K. Pai, Sapna M.","doi":"10.18203/issn.2454-5929.ijohns20233223","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233223","url":null,"abstract":"Cavernous hemangiomas are benign vascular malformations which arises during first 8 weeks of life. Most of the Cavernous hemangiomas, about 90% undergo spontaneous involution, with a small proportion of cases involving intervention. Cavernous hemangiomas can affect 1 in 200 people hence the incidence of cavernous hemangioma of buccal mucosa accounting for much rare of an entity. Here we present one such rare and interesting case which required a surgical intervention as a modality of treatment. 45-year-old male patient presenting to us with complaints of swelling over left cheek for 6 months. After thorough clinical and radiological evaluation, the mass was surgically resected and specimen was sent to HPE- Reported as cavernous haemangioma. The incidence of cavernous haemangioma of being 0.5%. The aim of this case report was to discuss the journey of one such rare incidence of cavernous hemangioma of buccal mucosa with surgical intervention being the modality of treatment.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"12 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166727","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}
Sharad S. Desai, Jaydeep N. Pol, Jayesh S. Khivasara, Dinshaw M. Hormuzdi, Rajwardhan A. Shinde, Prachi P. Goyal, Swapnil Kaushal
{"title":"A challenging fibrosarcomatous variant of dermatofibrosarcoma protuberans of head and neck: a case report","authors":"Sharad S. Desai, Jaydeep N. Pol, Jayesh S. Khivasara, Dinshaw M. Hormuzdi, Rajwardhan A. Shinde, Prachi P. Goyal, Swapnil Kaushal","doi":"10.18203/issn.2454-5929.ijohns20233222","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233222","url":null,"abstract":"Dermatofibrosarcoma protuberans (DFSP) is an unusual tumour of soft tissue with local invasive property with high rate of recurrence after surgical treatment. DFSP is frequently seen on the trunk and proximal extremities, although a 10-15% cases accounts in head and neck region. Mainstay for success of surgery in DFSP remains complete removal of tumour with adequate surgical margins of approximately 3cms. In head neck region challenges associated with surgery may be inadequate surgical margins, poor functional and cosmetic outcomes. We present a case of a 35 years old male reported to our hospital with complaint of rapidly growing mass over right cheek and retroauricular region causing facial deformity. Incisional biopsy diagnosis was made DFSP. The patient underwent wide local excision of tumour followed by adjuvant radiotherapy. Final histopatholgy showed fibrosarcomatous transformation of DFSP. After 24 months of post-op follow up, patient recovery was satisfactory without any signs of recurrence. This case is presented for its rarity and it highlights the need for proper diagnosis and treatment plan.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167386","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":"Electrically evoked compound action potential in children following cochlear implantation and its correlation with cochlear nerve diameter","authors":"Aparna Das, Arun Alexander, Anuprasad Sreenivasan, Sivaraman Ganesan","doi":"10.18203/issn.2454-5929.ijohns20233215","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233215","url":null,"abstract":"Background: The study evaluated changes in the threshold of ECAP recorded during cochlear implantation, at switch on, after three months and six months following cochlear implantation. It further assessed the correlation between the ECAP threshold with T and C levels and the cochlear nerve diameter measured preoperatively. Methods: A prospective study of 42 prelingually deaf children who underwent cochlear implantation was conducted. The ECAP threshold values intra-operatively, at switch on, three months and six months were recorded and analysed. The T and C levels were assessed six months postoperatively, and correlation with the ECAP threshold was analysed. The diameter of the cochlear nerve was recorded, and its correlation with the ECAP threshold was determined. Results: Over six months, the basal, central and apical electrodes showed a statistically significant reduction in ECAP threshold of 11.64%, 4.67% and 25.81%, respectively, in candidates implanted with Advanced Bionics implant and 18.89%, 12.78% and 14.08%, respectively in candidates implanted with Nucleus implant. The ECAP thresholds were lower for the apical electrodes. No correlation was found between the ECAP threshold and T and C levels. A correlation between the cochlear nerve diameter and ECAP was not statistically significant. Conclusions: There was a statistically significant change in the ECAP threshold over six months. There was no statistically significant correlation between the ECAP thresholds and T and C levels. The value of ECAP thresholds to measure C and T values need to be relooked. There was no correlation between the cochlear nerve diameter and the ECAP threshold.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"71 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167396","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}
Kumaran Ragavan, Premnath Raja, Balakrishnan Alagarsamy, Amulya T. Manohar
{"title":"Mandibular swing approach for high parapharyngeal space schwannoma","authors":"Kumaran Ragavan, Premnath Raja, Balakrishnan Alagarsamy, Amulya T. Manohar","doi":"10.18203/issn.2454-5929.ijohns20233224","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233224","url":null,"abstract":"Parapharyngeal space tumours are rare, comprising 0.5% of all head and neck neoplasms. Different surgical approaches to this space have been described based on various criteria. Here, we are presenting a case report of a 65-year-old woman with left vagal schwannoma splaying the left internal carotid artery and internal jugular vein superiorly and splaying the left internal carotid artery and external carotid artery inferiorly, with its upper edge about 0.7 cm caudal to skull base. Surgery by a combined trans-cervical and mandibular swing approach was adopted for this case. The tumour which was extending so close to the skull base was removed in toto with an intact capsule and the neurovascular structures like the carotids, internal jugular vein and the vagus were preserved through a trans-mandibular approach. Postoperatively patient had no neurovascular compromise. Histopathological examination revealed vagal schwannoma. Trans-mandibular approach may appear complex, but it offers excellent surgical field to keep the delicate surrounding structures intact, to reduce the risk of haemorrhagic and avoid neurological complications.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"23 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167473","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":"Bilateral fibro-osseous TMJ ankylosis in Marie-Strumpell disease: a case report","authors":"Sandeep Mehta, Andrews Navin Kumar, Gaurav Dua, Omesh Tokas, Shanender Singh Sambhyal","doi":"10.18203/issn.2454-5929.ijohns20233218","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233218","url":null,"abstract":"Reporting a case of bilateral fibro-osseous TMJ ankylosis in Marie-Strumpell disease. Managed with interposition gap arthroplasty with temporalis myofacial flap. Marie-Strumpell disease or ankylosing spondylitis is a chronic inflammatory disorder affecting predominantly the axial skeleton although peripheral joint involvement may be a significant feature. Temporo-mandibular joint involvement in ankylosing spondylitis varies from 4% to 35%. A 53-year-old male patient reported to our department with a chief complaint of difficulty in opening his mouth and difficulty in eating food. The case was diagnosed as a case of bilateral fibro-osseous TMJ ankylosis associated with ankylosing spondylitis. The individual was managed with aggressive resection of ankylotic segments and inter-position of the temporalis myofascial flap bilaterally with early mobilization and aggressive physiotherapy. Aggressive resection of the ankylotic mass with inter-positional gap arthroplasty with early mobilization and aggressive physiotherapy is a highly effective and safe surgical management option for the management of TMJ ankylosis and with acceptable immediate and long-term outcome with minimum re-ankylosis and have produced satisfactory mandibular movements.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"16 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167253","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":"Management of paranasal sinus mucoceles (fronto-ethmoid mucocele)","authors":"Dinesh Kumar, Jaymala Sanjayrao Malbhage","doi":"10.18203/issn.2454-5929.ijohns20233216","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233216","url":null,"abstract":"Paranasal sinus mucoceles are quite rare and benign but expansile masses. Most commonly frontal and ethmoid sinuses are involved, maxillary and sphenoid sinues are involved in descending order of frequency. Early recognition and timely management of Paranasal sinus mucocele is very important as it can cause local, orbital and cranial complications which led to our prospective study. This was prospective study of five patients at tertiary care at BMC Sagar from May 2021 to April 2022, after our ethics committee approval. Proper history was taken. Otorhinolaryngological and ophthalmological examination was done. Computed tomography was preferred mode of imaging. All cases were managed surgically through endoscopically. Our study was compromised of five patients. Out of them two were females and three were mens. Mean age of patient was 54.2. In our study most common symptom was periorbital swelling and displacement of eyeball. Most common sign was proptosis. Most common sinus involved were frontoethmoid. Paranasal sinus mucoceles usually occur at 3rd to 7th decade of age group with almost equal sex ratio. Computed tomography is preferred mode of imaging. Endoscopic endonasal surgery is currently most commonly used surgical method for this. Paranasal sinus mucocele has good outcome if treated timely. Early recognition and management is very important as it can cause local, orbital and cranial complications.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"16 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167387","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":"Spindle cell carcinoma of the larynx: a rare entity","authors":"Rajika Ramakrishnan, Kiran Natarajan, Sreenivas Kamath, Susruthan ., Mohan Kameswaran","doi":"10.18203/issn.2454-5929.ijohns20233221","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233221","url":null,"abstract":"Squamous cell carcinoma (SCC) is the commonest malignancy encountered in the larynx in the Indian population. Spindle cell carcinoma is an extremely rare malignant tumor and is a variant of SCC with a mesenchymal like malignant cell component. This is a case report of a 58 years old patient who presented with hoarseness of voice of 7 months duration. He was diagnosed to have a right vocal cord polypoidal growth with mobile vocal cords. He underwent direct laryngoscopy and biopsy of the lesion which was reported as spindle cell neoplasm/inflammatory myofibroblastic tumor (IMT). Immunohistochemistry (IHC) was carried out and confirmed the diagnosis of inflammatory myofibroblastic tumor. He was doing well and the follow up videolaryngoscopic examinations and PET CT were normal. At subsequent follow-up 19 months later, he was found to have a recurrent right vocal cord lesion. Direct laryngoscopy and biopsy was repeated along with laserization of the right vocal cord. Histopathology was reported as spindle cell malignant neoplasm. Immunohistochemistry was reported as spindle cell carcinoma. He was then sent for radiation therapy. The patient responded well to radiation and is tumor free at last follow-up. He has been advised regular follow-ups. Spindle cell carcinoma is an extremely rare laryngeal malignancy. It typically originates in the glottis. The treatment for spindle cell carcinoma includes surgery, radiation or a combination of these modalities. Its prognosis is worse than squamous cell carcinoma and patients require close follow-ups.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"9 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167392","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 congenital adult pharyngeal web causing airway obstruction managed by coblation technology","authors":"Vishnupriya Pari, Shantanu Panja, Yuvaraj Thirunavukarasu","doi":"10.18203/issn.2454-5929.ijohns20233225","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233225","url":null,"abstract":"Congenital pharyngeal web is a rare anomaly almost always diagnosed in the paediatric population due to airway obstruction and feeding difficulties. The combination of congenital oropharyngeal and laryngopharyngeal web in an adult is extremely rare and has not commonly been published in the literature. We experienced a 47-year-old woman undiagnosed with pharyngeal web until difficult intubation upon surgery. A 47-year-old woman diagnosed with right ovarian complex cyst was scheduled for total laparoscopic hysterectomy and bilateral salpingo-oopherectomy. pharyngeal webs were incidentally found during intubation and necessitated a reschedule of surgery and tracheostomy. The patient had no history of dysphagia, weight loss or other symptoms of airway obstruction. Fibre optic laryngoscopic examination revealed a combination of congenital oropharyngeal and laryngopharyngeal webs. Patient denied previous history of caustic agent ingestion, oral airway surgeries, chemoradiation. After 2 days, awake tracheostomy with endoscopic guided coblator assisted excision of pharyngeal web was done first, followed by total laparoscopic hysterectomy and bilateral salpingo-oopherectomy in the same sitting. Coblation assisted excision of the pharyngeal web will allow the airway to be feasible for intubation in the future. Congenital pharyngeal webs are extremely rare findings, especially in adult patients. Prediction of difficult airways preoperatively is necessary to prevent difficult airway situations. Controlled ablation of the pharyngeal web gives a good outcome in terms of less post-operative pain and blood loss.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"56 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166725","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}
Shashidhar T. B., Trisha Srivastava, Indresh Chandra
{"title":"Hype or healing: unveiling the truth behind manuka honey?","authors":"Shashidhar T. B., Trisha Srivastava, Indresh Chandra","doi":"10.18203/issn.2454-5929.ijohns20233217","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233217","url":null,"abstract":"Aim of the study was to find out the effectiveness of Manuka honey (MH) in various applications to treat drug resistant ENT infections as an adjuvant therapy. The antibacterial properties and antioxidant properties of MH is attributed to the presence of high concentration of methylglyoxal (MGO) and flavonoid, phenolic compounds respectively. Unique manuka factor (UMF) rating is a scale used to determine the antibacterial potency of MH which directly correlates to the MGO and phenolic components in MH. Various cases of nasal crusting in post operative period with multidrug resistant bacterial cultures were included in the study. Each case was started on thorough nasal douching as well as manuka honey topical application. Regular and meticulous follow up was done for each case via endoscopic examination and medical record was kept of any potential side effects. Perichondritis of pinna was included in the study with potentially unique application the above-mentioned condition. MH is a natural antibiotic with low toxicity profile, allowing for prolonged use when necessary. Moreover, the development of bacterial resistance to honey has yet to be reported, making it an attractive alternative or adjunctive therapy, particularly in cases where antimicrobial resistance is a concern. While Manuka honey's antimicrobial properties have been observed in various studies, translating this knowledge into clinical practice requires rigorous investigation to ensure its effectiveness, safety, and proper integration with conventional antibiotic therapies.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"59 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166895","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 retrospective study of invasive fungal rhinosinusitis in adults for surgical outcomes at tertiary care hospital","authors":"Keval R. Trivedi, Chaitry Shah","doi":"10.18203/issn.2454-5929.ijohns20233214","DOIUrl":"https://doi.org/10.18203/issn.2454-5929.ijohns20233214","url":null,"abstract":"Background: An invasive fungal rhinosinusitis is most lethal form of sinusitis. It includes acute and chronic invasive fungal rhinosinusitis. The most lethal fungi are Aspergillous species and mucormycosis, others are Alternaria, P. boydii and Sprothrix. Endoscopic debridement combined with intravenous antifungals are efficacious in management of invasive fungal rhinosinusitis. Methods: Study conducted at department of otorhinolaryngology, GMERS Medical College and Hospital, Sola, Ahmedabad. The period of the study October 2020 to October 2022. Total 100 cases taken. All cases of biopsy proven invasive fungal rhinosinusitis above the age of 18 years are included in this study. Oral and written consent taken from all included patients. A nasal endoscopy followed by KOH mount, magnetic resonance imaging – peripheral nervous system (MRI PNS) done. Results: In our study, 57% patients were surgically treated with functional endoscopic sinus surgery, 23% patients treated with modified Denker’s approach debridement. On basis of MRI PNS, nasal endoscopy and symptomatic improvement of the disease, only 10 patients have recurrence of disease and 90 patients are completely recovered after surgical and medical management. Conclusions: Maintaining high index of suspicion in at risk patient populations, followed by prompt evaluation and management is crucial in suspected invasive fungal rhinosinusitis. Early management with antifungal e.g. Amphotericin B intravenous injections, tab Posaconazole, tab Voriconazole and surgical intervention e.g. FESS, modified Denker’s approach debridement, FESS with middle meatal antrostomy very efficacious in terms of preventing the recurrence and mortality in patients.","PeriodicalId":14350,"journal":{"name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135167249","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}