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

{"title":"Pigmented, Birefringent Material Causing Nasolacrimal Duct Obstruction.","authors":"Angela L Xu, César A Briceño, Vivian Lee","doi":"10.1007/s12070-025-05526-0","DOIUrl":"10.1007/s12070-025-05526-0","url":null,"abstract":"<p><p>We present a case of a woman with epiphora secondary to complete nasolacrimal duct obstruction due to granulomatous inflammation around pigmented, birefringent foreign bodies, consistent with cosmetics. History is critical when evaluating epiphora to differentiate an innate melanocytic process, such as melanoma, from exogenous sources such as cosmetics on histopathology.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"3107-3109"},"PeriodicalIF":0.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734814","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":"Unseen Risks: A Case Report on Drug-induced Nasal Septal Perforation.","authors":"Boddupalli Saaketh, Sharulatha Raguraman, J Poongkamali, Gayatheri Vengadesan, Hemalakshmi Ravikumar","doi":"10.1007/s12070-025-05615-0","DOIUrl":"10.1007/s12070-025-05615-0","url":null,"abstract":"<p><p>Nasal septal perforation is an uncommon condition caused by several aetiologies. The recent trend in the increased use of Tapentadol intra-nasal analgesic spray has led to various systemic and local complications. This is one of the first few case reports on Tapentadol-induced nasal septal perforation. A 34-year-old female presented to the Otorhinolaryngology clinic with a two-week history of a painful non-healing ulcer in the palate associated with pus discharge.She also had bilateral nasal obstruction and foul-smelling discharge. The patient had used Tapentadol nasal spray (22.5 mg/spray) 4-5 times daily for two years to manage her lumbar disc prolapse pain.Oral cavity examination showed a 0.5 × 0.5 cm fistula at the junction of the hard and soft palate. Diagnostic nasal endoscopy exhibited extensive dried crusting and pus discharge, along with a perforation in the cartilaginous part of the septum, and eroded bilateral inferior turbinates. Patient was worked up for granulomatous disease of nose / malignancy. Biopsy showed acute on chronic inflammation with necrotic tissue.Bood investigations included cANCA, pANCA, and Rheumatoid factor, which was negative. Treatment involved the cessation of the Tapendalol nasal spray, local debridement, and a regiment of antibiotics and steroids. Upon follow-up, endoscopy demonstrated improved symptoms and the regeneration of normal mucosa. Drug-induced septal perforation is recognized as a rare condition, but it should be taken into account in all cases of septal perforation. Meticulous history and clinical examination is essential for accurate diagnosis.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"3191-3194"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734884","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":"Effect of Proton Pump Inhibitor on Quality of Life of Patients with Laryngopharyngeal Reflux.","authors":"Kriti Bhatt, Rajeev Krishna Gupta, Anuja Bhargava, S M Faiz, Saurabh Srivastava, Eshani Dutta, Abdul Khalid","doi":"10.1007/s12070-025-05621-2","DOIUrl":"10.1007/s12070-025-05621-2","url":null,"abstract":"<p><strong>Introduction: </strong>Laryngopharyngeal reflux (LPR) is a common disease in the outpatient department of otolaryngology and is characterised by backflow of stomach contents into the pharynx and larynx resulting in significant negative impact on the quality of life of patients. The aim of study was to assess the effect of proton pump inhibitor (PPI) on quality of life in patients with LPR.</p><p><strong>Method: </strong>110 patients diagnosed with LPR were enrolled in study and prescribed omeprazole (20 mg) twice daily for 12 weeks. The Reflux Symptom Index (RSI), Reflux Finding Score (RFS) and LPR-health-related quality of life (HRQOL) were recorded for each patient at the initial visit and at 4th, 8th and 12th week follow-up visits.</p><p><strong>Results: </strong>Mean RSI, RFS, HRQOL was 15.28 ± 1.19, 12.65 ± 1.16 and 77.77 ± 11.80 respectively at baseline. Significant improvement was observed in RSI and RFS scores after treatment. The HRQOL score also showed gradual improvement after PPI treatment.</p><p><strong>Conclusion: </strong>PPI treatment brought about a significant improvement in signs, symptoms and quality of life of LPR patients.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"2998-3002"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734824","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":"Various Branching Patterns of Facial Nerve During Parotidectomy-Deciphering the Enigmatic Course of Facial Nerve Over the Parotid.","authors":"M Nisha, Rajagopal Mariappan, R Hemalakshmi, S Bhat Poornima, K Santhanakrishnan, M Bage Atul","doi":"10.1007/s12070-025-05597-z","DOIUrl":"10.1007/s12070-025-05597-z","url":null,"abstract":"<p><p>This study aims at finding different branching patterns of facial nerve during parotid surgeries and the relationship of the nerve to tragal pointer (TP) and stylomastoidforamen (SMF). The facial nerve enters the body of the parotid gland with varying branching patterns, establishing unique relationship requiring close care while doing parotidectomies. A Hospital Based Prospective Observational, descriptive study, conducted among the participants in a tertiary care centre for a period of 18 months who underwent superficial parotidectomy. In the present study 50% patients had type 2 branching pattern, 24% patients had type 3 branching pattern, 15% had type 4 branching pattern and 10% had type 1 branching pattern. Mean Distance between main trunk and tragal pointer is 7.5 mm and standard deviation is 1.5. Mean Distance between main facial nerve trunk (FNT) and stylomastoid foramen is 1.54 mm and standard deviation is 0.2. Type 2 is the commonest branching pattern of facial nerve inside the parotid gland. This study will provide a road map for the surgeons to anticipate the variations in branching patterns and the knowledge of result of our study might help in decreasing the iatrogenic injury of facial nerve during parotid surgeries.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"2883-2889"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734885","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":"Evaluation of Endoscopic Cartilage Myringoplasty Using Push-Through Technique.","authors":"Islam Ghanim Mahmood, Awf A Abdulmaged, Hassan Myasar Abdulwahid, Haitham Abdulmalik Alnori, Ali Abdulmauttalib Mohammad, Raghdan Mohamad Dawood Alhamadni","doi":"10.1007/s12070-025-05619-w","DOIUrl":"10.1007/s12070-025-05619-w","url":null,"abstract":"<p><p>Endoscopic push-through cartilage myringoplasty is a minimally invasive procedure for repairing tympanic membrane perforations that eliminates the requirement for canal wall incision and tympanomeatal flap elevation. The study aims to evaluate hearing improvement, graft uptake rate, operative time, and the need for postoperative analgesia in cartilage myringoplasty using push-through technique. This case series study included twenty-eight patients with different sizes of tympanic membrane perforations who underwent cartilage myringoplasty by push-through technique. Successful graft uptake rate was (96.4%). There is an improvement in air conduction from 32.13 ± 5.063 dB to 22,023 ± 3.306 dB and a significant improvement in the average air-bone gape from 19.47 ± 5.342 dB to 10.39 ± 3.462 dB (<i>P</i>-value < 0.05). Twenty-four (85.7%) patients had mild post-operative pain (according to visual analogue score) and the rest (14.3%) had moderate pain. The mean operative time is 33.15 ± 7.2 min. Endoscopic push-through cartilage myringoplasty is an effective method of repairing tympanic membrane perforations. It has a graft uptake comparable to other methods, with less operative time and significant improvement of hearing.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"2992-2997"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734844","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":"Effectiveness of Teletherapy in Managing Voice Disorders: A Systematic Review.","authors":"Maya Varma, Srikanth Nayak, Rohini R Rao, Usha Devadas","doi":"10.1007/s12070-025-05775-z","DOIUrl":"10.1007/s12070-025-05775-z","url":null,"abstract":"<p><p>Telerehabilitation has developed as one of the important aspects of health care delivery in the current era. Hence the present study aimed to systematically review the literature and understand the effectiveness of teletherapy in the management of voice disorders. A comprehensive search was performed in the PUBMED, CINAHL, and Scopus databases using Boolean operators, adhering to the PRISMA. The methodological quality of the selected studies was assessed using the ROBINS-I tool. The review included 12 articles meeting the inclusion criteria, featuring various study designs. All studies reported positive outcomes from televoice therapy intervention across multiple voice outcome measures, irrespective of whether participants received direct or indirect or a combination of voice therapy techniques. Studies comparing teletherapy with face-to-face therapy indicated that teletherapy is as effective as in-person therapy. However, the overall risk of bias assessment for the included studies, using the ROBINS-I tool, ranged from moderate to serious. This systematic review revealed that teletherapy is a feasible alternative to in-person therapy for voice disorders. However, there is a need to understand the effectiveness of teletherapy in demonstrating different voice therapy techniques. Further studies are needed to understand the application of various/particular voice therapy techniques via telepractice.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12070-025-05775-z.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"3320-3336"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734826","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":"The Limberg Flap, Applicability in Persistent Tracheocutaneous Fistula Closure.","authors":"Manish Munjal, Shubham Munjal, Swati Chauhan, Lovleen Sandhu, Vineeta Arora","doi":"10.1007/s12070-025-05577-3","DOIUrl":"10.1007/s12070-025-05577-3","url":null,"abstract":"<p><p>Persistent tracheocutaneous fistulas though uncommon often lead to persistent air leaks and infections.The surgical scar too mars the psyche of the individual.This necessitate a robust repair. We utilized the versatile Limberg flap to repair a non healing fistula in a 45-year-old male.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"3129-3131"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734838","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":"Management Approach of Vascular Anomalies of Head and Neck Region: A Clinical Study in Tertiary Care Center.","authors":"Kalpana Sharma, Praveen Kumar Maurya, Sunita Das, Phoebe Sarah Basumatary, Sinthiya Das","doi":"10.1007/s12070-025-05635-w","DOIUrl":"10.1007/s12070-025-05635-w","url":null,"abstract":"<p><strong>Background: </strong>Vascular anomalies are broadly classified into vascular tumors and vascular malformations, as per the classification by the international society for the study of vascular anomalies (Kunimoto et al. Int J Mol Sci 23(1):388, 2022) (ISSVA). Vascular tumors arise due to abnormal endothelial proliferation, with infantile hemangiomas (IHs) being the most prevalent benign type, occurring in approximately 5-10% of infants (Wildgruber et al. Insights Imaging 10(1):30, 2019). These tumors demonstrate a predilection for the head and neck region and are more commonly observed in females (George et al. J Oral Maxillofac Pathol 18(Suppl 1):S117-S120, 2014). In contrast, vascular malformations represent congenital structural anomalies of blood or lymphatic vessels, resulting from errors in embryonic vascular development.</p><p><strong>Methods: </strong>This prospective observational study was conducted over one year at a tertiary referral center, focusing on patients diagnosed with vascular Anomalies. The objective was to evaluate the clinical presentation, management strategies, and outcomes, with an emphasis on aligning treatment approaches with current literature and evidence-based protocols.</p><p><strong>Results: </strong>A total of 45 patients were included in the study, comprising 24 males (53.33%) and 21 females (46.67%). The age of presentation ranged from infancy to 70 years. Two patients (4.44%) were infants (0-1 year), 10 patients (22.22%) were in the age group of (1-18 years), and the majority, 33 patients (73.33%), were adults (> 18 years). The most frequently involved anatomical sites were the face (46.67%) followed by the oral cavity and oropharynx (44.44%), with symptomatology varying according to lesion size, site, and extent. Surgical intervention was the most commonly employed treatment modality (44.44%), demonstrating favorable outcomes with low recurrence rates. Sclerotherapy was utilized in 35% of cases and was particularly effective for select lesion types. In the pediatric cohort, oral propranolol was administered with positive therapeutic response. Combined approaches, particularly surgery following embolization, yielded enhanced outcomes in complex or extensive lesions.</p><p><strong>Conclusion: </strong>Surgical management remains the cornerstone of treatment for vascular malformations, offering the most definitive results and lowest recurrence rates. In selected cases, adjunctive therapies such as preoperative embolization or sclerotherapy can optimize surgical outcomes. A multidisciplinary, individualized treatment approach based on lesion type, location, and patient age is essential for optimal management of vascular anomalies.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"3071-3077"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734805","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":"Effective Management of Tongue Hemangioma Using Boiling 3% Hypertonic Saline Injections: A Case Report from a Resource-Limited Setting.","authors":"Gautam Kumar Arora, Urvashi Mishra, Poonam Lohchab, Harpreet Singh","doi":"10.1007/s12070-025-05585-3","DOIUrl":"10.1007/s12070-025-05585-3","url":null,"abstract":"<p><p>Tongue hemangiomas, though benign, can lead to significant complications and discomfort in affected individuals. This case report details the management of a symptomatic tongue hemangioma using multiple injections of 3% boiling saline in a 13-year-old boy treated at a peripheral government hospital in India, emphasising the approach's efficacy and practicality within a financially constrained environment.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"3144-3146"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734825","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":"Head Neck Tuberculosis Amidst COVID Pandemic: An Assessment of Change in Disease Dynamics.","authors":"Saikat Samaddar, Mainak Maitra, Debasish Ghosh, Sangita Bhattacharya Samaddar, Saibal Mondal, Debasis Barman, Arunabha Sengupta","doi":"10.1007/s12070-025-05592-4","DOIUrl":"10.1007/s12070-025-05592-4","url":null,"abstract":"<p><p>COVID 19 pandemic has had its effect on the entire world population. The purpose of the study was to perform Epidemiological and Head Neck site wise assessment of Tuberculosis (TB) presentation and investigation during and immediately after the COVID 19 pandemic. The changing incidence and atypical presentations were documented. Institution based retrospective study was conducted and the data of Head Neck TB (HN- TB) was extracted from the patient registers of National Tuberculosis Elimination Programme (NTEP) of the same institute during the period of March 1st 2020 to 31st December 2022. Statistical analysis was done to satisfy the investigative purpose. In the study period 2118 patients were registered for TB. 279 patients were diagnosed with HN-TB as the primary site of involvement. Cervical Lymph node TB was the predominantly involved site followed by Head Neck Skin, Ear, Larynx, Ophthalmological structures, Facial bones, Oral cavity and Oropharynx, Neck sinus. The Incidence of TB as a whole and HN- TB saw uneven rise and fall with respect to its incidence during and after the pandemic. There were definite variations in the incidence of site specific involvement of HN- TB when compared to world literature. Changing disease dynamics comes as a challenge before NTEP amidst the prevailing pandemic. No particular investigation is full proof to detect tuberculosis and so, attempts should be made to maximise the number of detection options. Lessons should be learnt from the present situation to keep us prepared for the future.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"2857-2866"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734773","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}