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

{"title":"The Role of Intra-Articular Sodium Hyaluronate Injection in the Management of Temporomandibular Joint Disorder: A Longitudinal Clinical Study.","authors":"Ritu Gupta","doi":"10.1007/s12070-025-05332-8","DOIUrl":"https://doi.org/10.1007/s12070-025-05332-8","url":null,"abstract":"","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1324-1325"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651741","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":"Evaluating the Impact of Comorbidities & Synchronous Airway Lesions in Children with Laryngomalacia.","authors":"Selvamalar Vengathajalam, Bee-See Goh","doi":"10.1007/s12070-025-05361-3","DOIUrl":"https://doi.org/10.1007/s12070-025-05361-3","url":null,"abstract":"<p><p>Supraglottoplasty is performed in children diagnosed with laryngomalacia experiencing persistent respiratory difficulties and failure to thrive. The objective of this study is to assess the impact of comorbidities and synchronous airway lesions to post-operative recovery and overall patient well-being during follow up. This is a retrospective review on the outcomes of supraglottoplasty performed at a tertiary pediatric hospital from May 2023 to August 2024. A total of 11 patients included, majority having comorbidities and synchronous airway lesions. Results showed that despite higher surgical risks, all patients achieved substantial improvements with 50% or greater in respiratory function at follow-up. Although some experienced delayed extubation and required prolonged feeding support, all were gradually weaned off oxygen post-operatively. The choice of surgical instrument did not affect outcomes. Supraglottoplasty outcomes are complex in patients with comorbidities due to increased surgical risks and extended post-operative care, including delayed extubation, prolonged respiratory and feeding assistance. Despite these challenges, all patients achieved at least 50% improvement in respiratory symptoms within 3 months post-surgery. Although presence of synchronous airway lesions prolonged recovery time but significant improvements was seen in breathing. While children without comorbidities typically had the best outcomes, those with comorbidities also benefited from surgery when managed by multidisciplinary team. The choice of surgical instruments did not significantly impact outcomes, highlighting that post-operative care and patient factors are key to recovery. Supraglottoplasty increases risks in patients with comorbidities and synchronous airway lesions but benefits of surgery outweigh these risks. This study emphasizes importance of multidisciplinary approach and post-operative care for achieving successful outcomes in this population.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1454-1460"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651770","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":"Investigating Hearing Function in Paediatric Patients with Cancer in South Africa.","authors":"Tlangelani Nyeleti Chauke, Katijah Khoza-Shangase","doi":"10.1007/s12070-024-05299-y","DOIUrl":"https://doi.org/10.1007/s12070-024-05299-y","url":null,"abstract":"<p><p>Paediatric cancer patients receiving platinum-based chemotherapy are at high risk of ototoxicity, often resulting in irreversible hearing loss. In South Africa, where healthcare resources are limited, routine audiological monitoring for this vulnerable population remains challenging, potentially leading to undiagnosed and untreated hearing impairments. To investigate hearing function in paediatric patients with cancer in South Africa. A descriptive, retrospective record review was conducted using patient data from two tertiary hospitals in Johannesburg: Chris Hani Baragwanath Academic Hospital and Charlotte Maxeke Johannesburg Academic Hospital. Audiological records for 47 paediatric cancer patients (ages 5-18) who had undergone baseline and follow-up hearing assessments were analysed. Descriptive and inferential statistics were used to examine hearing thresholds, tympanometry, and DPOAE results, with logistic regression assessing the association between cisplatin treatment and hearing loss. The study found that 36.2% of patients experienced high-frequency sensorineural hearing loss post-treatment, with significant threshold shifts at 4000-8000 Hz. Tympanometry indicated normal middle ear function in 87% of follow-up assessments, suggesting primarily cochlear damage. Logistic regression showed a significant association between cisplatin treatment and hearing loss, with an odds ratio of 3.18 (<i>p</i> = 0.003). DPOAE results further confirmed outer hair cell dysfunction, particularly in high frequencies, among patients who developed hearing loss. A substantial proportion of paediatric cancer patients in South Africa experience high-frequency hearing loss due to ototoxic treatments. These findings highlight the need for routine, standardized audiological monitoring protocols, particularly in resource-limited settings. Implementing early detection and management strategies can help mitigate the impact of hearing loss on language development, education, and quality of life in this vulnerable population.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1238-1247"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650376","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":"Laryngeal Abscess: A 34-Year Review.","authors":"Aida Veiga-Alonso, Ramón Cobo-Díaz, Belén Salvatierra-Vicario, Patricia Corriols-Noval, Carmelo Morales-Angulo","doi":"10.1007/s12070-025-05323-9","DOIUrl":"https://doi.org/10.1007/s12070-025-05323-9","url":null,"abstract":"<p><p>This study aimed to investigate the frequency, clinical-epidemiological characteristics, and management of laryngeal abscesses in our hospital setting. We included all patients treated for primary laryngeal abscesses in the Otorhinolaryngology Department of a tertiary hospital over a 34-year period. Patients with abscesses believed to have originated from adjacent regions were excluded. Thirteen patients with laryngeal abscesses were identified, with epiglottitis being the most common etiology (61%). Three patients were immunosuppressed. Four patients required urgent tracheotomy, and one underwent cricothyrotomy due to upper airway obstruction. All cases were drained under general anesthesia via a transoral route. Five patients required admission to the intensive care unit, and two experienced severe complications. There were no fatalities. Laryngeal abscesses are rare, with epiglottitis being the predominant cause. These cases pose a high risk of upper airway obstruction, highlighting the importance of early diagnosis and prompt treatment by a multidisciplinary team to prevent complications.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1294-1300"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651275","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":"Challenges and Strategies in Achieving Laryngeal Exposure for Transoral Laser Microsurgery: A Case Report.","authors":"Wei Jie Boon, Mawaddah Azman, Marina Mat Baki, Nadhirah Mohd Shakri","doi":"10.1007/s12070-024-05295-2","DOIUrl":"https://doi.org/10.1007/s12070-024-05295-2","url":null,"abstract":"<p><p>Endolaryngeal microsurgery is a well-established procedure, with proper laryngeal exposure is critical for success. However, there are instances where achieving complete visualization of the laryngeal inlet, particularly the anterior commissure, can be challenging, termed as difficult laryngeal exposure (DLE). The Laryngoscore, introduced in 2014, can accurately predict DLE and assist in preoperative planning. We report a case of DLE encountered during transoral laser microsurgery in a 50-year-old obese woman with bilateral vocal fold paralysis following total thyroidectomy and describe the maneuvers applied, which led to successful surgery. This case underscores the importance of the role of Laryngoscore in preoperative assessment and discusses the useful maneuvers in managing DLE.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1225-1229"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651550","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":"Of the Article: Comprehensive Study on Functional Outcome after Neck Dissection (Preserving Spinal Accessory Nerve) as a Part of Head and Neck Oncosurgeries.","authors":"Nidhish Rajesh Shah, Girish Mishra, Yojana Sharma","doi":"10.1007/s12070-025-05365-z","DOIUrl":"https://doi.org/10.1007/s12070-025-05365-z","url":null,"abstract":"<p><strong>Introduction: </strong>Head and neck cancers in India comprise nearly 30% of cancer cases, present diagnostic and therapeutic challenges. Neck dissection aims to improve survival outcomes. However, it can lead to complications like shoulder dysfunction, even when the spinal accessory nerve is preserved. Patient-reported outcomes, such as the QuickDASH, are essential in evaluating how these complications affect daily life postoperatively. This study evaluates functional outcomes using QuickDASH, contributing insights to postoperative care.</p><p><strong>Aim: </strong>To measure the functional outcome after Neck Dissection (preserving spinal accessory nerve) in patients undergoing the head & neck oncosurgeries.</p><p><strong>Materials and methods: </strong>In this 14-month observational prospective study, 173 patients who underwent SAN-preserving neck dissections were followed. Postoperative care included physiotherapy, high-protein diet, and standard treatment protocols. Functional outcomes were measured at 6 weeks and 6 months post-surgery using QuickDASH. Statistical analysis included descriptive statistics, T-tests, ANOVA, and Chi-square tests, with a significance level of <i>p</i> < 0.05. Data were analyzed using STATA 14.2.</p><p><strong>Results: </strong>Oral cavity squamous cell carcinoma (OSCC) was the most common diagnosis, representing 85% of cases, with 62% presenting at an advanced stage. The SOHND group exhibited the best functional outcomes at 6 months. Patients with early-stage tumors and those who received postoperative physiotherapy demonstrated improved recovery, while free flaps yielded better shoulder functionality.</p><p><strong>Conclusion: </strong>Despite preserving anatomical integrity, patients often experience upper extremity dysfunction post-surgery, indicating nerve trauma. Immediate postoperative physiotherapy and high protein diet enhances functional recovery, as indicated by improved QuickDASH scores. QuickDASH can be used to identify patients at risk for shoulder dysfunction after neck dissection.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1492-1498"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651608","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":"Identification of Novel Surface Landmarks for Inframammary Pectoralis Major Myocutaneous Flap- A Prospective Single Centre Study.","authors":"Nadimul Hoda, Aparna Ganesan, Mainak Ghosh, K S Sabitha, Akshay A Byadgi, K P Amith","doi":"10.1007/s12070-025-05320-y","DOIUrl":"https://doi.org/10.1007/s12070-025-05320-y","url":null,"abstract":"<p><p>The inframammary skin paddle design of pectoralis major myocutaneous flap (PMMCF) is versatile with significant merits. However, lack of early identification of the vascular pedicle poses a risk on the flap integrity. This study aims to establish stable surface landmarks for identification of the pectoral branch of thoraco-acromial artery (PB-TAA), the chief vascular pedicle in PMMCF. A prospective observational study was planned and inframammary design of PMMCF was harvested to reconstruct defects secondary to oncologic resection of cancers of gingivobuccal complex. The mid-nipple line (NL) and xiphoid line (XL) were the proposed surface anatomical landmarks. The horizontal distance between the pedicle traversing in the deep surface of the pectoralis major muscle and the NL was measured. It is a single center prospective study. A total of 63 patients were included in the study. The distance of the PB-TAA from the NL was found to be 1.18 ± 0.48 cm medially and 0.8 ± 0.19 cm laterally. The mean differences between the medial and lateral pedicle locations were statistically significant (<i>p</i> < 0.01). This study suggests that the NL could prove to be a standard surface anatomical landmark for identification of vascular pedicle in inframammary skin paddle design of PMMCF.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1276-1280"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651738","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":"Dual Vagus Nerve: a Rare Anatomical Entity.","authors":"Priyam Mitra, Aamir Saifi, Vishal Mishra, Arjun Agarwal, Siddharth Arora, Monika Meharchandani","doi":"10.1007/s12070-025-05373-z","DOIUrl":"https://doi.org/10.1007/s12070-025-05373-z","url":null,"abstract":"<p><p>Duplicate cranial nerves are fundamentally rare anatomical variants. Few case reports have documented cranial nerve duplication. Proper understanding of the anatomy is important to prevent iatrogenic injury during any surgical procedure. We present a case report of duplicate vagus nerves identical in size and thickness identified during neck dissection procedure. A 44-year-old gentleman diagnosed with Squamous Cell Carcinoma of Right Parotid Gland underwent Total Parotidectomy with Elective Neck Dissection. During carotid sheath microdissection, two parallel nerve tracts were identified. The two nerves were identical in size and width. Proximal dissection confirmed that the two nerves were independent of one another and neither was a branching segment. This is the one of the few reported cases of duplicate vagus nerves identified. The authors would like to highlight the rare anatomical variant of vagus nerve and emphasize on knowledge of proper surgical anatomy to prevent inadvertent injury to cranial nerve and any vital structures during surgical procedure.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1660-1663"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651761","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":"Effects of Kanamycin on Hearing and Vestibular Function in Multidrug-Resistant Tuberculosis Patients.","authors":"Prakash Kumar Koirala, Sushma Kashyap, Hari Shankar Sharma","doi":"10.1007/s12070-025-05362-2","DOIUrl":"https://doi.org/10.1007/s12070-025-05362-2","url":null,"abstract":"<p><p>Kanamycin, an aminoglycoside antibiotic used to treat multidrug-resistant tuberculosis (MDR-TB), poses a significant risk of ototoxicity, potentially affecting hearing and balance. This study aimed to investigate the impact of kanamycin on auditory and vestibular function in MDR-TB patients focusing on the development of Sensorineural Hearing Loss (SNHL), dizziness, and tinnitus. A cohort of primarily young patients (44.4% aged 19-30, 69.4% female) underwent interviews, tuning fork tests, and Pure Tone Audiometry before and after treatment. Statistical analysis revealed significant associations between kanamycin use SNHL, dizziness, and tinnitus. A substantial proportion of participants experienced hearing loss and balance-related symptoms post-treatment. The findings underscore the need for routine auditory and vestibular monitoring in MDR-TB patients, particularly those at higher risk. Further research on minimizing kanamycin-induced ototoxicity, exploring alternative therapies, and conducting longitudinal studies to assess long-term auditory and vestibular outcomes in MDR-TB treatment.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1461-1477"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651763","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":"Electromechanical Reshaping of Face, Neck and Auricular Cartilages: A Scoping Review.","authors":"Harisharan Ramesh, Mohamed Jameer Basha Jahankir, Thilak Chakaravarthi, Vidhu Sharma, Amit Goyal","doi":"10.1007/s12070-024-05207-4","DOIUrl":"https://doi.org/10.1007/s12070-024-05207-4","url":null,"abstract":"<p><p>Electromechanical Reshaping (EMR) has emerged as a novel modality to reshape the cartilage of face and neck in a minimally invasive manner. This scoping review focusses on assessing the efficacy and potential of EMR in clinical utility. Studies were collected and analyzed by two authors. PubMed, Scopus, and Springer were searched for databases from January 2000 to April 2024. Studies encompassing peer-reviewed original research articles on EMR in cartilage tissues, experimented in-vivo or ex-vivo were included. The data examined were mechanism of action, dosimetry, safety parameters, physical and chemical parameters, and electrode geometry. After screening 235 articles by de-duplication and by following inclusion and exclusion criteria, 27 articles were included in the review. The full-text articles were completely analyzed, the articles emphasized EMR in cartilage in-vivo or ex-vivo animal models. It was evident that EMR has less interference with tissue injury and has the potential to reshape the cartilage non-invasively when compared to other reshaping methods. Further studies are required for clinical validation and compatibility. EMR presents potential as a minimally invasive cartilage reshaping technique with favorable efficacy and safety profiles but requires optimization in dosimetry, electrode geometry and other parameters. Extensive clinical studies involving human subjects are essential for long-term validation and clinical readiness.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1702-1721"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651764","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}