B. John, A. Augustine, Anjali Lepcha, J. Mathew, V. Moses, B. Hathiram, V. Khattar
{"title":"Bleeding mass in the ear: A rare etiology","authors":"B. John, A. Augustine, Anjali Lepcha, J. Mathew, V. Moses, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1212","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1212","url":null,"abstract":"We report a case of a 63 years old man who presented with a profusely bleeding mass in the left external auditory canal. He had been diagnosed to have left skull base osteomyelitis and had undergone surgery twice for the same. The mass was diagnosed radiologically to be a pseudoaneurysm arising from the left retroauricular artery. He subsequently underwent embolization of the retroauricular branch of the left external carotid artery following which the mass subsided and bleeding from the ear stopped.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121753878","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}
Gaurav Ashish, A. Tyagi, A. Augustine, Ramanathan Chandrashekharan, A. Varghese, Harshad Parmar, B. Thangakunam, D. Christopher, B. Hathiram, Vicky Khatter
{"title":"Superior vena cava syndrome vs ludwig’s angina: A diagnostic dilemma","authors":"Gaurav Ashish, A. Tyagi, A. Augustine, Ramanathan Chandrashekharan, A. Varghese, Harshad Parmar, B. Thangakunam, D. Christopher, B. Hathiram, Vicky Khatter","doi":"10.5005/JP-JOURNALS-10003-1159","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1159","url":null,"abstract":"Introduction: We present an interesting diagnostic dilemma between superior vena cava syndrome and Ludwig Angina to highlight ways to differentiate between these two seemingly similar conditions. Presentation of case: A 50-year-old man presented with complaints of progressive breathing difficulty with diffuse brawny swelling in the neck and clinically gave impression of Ludwig angina, however, on further evaluation was diagnosed with superior vena cava syndrome (SVCS) secondary to non small cell carcinoma of lung. Discussion: This paper illustrates an interesting scenario in which clinical presentation of SVCS mimicked Ludwig’s Angina. SVCS with a gradual onset may have minimal symptoms with facial edema, erythema and venous distension in the chest and neck. Occasionally atypical presentation of Ludwig’s angina may mimic SVCS where high degree of clinical suspicion is needed to discriminate them. Conclusion: Superior vena cava syndrome may present with symptoms suggestive of Ludwig’s angina, especially if the obstruction is slowly progressive. A high index of suspicion is necessary in these cases.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123655344","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":"Platelet-Rich Plasma in Cosmetic Surgery","authors":"Robert Kang, Matthew K. Lee, R. Seth, G. Keller","doi":"10.5005/JP-JOURNALS-10003-1106","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1106","url":null,"abstract":"Platelet-rich plasma (PRP) is blood plasma containing an above baseline level of platelets and growth factors. PRP is an emerging new treatment utilized to enhance wound healing and has been in clinical use over the last several decades within many disciplines, such as orthopedic, oral-maxillofacial and cardiac surgery. Recently, PRP has come to the attention of esthetic surgeons, with burgeoning new applications ranging from hair restoration to soft tissue augmentation. The goal of this review is to describe the current body of literature on PRP as it pertains to the field of esthetics, and to review its current real-world applications. PRP’s utility in cosmetic surgery is rapidly growing and offers a promising and exciting new therapeutic modality.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134305514","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 the Internal Nasal Valve","authors":"L. Ng, S. Lo, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1109","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1109","url":null,"abstract":"Nasal obstruction is one of the most common nose complaints. Internal nasal valve dysfunction is an important cause of nasal obstruction, particularly in patients who have a previous history of nasal trauma or reduction rhinoplasty. Correct assessment is crucial for accurate diagnosis and appropriate management planning. Various surgical and nonsurgical modalities for addressing the problem of internal nasal valve collapse are being reviewed in this paper. Each technique have their own advantages and disadvantage, and the choice depends on the underlying pathology, patient preference, availability of graft material. The rhinoplasty surgeon should have a thorough understanding of the available options as part of his/her armamentarium in dealing with internal nasal valve pathology.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126785441","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}
Jumroon Tungkeeratichai, T. Bhongmakapat, P. Saitongdee, P. Orathai
{"title":"A New External Landmark for Mental Foramen","authors":"Jumroon Tungkeeratichai, T. Bhongmakapat, P. Saitongdee, P. Orathai","doi":"10.5005/JP-JOURNALS-10003-1107","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1107","url":null,"abstract":"Purpose: The purpose of this study was to establish a new external landmark of mental foramen to help facilitate prediction of the location during local anesthesia and during surgery of mandibular region. Materials and methods: One hundred and ten adult Thai cadavers of 61 males and 49 females from Department of Anatomy, Faculty of Science, Mahidol University were included in this study. The anatomy of mental foramen in 110 adult Thai cadavers (220 sides) was studied from 2008 until 2011. Measurements in vertical plane were made: (i) From gingival sulcus to mental foramen = A, (ii) from mental foramen to inferior border of mandible = B, and (iii) the ratio of A/A + B = D. Measurements in horizontal plane were also made: (i) From symphysis menti to the mental foramen = S (in straight line and not related to mandibular curvature), and (ii) from symphysis menti to the mental foramen = C (in curved line related to mandibular curvature), and (iii) in relation to position of lower tooth/teeth, and (iv) in relation to cheilions (corners of the mouth). Results: The results included 61 male and 49 female cadavers. On the right side, the proportion of A/A + B (D) of male and female was 0.50 and 0.46. On the left side, the proportion of A/A + B (D) of male and female was 0.50 and 0.46. The location of right and left cheilion was related with the position of mental foramen, mostly at center (male: 63.93 and 70.49%, female: 61.22 and 73.47%). If center ± 0.3 cm it was possible to find the mental foramen more easily than the point of the center (male: 95.08 and 91.80%, female: 87.76 and 93.88%). If center ± 0.5 cm, it could find the mental foramen more easily than the point of the center ± 0.3 cm (male: 98.36 and 98.36%, female: 95.92 and 97.96%). Conclusion: The knowledge gained from this study is quite important, since it helps the surgeon to easily identify the mental foramen prior to surgery which is halfway between gingival sulcus and inferior border of mandible in vertical plane and at the cheilion position in horizontal plane.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"2674 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130711883","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":"Dorsal Approach Rhinoplasty","authors":"K. R. Dubeta, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1105","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1105","url":null,"abstract":"Direct dorsal excision of skin and subcutaneous tissue is employed in rhinoplasty cases characterized by thick rigid skin to achieve satisfactory esthetic results, in which attempted repair by more conventional means would most likely frustrate both surgeon and patient. This historical review reminds us of the lesson: ‘History repeats itself.’ Built on a foundation of reconstructive rhinoplasty, modern cosmetic and corrective rhinoplasty have seen the parallel development of both open and closed techniques as ‘new’ methods are introduced and reintroduced again. It is from the perspective of constant evolution in the art of rhinoplasty surgery that the author presents, in Part II, his unique ‘eagle wing’ chevron incision technique of dorsal approach rhinoplasty, to overcome the problems posed by the rigid skin nose.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116398285","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":"Nasal Anatomy and Analysis","authors":"G. Kenyon, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1108","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1108","url":null,"abstract":"This article describes the anatomy of the nose and the principles of analysis of the nose and face that will aid a successful rhinoplasty. The analysis is based on the Caucasian female face and appropriate alterations will be needed in considering male patients and those with a differing ethnicity.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131199831","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}
Chetan V Ghorpade, R. Deo, R. Thorat, Snigdha D Devane, B. Hathiram, V. Khattar
{"title":"Removal of Angiofibroma with Maxillary and Mandibular Swing: A Clinical Report","authors":"Chetan V Ghorpade, R. Deo, R. Thorat, Snigdha D Devane, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1102","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1102","url":null,"abstract":"Juvenile nasopharyngeal angiofibroma is vascular tumor found in adolescent males. With development of endoscopic fraternity, tumor can be addressed successfully with endoscopic approach; but one needs maximum exposure for large angiofibroma with local infiltration around. Maxillary and mandibular swing technique for removal of the tumor gives excellent exposure and good control on vascularity of the tumor. Postoperative follow-up for 1 year has shown minimal visible scar, cosmetic deformity in the patient.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122306492","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}
Sanjay N Jain, Aman Kumar, Harshal S Dhongade, R. Varma, B. Hathiram, V. Khattar
{"title":"Imaging of Parapharyngeal Space and Infratemporal Fossa","authors":"Sanjay N Jain, Aman Kumar, Harshal S Dhongade, R. Varma, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1096","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1096","url":null,"abstract":"Cross-sectional imaging is an indispensable tool in the investigation of parapharyngeal space and infratemporal fossa pathologies. Computed tomography and magnetic resonance imaging exquisitely display the complex anatomy of this region and provides accurate spatial localization of pathology, differential diagnosis and vital information for treatment planning.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115447974","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}
S. Arya, P. Rane, A. D'cruz, B. Hathiram, V. Khattar
{"title":"Infratemporal Fossa, Masticator Space and Parapharyngeal Space: Can the Radiologist and Surgeon speak the Same Language?","authors":"S. Arya, P. Rane, A. D'cruz, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1098","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1098","url":null,"abstract":"Imaging is an integral part of head and neck cancer staging and assessing resectability. Accurate perception of imaging information by the clinician is possible only by effective communication between radiologist and surgeon. Traditionally, the radiologist studies the head neck region with two dimensional cross-sectional imaging. The surgeon perceives the head and neck region by real-time experience at surgery as a threedimensional (3D) space. Advances in computed tomography (multidetector CT) provide multiplanar and 3D reformations as added tools to facilitate understanding the complex anatomy and pathology and improve accuracy in staging. Despite these aids, accurate information requires a precise understanding of the different nomenclature of suprahyoid spaces used by the radiologist and clinician. While clinicians are familiar with infratemporal fossa (ITF), radiologists are familiar with masticator space (MS). Although these have been used interchangeably in the staging systems, the subtle difference needs to be understood. Literature also has differing definitions of the parapharyngeal space (PPS). This article describes these spaces, the varied definitions of PPS and the implications of involvement of structures of the ITF and MS on T staging of head neck cancers. A practical approach to the differential diagnoses of parapharyngeal lesions is also described.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128418282","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}