Indian Journal of Otolaryngology and Head and Neck Surgery最新文献

{"title":"Impact of Nasal Obstruction Surgeries on Eustachian Tube Function and Middle Ear Ventilation - A Prospective Hospital-Based Study.","authors":"Hanan Iqbal Khan, Saima Tabassum, Reshaib Maqsood, Junaid Malik, Nisar Hussain Dar","doi":"10.1007/s12070-025-05516-2","DOIUrl":"10.1007/s12070-025-05516-2","url":null,"abstract":"<p><strong>Background: </strong>Nasal obstruction is a common condition caused by various aetiologies, including deviated nasal septum, nasal polyps, and chronic rhinosinusitis. This condition can adversely affect the Eustachian tube function, leading to impaired middle ear ventilation, negative middle ear pressure, and associated symptoms such as ear fullness, discomfort, and hearing loss. Surgical intervention to correct nasal obstruction has been shown to improve Eustachian tube function and middle ear ventilation potentially, but comprehensive studies on this impact remain limited.</p><p><strong>Objective: </strong>To evaluate the impact of nasal obstruction surgeries on Eustachian tube function and middle ear ventilation in patients undergoing these procedures.</p><p><strong>Methods: </strong>This prospective hospital-based study included 60 patients (120 ears) aged 18 years and older who underwent nasal obstruction surgeries. The NOSE (Nasal Obstruction Symptom Evaluation) score was utilised to assess the subjective perception of nasal symptoms. Eustachian tube function tests, including the Valsalva and Toynbeeinduced tympanometry, were conducted preoperatively and then after surgery at 8 weeks to measure middle ear pressure. Statistical analysis was performed using SPSS software, version 23.0, with <i>p</i>-values < 0.05 considered statistically significant.</p><p><strong>Results: </strong>The postoperative NOSE scores showed significant improvement compared to preoperative scores [2.83 ± 2.86 versus 10.43 ± 4.08; <i>p</i> < 0.001]. In the 84 ears of patients with deviated nasal septum (42 patients), postoperative Type A tympanograms and Eustachian tube function tests were significantly better than preoperative results [71 (84.5%) versus 58 (69%); <i>p</i> = 0.038] and [69 (82.1%) versus 38 (45.2%); <i>p</i> < 0.001], respectively. Among the 36 ears of patients with chronic rhinosinusitis with nasal polyposis (18 patients), postoperative Type A tympanograms and Eustachian tube function tests also showed significant improvement from the preoperative ones [30 (83.3%) versus 21 (58.3%); <i>p</i> < 0.05] and [28 (77.7%) versus 17 (47.2%); <i>p</i> < 0.05], respectively. Overall, in the 120 ears of patients, a significant decrease in negative middle ear pressure was observed in 34 out of 60 ears post-surgery (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Nasal obstruction surgeries significantly improve Eustachian tube function and middle ear ventilation, leading to better middle ear pressure regulation and relief from related symptoms. These findings underscore the importance of addressing nasal obstructions to enhance overall ear health in affected patients.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2467-2474"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plexiform Neurofibroma Versus Parotid Tumour - A Challenge in Management.","authors":"Nur Izzaty Nadia Mohd Ariffin, Mohammad Shafiq Aziz, Zaleha Kamaludin, Norhafiza Mat Lazim","doi":"10.1007/s12070-025-05543-z","DOIUrl":"10.1007/s12070-025-05543-z","url":null,"abstract":"<p><p>Intraparotid Plexiform Neurofibroma (PN) is extremely rare. Its local invasive feature potentially leads to cosmetic deformities and functional damage. We present a case of right parotid PN in a 19-year-old gentleman. This case report highlights the importance of early diagnosis of PN, its surgical difficulty, and possible complications.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2654-2656"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cricopharyngeal Perforation in Hypopharyngeal Malignancy: A Rare Entity and its Management-A Case Series.","authors":"Sumeet Mahajan, R Krishnappa, Samskruthy P Murthy, Ridhi Sood","doi":"10.1007/s12070-025-05528-y","DOIUrl":"10.1007/s12070-025-05528-y","url":null,"abstract":"<p><p>Hypopharyngeal perforation in a case of carcinoma hypopharynx is very rare presentation and can present with deep neck space collection and surgical emphysema. No such case of spontaneous hypopharyngeal perforation in carcinoma hypopharynx has been reported till date to the best of our knowledge. In this case series, we report 3 such cases of Carcinoma hypopharynx with spontaneous hypopharyngeal perforation which was managed surgically.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2644-2648"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cutaneous Diphtheria: A Case Report.","authors":"Pawan Singhal, Anjali Bansal, Dhirendra Tak, Siddharth Nirman, Kailash Singh Jat, Anjani Kumar Sharma","doi":"10.1007/s12070-025-05517-1","DOIUrl":"10.1007/s12070-025-05517-1","url":null,"abstract":"<p><p>Cutaneous manifestation of diphtheria is reported rarely, and often misdiagnosed due to other similarly presenting conditions. Here we are presenting a case of a 1 year old child who had neutropenia with no prior dose of immunization presented with multiple cutaneous and respiratory lesions and diagnosed on microbiology as diphtheria. A complete antibiotic therapy and completion of immunization schedule is necessary in all cases as well as their contacts. We are reporting this case due to rarity of cutaneous manifestations of diphtheria and other common diseases masquerading it.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2622-2625"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three Interesting Cases of Primary Oral Tuberculosis Masquerading As Malignancy: Case Reports with Review of Literature.","authors":"Rakesh Kumar Gupta, Ruchi Gupta, Rupa Mehta, Sharmistha Chakravarty, Satish Satpute","doi":"10.1007/s12070-025-05542-0","DOIUrl":"10.1007/s12070-025-05542-0","url":null,"abstract":"<p><p>Primary oral tuberculosis (TB) is very rare accounting for less than 1% of the cases. The clinical presentation is indistinguishable from other common oral lesions particularly squamous cell carcinoma in adults. A careful examination of punch biopsy with microbiological work-up is essential for correct diagnosis. Herein, we report three sporadic cases of primary oral tuberculosis presenting as mass lesions and masquerading as malignancy diagnosed on histopathological evaluation emphasizing the diagnostic approach and management, along with a review of the literature. Middle-aged patients (02 males and 01 female) presented with ulcero-proliferative oral lesion with regional lymphadenopathies. Two of the patients had a history of chronic tobacco chewing. The clinical diagnoses of squamous cell carcinoma were made. Moreover, one of the patients was also misdiagnosed as squamous cell carcinoma on biopsy from a private lab. All three patients showed characteristic necrotizing granulomatous inflammation which also demonstrated <i>Mycobacterium tuberculosis</i> on Ziehl Neelsen staining. Diagnosing oral TB based on clinical symptoms and signs is very challenging. The purpose of this report is to inform clinicians and pathologists about various presentations of oral TB, as timely diagnosis and appropriate treatment, decrease morbidity and mortality, especially since TB is a curable disease.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2649-2653"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vocal Cord Palsy Post Chemoradiation in Head and Neck Cancer: Challenges After Cure.","authors":"Abhilash Goyal, Kirti Khandelwal","doi":"10.1007/s12070-025-05473-w","DOIUrl":"10.1007/s12070-025-05473-w","url":null,"abstract":"<p><p>Chemoradiotherapy plays an important role in treatment of head and neck cancer. Though it enables cure, it is also associated with range of side effects. Vocal cord palsy is rare, under reported, but can be life threatening. To understand how chemo radiation impacts the vocal cords is critical for effective case management and treatment planning. We conducted a comprehensive electronic search across Cochrane, EMBASE, and PubMed to identify relevant studies. A Google search was also performed using the keywords to ensure the inclusion of all articles reporting vocal cord palsy following treatment for head and neck cancer. Out of 65 articles, 24 were included for analysis to understand the pathophysiology of radiation- or chemotherapy-induced vocal cord paralysis. Additionally, eight articles that reported cases of vocal cord palsy in head and neck cancer other than nasopharyngeal and oropharyngeal were reviewed in detail case wise. The incidence of radiation-induced neuropathy ranges from 1 to 9%. The cranial nerves most commonly affected are the vagus, trigeminal, spinal accessory, oculomotor, abducens, optic, and hypoglossal nerves, with the damage being irreversible. Most cranial nerve neuropathies occur following radiation to the skull baseor neck. In head and neck cancer, nasopharyngeal cancer is most frequently associated with vocal cord palsy after radiation, typically occurring 2 to 10 years posttreatment. Bilateral involvement is more common, though in cases of unilateral involvement, the left vocal cord is more often affected. A detailed review of radiationinduced vocal cord palsy in laryngeal and hypopharyngeal cancers has been conducted. It is essential to rule out recurrence before attributing the palsy to radiation. Chemotherapy-induced vocal cord palsy, which is usually bilateral, typically occurs during chemotherapy and often reverses upon discontinuation of the causative agent. Vocal cord palsy post chemo radiation in head and neck cancer represents a journey of from cure to challenge. It may be a silent struggle for many, but can be very serious for some. Hence, it should not be ignored. Thorough documentation of vocal cord status post treatment is important in follow up for head and neck cancer. Understanding the effects of organ preservation strategies helps in making more informed decisions for patients and plan appropriately.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2728-2732"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maturation of Listening Effort in Typically Developing Children.","authors":"H L Spandita, Chandni Jain","doi":"10.1007/s12070-025-05537-x","DOIUrl":"10.1007/s12070-025-05537-x","url":null,"abstract":"<p><p>The study aims to assess the maturation of listening effort (LE) in typically developing children. A total of 140 participants were equally divided into seven age groups: 7 to 7.11 years old, 8 to 8.11 years old, 9 to 9.11 years old, 10 to 10.11 years old, 11 to 11.11 years old, 12 to 12.11 years old, and adults aged 18 to 30. LE was assessed using a dual-tasking paradigm, which included a primary task- repeating words and a secondary task- clicking the right mouse button for a square image and the left button for a triangle image on a laptop screen. The results indicated that age significantly influenced performance on LE's primary and secondary tasks. By age nine, children's performance on primary tasks was statistically comparable to that of adults, whereas by age 12, their secondary task performance reached adult-like levels. Moreover, age was strongly correlated with overall LE outcomes. In conclusion, the study underscores the pivotal role of age in shaping LE performance. The strong correlation between age and overall LE outcomes emphasizes the importance of incorporating age-specific strategies in both assessment and intervention protocols for LE.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2508-2513"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migrated Intracystic Silicone Implant: A Missed Cause of Iatrogenic Failure in Chronic Dacryocystitis Therapy.","authors":"Abhik Sikdar, Raksha Wadhwani, Sameer Nivsarkar, Shrikant Phatak, Richa Agarwal, Nitika Yadav","doi":"10.1007/s12070-025-05569-3","DOIUrl":"10.1007/s12070-025-05569-3","url":null,"abstract":"<p><p>After failed implant dacrocystorhinostomy (DCR) first patient underwent endoscopic DCR with removal of embedded intracystic implant (Pawar stent). After one-year, epiphora recurred due to a migrated second stent obstructing the neo-ostium. Second case with prelacrimal pneumatisation had failed left implant DCR due to misplaced stent in the middle meatus. Endoscopic DCR as primary surgery for dacryocystitis avoids such complications.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2696-2699"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Sialolithiasis with an Uncommon Foreign Body Nidus.","authors":"Sudhakara Rao Madala, Prapulla Kusumitha Chekka, Jagruthi Pandiri","doi":"10.1007/s12070-025-05521-5","DOIUrl":"10.1007/s12070-025-05521-5","url":null,"abstract":"<p><p>Salivary calculus is the most common cause for obstructive sialadenitis of submandibular gland. Foreign body causing obstructive sialadenitis is rare due to the anatomical and physiological factors preventing it from migrating into the duct. Our case report aims to highlight an unusual presentation of foreign body in the submandibular duct with the background of calculus formation and it's missed diagnosis in the usual radiological investigations like CT. Sialendoscopic retrieval revealed finger nail as the foreign body nidus with calculus deposits at one end of the nail.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2633-2635"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconstruction of the Pharyngocutaneous Fistula After Laryngectomy with Full-Thickness Skin Graft and Pectoralis Major Myocutaneous Flap.","authors":"Dursun Mehmet Mehel, Seda Nur Cihan, Furkan Balaban, Esra Yılmaz, Hande Arslan, Asude Ünal","doi":"10.1007/s12070-025-05491-8","DOIUrl":"10.1007/s12070-025-05491-8","url":null,"abstract":"<p><p>Pharyngocutaneous fistula is the most common complication after total laryngectomy and increases morbidity by prolonging hospital stay. Factors such as history of radiotherapy, tumor size, anemia and diabetes are effective in its development. Treatment options include conservative and surgical methods. A 72-year-old man underwent total laryngectomy and right neck dissection for advanced laryngeal cancer. Pharyngocutaneous fistula developed on postoperative day 5. Initially, local intervention and nasogastric feeding were performed, but the defect progressed. On postoperative day 30, repair was performed with a pectoralis major myocutaneous flap. The fistula recurred because the patient did not follow the recommendations. Subsequently, a successful reconstruction was achieved with supraclavicular full-thickness skin graft and deltopectoral flap. Pharyngocutaneous fistula is a common and difficult to manage complication after total laryngectomy. Early detection and appropriate treatment approach reduces morbidity. For reconstruction of large defects, myocutaneous flaps and double-layer repair with full- thickness skin grafting are effective. In this case, the fistula was completely healed with a successful reconstruction and the patient was able to switch to oral feeding.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2607-2611"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}