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

{"title":"<b>Malignant Soft Tissue Deposits in Advanced Cancer Larynx</b>, <b>a Prospective Study</b>.","authors":"Ahmad Mohamed Eltelety, Amir Zaki, Hazem Dewidar, Shady Elia Anis, Ahmed El Batawi, Ahmed Amin Nassar","doi":"10.1007/s12070-024-05021-y","DOIUrl":"10.1007/s12070-024-05021-y","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the incidence and predictors of malignant soft tissue deposits (MSTDs) in advanced laryngeal carcinoma. MSTDs prognostic value on locoregional recurrence within 2 years after curative surgery was also studied. 40 patients with cT3/cT4 N0 laryngeal squamous cell carcinoma (SCC) were prospectively involved in the study. Soft tissue specimens were histopathologically examined for MSTDs. MSTDs were observed in 4 patients. Six patients had extranodal extension (ENE), four of whom showed MSTDs. All patients with MSTDs had associated comorbidities. cTNM staging, preoperative tracheostomy, tumor grade and surgical margins were not related to the incidence of MSTDs. The incidence of MSTDs in our report was less than that previously reported in the literature. MSTDs did not influence locoregional recurrence and did not influence the overall outcome. MSTDs were less significant as a prognostic factor in comparison to other factors such as ENE.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5513-5520"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669358","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":"Retrospective Study over 15-years Period on Zygomathic arch Fractures: A Single Center Experience.","authors":"Gabriele Monarchi, Riccardo Girotto, Francesco De Feudis, Carmine Racano, Paolo Balercia","doi":"10.1007/s12070-024-04977-1","DOIUrl":"10.1007/s12070-024-04977-1","url":null,"abstract":"<p><p>The purpose of this study was to do a retrospective analysis about patients with zygomatic arch who were treated at the department of Maxillofacial Surgery, Regional University Hospital of Ancona, Italy, between 2007 and 2021. Patients were evaluated based on various parameters including age, sex, aetiology, symptoms, comorbidity, clinical findings, zygomatic arch fracture type, other facial fractures, treatment, waiting time before the operation, complications and sequelae. In the period described we recorded 103 zygomatic arch fractures. Of the patients, 64 were male (65,92%) and 39 were female (34,08%). The average age of the patients was 47,02 years (ranging from 8 to 93 years). The leading cause of these fractures was sports-related injury (<i>n</i> = 24; 23,30%), and isolated <i>zygomatic arch</i> fractures were the most frequent (63,1%). The most common clinical signs and symptoms were, pain, depression of the facial profile, difficulty in chewing, limitation of the buccal opening, difficulty in protrusion movements and mandibular lateralization. 93% of patients underwent surgery under local anesthesia, almost exclusively patients undergoing an open approach to internal fixation. The successful and effective management of <i>zygomatic arch</i> fractures requires a solid understanding of its anatomy, pathophysiology and related biomechanical structures and forces. The continuous research in epidemiology, aetiology, materials and techniques will further refine our treatments which are nowadays more and more customized according to the type of trauma.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5359-5363"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669663","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":"Role of Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis and Laryngopharyngeal Reflux: A Prospective Study.","authors":"Shravanthi Mantra Prithviraj, Subagar Anbarasan, Sakthimurugan Sankar, S Haritha","doi":"10.1007/s12070-024-05020-z","DOIUrl":"10.1007/s12070-024-05020-z","url":null,"abstract":"<p><p>Functional endoscopic sinus surgery (FESS) has long been established as an effective intervention for CRS, aimed at improving sinus ventilation and reducing inflammation. However, the utilization of FESS in the context of concurrent CRS and LPR is less well-defined, and the potential impact of sinus surgery on LPR symptoms remains an area of active investigation. This study was done to assess and compare the pattern of LPR symptoms in individuals with concurrent LPR and CRS before and after functional endoscopic sinus surgery (FESS) using the Reflux Symptom Index (RSI) and Reflux Finding Score (RFS). To evaluate the impact of FESS on the severity of CRS symptoms using the Sinonasal Outcome Test-22 (SNOT-22). To assess endoscopic changes in the nasal and paranasal sinuses post-FESS using the Lund-Kennedy Endoscopic Grading System. A prospective quasi-experimental study was performed on 30 patients diagnosed with concurrent chronic rhinosinusitis with laryngopharyngeal reflux. Patients were assessed for the symptoms of LPR using RSI and RFS. The severity of CRS was assessed using SNOT-22 and the Lund Kennedy Endoscopic grading system. All Patients underwent functional endoscopic sinus surgery performed by experienced otolaryngologists, and the scores were validated postoperatively at 1 week, 1 month and 3 months. The average preoperative RSI score of 24.87 ± 5.14 decreased to 19.63 ± 5.43 at 3 months post-surgery, reflecting a significant mean reduction of 5.23 (95% CI 5.70-0.23). The RFS score declined from 20.13 ± 5.16 before surgery to 17.10 ± 4.01 at 3 months post-surgery, with a mean difference of 0.93 (95% CI 0.08-1.78). SNOT-22 scores improved markedly from 60.10 ± 9.74 preoperatively to 28.13 ± 8.03 at 3 months post-operatively. While our study did not find a significant improvement in symptoms related to Laryngopharyngeal Reflux (LPR) following functional endoscopic sinus surgery (FESS), there are indications of potential benefits.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5505-5512"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669675","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":"Sinonasal Organized Hematoma: A Preoperative & Intraoperative Diagnostic Evaluation of Two Cases.","authors":"Raman Sharma, Pratik Kumar, Shobhit Rastogi, Ravi Meher, Jyoti Kumar, Ashish Gopal","doi":"10.1007/s12070-024-05019-6","DOIUrl":"10.1007/s12070-024-05019-6","url":null,"abstract":"<p><p>Sinonasal Organized hematoma (SOH) is a rare, benign condition that can mimic the malignancy of sinonasal region. It typically involves the maxillary sinuswith extra sinus involvement being a rare presentation. . We present two cases of SOH with unususal presentations, posing diagnostic challenges. One case had the organised hematoma over the hard palate, While the other case had an organised hematoma in the nasal cavity. Both the cases underwent thorough preoperative evaluation,  including physical examination and radiology.. . Surgical management was employed in both cases.  Early diagnosis and appropriate intervention are crucial for excellent prognosis. Preoperative diagnosis by clinical suspicion & radiology is essential for adopting a more conservative approach.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5972-5977"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669726","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":"Assessing the Comprehensibility and Trustworthiness of Online Tracheostomy Care Resources.","authors":"M S Vishak, Adwaith Krishna Surendran, Anjali Rajkumar, Ruben Raj, Kalaiarasi Raja","doi":"10.1007/s12070-024-05098-5","DOIUrl":"10.1007/s12070-024-05098-5","url":null,"abstract":"<p><p>Tracheostomy is a surgical procedure to create an opening in the neck to insert a tube into the trachea to help a person breathe. Proper cleaning and care of the tracheostomy tube is vital to prevent infections. Patients frequently use the internet to learn about tracheostomy tube care before and after the procedure. To assess the readability and reliability of 50 websites providing patient information on tracheostomy tube care. The websites were evaluated using the Flesch-Kincaid Grade Level (FKGL), Flesch Reading Ease Score (FRES), Gunning Fog score (GF), DISCERN score, and JAMA benchmark criteria. The mean FKGL was 6.2, FRES was 61.9 and GF score was 7.2, indicating moderate overall readability. The reliability scores were average, too, with mean DISCERN and JAMA scores being 3.2 and 1.8, respectively. There is immense scope for improvement in the readability and reliability of online resources on tracheostomy tube care for patients to comprehend the information quickly.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5793-5798"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669583","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":"Comparing the Efficacy of Acetic Acid vs Gentian Violet in Chronic Discharging Ears.","authors":"K Gowthame, S Prabakaran, R B Namasivaya Navin, S Rajasekaran, R Muthukumar, D Balaji, B Sarath Kumar, V Adithya","doi":"10.1007/s12070-024-04957-5","DOIUrl":"10.1007/s12070-024-04957-5","url":null,"abstract":"<p><p>Chronic suppurative otitis media is a prolonged and chronic condition. It is a prevalent bacterial infection in the field of otolaryngology that has substantial consequences. Prior to surgical intervention, it is crucial to implement medical treatment to make the ears dry in cases of chronic suppurative otitis media. The goal is to determine the most suitable agent for aural toileting in individuals with chronic suppurative otitis media by evaluating the outcomes of irrigation of acetic acid and gentian violet and determining the most suitable treatment. A randomized controlled study was done on 100 patients in a tertiary care center with a tubotympanic type of CSOM in the active phase. Patients were divided into 2 groups and toileting and irrigation were done with acetic acid in one group and with gentian violet in the other for 3 weeks. The comparison of treatment outcomes between the groups revealed a statistically significant difference, with acetic acid demonstrating superior treatment results compared to gentian violet. This was further confirmed by a statistically significant difference between the two groups in otologic scores at different time points, as a result of a considerably greater fall in scores in the acetic acid group. Regular antiseptic auditory cleaning and irrigation can help manage chronic suppurative otitis media. The process of healing is facilitated by modifying the pH of the ear canal, reducing inflammation, destroying biofilms, and removing exudates. Acetic acid appears to be more effective than gentian violet in treating the condition. Therefore, acetic acid alone or in conjunction with antibiotic ear drops, can be used for the treatment of chronic suppurative otitis media.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5256-5262"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669672","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":"Tuberculosis Beyond Borders: A Rare Case of Infratemporal Fossa Infection Leading to Parotid Abscess and Mastoiditis.","authors":"Nilam U Sathe, Anoushka Sahai, Amar Ingle, Anjali Taku","doi":"10.1007/s12070-024-05056-1","DOIUrl":"10.1007/s12070-024-05056-1","url":null,"abstract":"<p><p>Tuberculosis (TB) remains a global health concern, with extrapulmonary TB (EPTB) comprising 15-20% of cases. Diagnosis is challenging due to nonspecific imaging findings, necessitating consideration in high-risk populations. Understanding TB's pathogenesis, including lymphatic and hematogenous spread, is crucial for accurate diagnosis. Radiological assessments play a pivotal role in diagnosis and treatment planning. A 25-year-old male presented with left ear discharge and progressive pre- and infra-auricular swelling. Imaging revealed extensive involvement of the parotid and mastoid regions, posing diagnostic dilemmas. Microbiological confirmation via USG-guided aspiration confirmed mycobacterial TB with Rifampicin resistance, prompting prompt initiation of anti-tubercular therapy. TB extending to the parotid and mastoid regions is rare but warrants consideration in ITF lesions. This case emphasizes the importance of maintaining a high index of suspicion for TB, utilizing advanced imaging modalities, and obtaining microbiological confirmation for precise diagnosis and timely intervention. Further research is needed to optimize diagnostic and therapeutic approaches for atypical ITF infections.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"6013-6017"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669010","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":"Usefulness of the Reflux Symptom Index and Reflux Finding Score in the Management of Laryngopharyngeal Reflux.","authors":"G M Puttamadaiah, Prithvi Naik","doi":"10.1007/s12070-024-04920-4","DOIUrl":"10.1007/s12070-024-04920-4","url":null,"abstract":"<p><p>Laryngopharyngeal reflux (LPR) refers to a condition in which gastroduodenal contents reflux back into the oesophagus and affects the throat, specifically the laryngopharynx. A wide variety of symptoms have been attributed to LPR. To minimize the underdiagnosis, Reflux Symptom Index (RSI) with the Reflux Finding Score(RFS) are useful in ENT practice. LPR treatment typically entails an intensive strategy, applied over an extended period of time, combined with dietary adjustments, exercise, weight loss and lifestyle changes. To study the usefulness of Reflux Symptom Index and Reflux Finding Score in the management of LPR. This study was a descriptive study conducted in the Department of ENT, Bangalore Medical College and Research Institute, Bangalore from February 2021 to August 2022. This study included 90 patients who were diagnosed to have LPR attending the ENT OPD at Bangalore Medical College and Research Institute, Bangalore and attached hospitals. All patients were subjected to detailed history taking using RSI, thorough clinical examination and laryngoscopic examination using RFS and necessary investigation was done. They were treated with proton pump inhibitors and prokinetic drugs and followed up regularly. Treatment was stopped after 6 months to prevent long-term adverse. Our study recruited 90 patients who were diagnosed to have LPR of which 55 were male and 35 female. Most of them were 41-50 years of age. Throat clearing was found to be the most common symptom and erythema/ hyperaemia of larynx was the most common sign. It was found that median RSI score was highest at baseline (13) and lowest 2 months (2) with no RSI score at 3 and 6 months. The median RFS scores was highest at baseline (8) and lowest after 2 months (1) with no RFS score at 3rd and 6th months. The difference was statistically significant. Major improvement in symptoms was seen after 2nd month and major improvement in laryngoscopic signs was seen after 1st month. RSI and RFS are useful diagnostic tools in identifying patients with LPR. It helps in assessing response to treatment during their follow up. Treatment with proton pump inhibitors and prokinetic drugs along with strict dietary modification, stress management and regularization of life style has to be followed for a duration of 6 months with regular follow up for complete resolution of signs and symptoms.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5170-5175"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669020","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":"Verbal Fluency as a Measure of Executive Function in Middle-Aged Adults with Mild Sensorineural Hearing Loss.","authors":"Pooja Chandrashekar, Hema Nagaraj","doi":"10.1007/s12070-024-04999-9","DOIUrl":"10.1007/s12070-024-04999-9","url":null,"abstract":"<p><p>This study investigates verbal fluency as an indicator of executive function in middle-aged adults with mild sensorineural hearing loss, comparing them to age-matched controls with normal hearing. In this study, 50 middle-aged participants were recruited, comprising 25 with bilateral unaided mild hearing loss and 25 age-matched controls with normal hearing. Demographic information, including age, gender, and health-related factors, was collected. Audiological evaluations confirmed the participants' hearing status, and verbal fluency tests were conducted, encompassing semantic, phonemic, and alternate fluency tasks. Significant differences in audiological measures were observed between both groups. Verbal fluency tests revealed lower mean ranks between the groups on almost all tasks suggesting distinct accuracy and error patterns. This study establishes a link between mild sensorineural hearing loss and executive function in middle-aged adults, evidenced by deficits in verbal fluency tasks. The findings underscore the need for targeted interventions to address cognitive impairments, emphasizing the importance of comprehensive care strategies for individuals in this population.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5443-5450"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669023","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 Effect of Total Thyroidectomy on Trace Elements, Namely Zinc and Copper in Patients with Thyroid Diseases.","authors":"Vahid Zand, Mohammadhossein Baradaranfar, Said Movahedinaini, Mohammad Mandegari, Mojtaba Meybodian, Sedighe Vaziribozorg, Jahanbaz Ahmadizadeh","doi":"10.1007/s12070-024-05018-7","DOIUrl":"10.1007/s12070-024-05018-7","url":null,"abstract":"<p><p>The aim of this study was to investigate the effect of total thyroidectomy on serum levels of trace elements, namely zinc and copper, in patients with thyroid diseases. In this cross-sectional study, 42 patients with thyroid diseases according to laboratory and fine needle aspiration (FNA) results divided into two groups, including differentiated thyroid cancer group (papillary and follicular) and non-cancerous group (MNG: Multinodular goiter). Before the surgery, blood sample was taken to investigate the zinc and copper levels. The patients underwent total thyroidectomy. Four days after the surgery, serum zinc and copper levels were investigated again and compared. There was no significant difference in frequency of zinc (<i>p</i> value = 0.99) and copper (<i>p</i> value = 0.70) level in patients undergoing total thyroidectomy before and after the surgery. Without considering the diagnosis (MNG and PTC), zinc levels decreased significantly after the surgery (<i>p</i> value = 0.01) but copper levels did not differ significantly (<i>p</i> value = 0.93) before and after the surgery. In patients diagnosed with PTC, a significant decrease in zinc level was observed (<i>p</i> value = 0.04) after the surgery but the difference between the copper before and after the intervention was not significant (<i>p</i> value = 0.35). In patients diagnosed with MNG, no significant decrease in zinc level (<i>p</i> value = 0.14) and copper level (<i>p</i> value = 0.80) was observed after the surgery. According to the results of this study zinc serum levels had a significant decrease in patients who underwent total thyroidectomy 4 days after the surgery.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5500-5504"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666375","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}