IP Journal of Otorhinolaryngology and Allied Science最新文献_第9页

Microbiological profile and their antibiotic sensitivity pattern in patients of chronic suppurative otitis media at eastern tertiary care center of Nepal 尼泊尔东部三级保健中心慢性化脓性中耳炎患者的微生物谱及其抗生素敏感性模式

IP Journal of Otorhinolaryngology and Allied Science Pub Date : 2020-10-15 DOI: 10.18231/j.ijoas.2020.019

B. P. Sah, S. Chettri, N. Bhattarai, Shankar P. Shah, D. Paudel

{"title":"Microbiological profile and their antibiotic sensitivity pattern in patients of chronic suppurative otitis media at eastern tertiary care center of Nepal","authors":"B. P. Sah, S. Chettri, N. Bhattarai, Shankar P. Shah, D. Paudel","doi":"10.18231/j.ijoas.2020.019","DOIUrl":"https://doi.org/10.18231/j.ijoas.2020.019","url":null,"abstract":"Chronic suppurative otitis media (CSOM) is one of the most common and an important global public health problem leading to hearing impairment and is particularly prevalent in developing countries. Even in this era of powerful antibiotics, due to increased irrational use of wide spectrum antibiotics, the resistance in the bacterial isolates is common. The objective of the study was to determine the aerobic bacterial etiology of patients with CSOM and the antimicrobial susceptibility of the bacteria isolated. A descriptive cross sectional study was carried out in 112 patients suffering from chronic discharging ear. Pus samples were cultured aerobically. Antibiotic sensitivity testing was performed with standard antibiotic discs using modified Kirby-Bauer disk diffusion method. Out of 112 patients, 70 (62.5%) were females. Among 112 swab cultures, 98 (87.5%) were positive for the growth of organism and 14 (12.5%) were sterile cultures. Among them Staphylococcus aureus (42.24%), Pseudomonas aeruginosa (28.44%), Klebsiella pneumoniae (10.34%), Acinetobacter anitratus (6.9%), Proteus mirabilis (5.17%) and E. coli (4.31%) were the common microbial isolates. Among the antibiotics commonly available as topical eardrops, Ofloxacin (91.83%)) had the highest susceptibility rate, followed by Ciprofloxacin (81.63%), Tobramycin (73.46%) and Gentamicin (63.26%). Staphylococcus aureus was the most common organism isolated followed by Pseudomonas aeruginosa. Ofloxacin had the highest susceptibility rate against the isolated organisms.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117085877","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}

引用次数: 2

The efficacy and safety of Short course therapy with Cefixime in URTI in Indian Scenario 头孢克肟短期治疗印度尿路感染的疗效和安全性

IP Journal of Otorhinolaryngology and Allied Science Pub Date : 2020-10-15 DOI: 10.18231/j.ijoas.2020.018

K. Pakhale, G. Tandon, Tanmay Bansal, V. Jain, D. Dhoot, Saiprasad Patil, H. Barkate

{"title":"The efficacy and safety of Short course therapy with Cefixime in URTI in Indian Scenario","authors":"K. Pakhale, G. Tandon, Tanmay Bansal, V. Jain, D. Dhoot, Saiprasad Patil, H. Barkate","doi":"10.18231/j.ijoas.2020.018","DOIUrl":"https://doi.org/10.18231/j.ijoas.2020.018","url":null,"abstract":"Upper respiratory tract infections (URTI) are one of the commonest cause for a patient’s visit to outpatient department (OPD). Short course therapies with penicillin and cephalosporin class of antibiotics are commonly prescribed in URTI cases. This study was a retrospective, multicentre, observational cohort analysis, planned to evaluate the effectiveness and safety of Cefixime 400 mg per day in patients of URTI, using WURSS 21 score. We analysed the data of 200 patients who were prescribed Cefixime for URTI. Most of the patients (55%) were male. The baseline mean WURSS score of 41.09 ± 33.45 decreased to 25.74 ± 22.29 [(-37.3%), p value<0.05] at visit 2; moreover, it further decreased to 5.75 ± 6.75 [(-86.0%), p value<0.05] at visit 3. Similar trend was noted for WURSS symptom score and WURSS Quality of life score. At baseline, mean WURSS Symptom score was 25.34 ± 15.97 which was reduced to 16.32 ± 11.50 at visit 2 and 4.15 ± 4.50 at visit 3. Similarly, mean WURSS Quality of life score at baseline was 15.74 ± 18.41 which was reduced to 9.42 ± 11.66 and 1.59 ± 2.75 at visit 2 and visit 3 respectively. None of the patients reported adverse effects. The findings of the present survey confirm the effectiveness and safety of short course of Cefixime therapy in URTI.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124506995","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}

引用次数: 0

Sinonasal haemangiopericytoma- An unusual swelling in the nasal cavity 鼻窦血管外皮细胞瘤-鼻腔内的一种不寻常的肿胀

IP Journal of Otorhinolaryngology and Allied Science Pub Date : 2020-08-15 DOI: 10.18231/j.ijoas.2020.015

K. Akhtar, Aftab Ahmed, M. Talha, S. Warsi, Otorhinolaryngology

{"title":"Sinonasal haemangiopericytoma- An unusual swelling in the nasal cavity","authors":"K. Akhtar, Aftab Ahmed, M. Talha, S. Warsi, Otorhinolaryngology","doi":"10.18231/j.ijoas.2020.015","DOIUrl":"https://doi.org/10.18231/j.ijoas.2020.015","url":null,"abstract":"Sinonasal hemangiopericytoma, also known as glomangiopericytoma (GPC) is a benign perivascular tumor of low malignant potential, with an incidence rate of 0.5-1% of all sinonasal tumors. It often shows local recurrences with invasion to the surrounding bony tissues. It usually arises from the perivascular cells surrounding the capillaries. Etiology of the tumour is uncertain, with few postulated hypothesis like pregnancy, trauma, hypertension and corticosteroid drugs. They have an indolent course and tend to occur most commonly in the adults of seventh decade of life. We present a case report of 55 years old male presenting to the ENT OPD, with complaints of right sided nasal obstruction and repeated episodes of epistaxis since the last 9 months. History and general examination was unremarkable except for anti-hypertensive intake since the last few years. Laboratory investigations showed microcytic hypochromic anaemia, raised absolute eosinophil count of 1500 cells per microliter and positive Hepatitis B surface antigen (HBsAg) in the blood. Rhinoscopic examination showed a reddish brown nodular swelling in the right nasal cavity beneath the middle turbinate and hypertrophy of left nasal mucosa. CT imaging suggested an 18x15 mms, well defined soft tissue mass in the right nasal cavity. Complete resection of the mass with endoscopic surgery was performed. Histopathological examination coupled with immunohistochemistry confirmed the diagnosis of Sinonasal Hemangiopericytoma. This case report stresses upon various differential diagnosis of sinonasal swellings and the importance of considering long term follow up of Sinonasal Hemagiopericytoma.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128964352","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}

引用次数: 1

Tension Pneumothorax -Challenge of foreign body removal during Rigid Bronchoscopy in children 张力性气胸-儿童刚性支气管镜检查时异物清除的挑战

IP Journal of Otorhinolaryngology and Allied Science Pub Date : 2020-08-15 DOI: 10.18231/j.ijoas.2020.014

Deepa Shivnani, E. V. Raman, S. Gaur

引用次数: 1

Significance of audio-vestibular evaluation in diabetes mellitus patients- A study 糖尿病患者听庭功能评估的意义研究

IP Journal of Otorhinolaryngology and Allied Science Pub Date : 2020-04-15 DOI: 10.18231/j.ijoas.2020.004

S. Rathnakara, Orl, Mohamed Ashraf Kuniyil, Prakruthi Jaladhar, N. Sequeira, V. Subramaniam

{"title":"Significance of audio-vestibular evaluation in diabetes mellitus patients- A study","authors":"S. Rathnakara, Orl, Mohamed Ashraf Kuniyil, Prakruthi Jaladhar, N. Sequeira, V. Subramaniam","doi":"10.18231/j.ijoas.2020.004","DOIUrl":"https://doi.org/10.18231/j.ijoas.2020.004","url":null,"abstract":"Introduction: Diabetes mellitus (DM) has a projected rise in its affected population to almost double by the year 2035 in India. Ongoing research regarding its microvascular complications has led to a disparity of opinion about involvement of the audio-vestibular system. Hence to evaluate the audio-vestibular functions in patients with diabetes mellitus and determine their correlation with duration and control of the disease, this study was conducted. Materials & Methods: 97 DM patients were included in this prospective, cross-sectional study and all of them underwent clinical examination, Dix-Hallpike maneuver and investigations like Pure tone audiometry (PTA) and Videonystagmography (VNG). Results: 64 of 97 patients, had varying degrees of sensorineural hearing loss on PTA and 16 patients had vestibular hypofunction noted on caloric test of VNG. It was identified that the occurrence of bilateral hearing loss and vestibular hypo-functioning were statistically significant with chi square test (p value 0.028 and <0.001 respectively), when 5years duration of DM was taken for cut off. Analysis of symptoms with PTA and VNG, found significant correlation of tinnitus and hearing loss (p value 0.03 and <0.001 respectively) with abnormal findings in both the investigations, revealing a subclinical nature of the vestibular dysfunction. However, there were no significant correlations found with the glycaemic control of DM. Conclusions: It is advisable to consider audio-vestibular evaluation with PTA and VNG, as screening tests for long term DM patients with or without symptoms of giddiness and hearing loss as a step for early identification of microvascular complications of the inner ear, though larger studies in other populations needs to be done for further confirmation of the correlation.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126546442","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}

引用次数: 1

Hearing Impairment in children with history of kernicterus and crebral palsy 有核心症和脑瘫病史的儿童的听力损害

IP Journal of Otorhinolaryngology and Allied Science Pub Date : 2020-04-15 DOI: 10.18231/j.ijoas.2020.002

M. Ohal

{"title":"Hearing Impairment in children with history of kernicterus and crebral palsy","authors":"M. Ohal","doi":"10.18231/j.ijoas.2020.002","DOIUrl":"https://doi.org/10.18231/j.ijoas.2020.002","url":null,"abstract":"Introduction: Critical period of development of speech and language is early 3 yrs of life. Even a mild hearing impairment can interfere with speech and language development. Hearing impairment has the highest incidence rate for any pediatric disability, since several risk factors in infants with cerebral palsy(CP) are the same risk factors to develop hearing impairment. Thus, it should come as no surprise that hearing impairment occurs more frequently among children with cerebral palsy than in the general population. Recent studies have shown that up to 13% of children with cerebral palsy suffer from a hearing loss and important cause of auditory neuropathy. the study: To assess and analyze the audiological profile in children with cerebral palsy Materials and Methods: A prospective study was done on 67 children of 1 to 16 years of age of both genders who were diagnosed with cerebral palsy. Tympanometry, otoacoustic emission, and auditory brain stem response hearing tests were employed to categorize the hearing impairment. Results: Hearing impairment was observed in right ear 67.2 % and left ear 64.2% in children with cerebral palsy. Profound sensorineural hearing loss in 25.4% in bilateral ear was observed. History of kernicterus was found in 17.9% children with cerebral palsy. Conclusions: Prevalence of hearing impairment in children with cerebral palsy is alarming. This warrants early identification and diagnosis of hearing impairment. This early identification may facilitate better development of speech and language as well as positive outcomes. Therefore audiological assessment should be incorporated into the diagnostic and therapeutic plan of all children with cerebral palsy","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125268994","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}

引用次数: 0

Extramedullary plasmacytoma of Paranasal sinus: A rare case report 副鼻窦髓外浆细胞瘤1例

IP Journal of Otorhinolaryngology and Allied Science Pub Date : 2020-04-15 DOI: 10.18231/j.ijoas.2020.007

H. Gautam, S. Tripathi

{"title":"Extramedullary plasmacytoma of Paranasal sinus: A rare case report","authors":"H. Gautam, S. Tripathi","doi":"10.18231/j.ijoas.2020.007","DOIUrl":"https://doi.org/10.18231/j.ijoas.2020.007","url":null,"abstract":"We report an extremely aggressive case of extramedullary plasmacytoma of the right maxillary sinus without any known metastasis. A 45 year old male presented to ENT Department with chief complaints of recurrent Right sided nasal mass and nasal obstruction with recurrent episodes of cold for 3 years. Patient also had decreased sense of smell. Before presenting to us, he underwent two previous surgeries for the same complaint elsewhere in the year 2015 and 2017. Patient was a known case of Hypertension for 3 years and took treatment, was immunocompetent. Subsequent investigations including CT scan of Paranasal sinuses and peri-operative findings revealed a sinonasal mass involving right maxillary antrum with erosion of all the walls of maxillary antrum. Soft tissue mass lesion also extending into retro-zygomatic space, nasal cavity and buccal space. The nasal cavity mass lesion extending posteriorly to occupy whole of nasopharynx and overhanging into oropharynx. The patient was treated surgically by Cald well Luc’s approach and mass removed. HPE reports suggestive of tumour comprising of plasma cells with varying degree of maturation and atypia, nucleus- characteristic “clock face chromatin”pattern seen. Abundant basophilic cytoplasm. On IHC- CD 138 weak positive. Suggestive of Extramedullary plasmacytoma. Patient underwent 20 cycles of radiotherapy. Patient is on follow up since then and is asymptomatic.","PeriodicalId":166713,"journal":{"name":"IP Journal of Otorhinolaryngology and Allied Science","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125301914","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}

引用次数: 0

Our experience with kite string injuries during makarsankranti festival 我们在makarsankranti节期间风筝线受伤的经验

IP Journal of Otorhinolaryngology and Allied Science Pub Date : 2020-04-15 DOI: 10.18231/j.ijoas.2020.001

R. R. Gupta, Darshil A. Vaishnav, R. Aiyer

引用次数: 2

Goldnanoparticles in cancer detection and treatment - Review 金纳米颗粒在癌症检测和治疗中的应用综述

IP Journal of Otorhinolaryngology and Allied Science Pub Date : 2019-12-15 DOI: 10.18231/j.ijoas.2019.001

S. Hassan, Dental, S. Bhateja

引用次数: 0